作者: Brigid Gillespie , Evelyn Kang , Shelley Roberts , Allison Homer , Nicola Morley
DOI: 10.2147/JMDH.S73565
关键词: Medicine 、 Surgical wound 、 Excellence 、 Health care 、 Nursing 、 Data science 、 Multidisciplinary approach 、 Best practice 、 Patient participation 、 Psychological intervention 、 Quality management
摘要: Purpose: To identify and describe the strategies processes used by multidisciplinary teams of health care professionals to reduce surgical site infections (SSIs). Materials methods: An integrative review research literature was undertaken. Searches were conducted in April 2015. Following included studies, data abstracted using summary tables methodological quality each study assessed Standards for Quality Improvement Reporting Excellence guidelines two reviewers. Discrepancies dealt with through consensus. Inductive content analysis strategies/processes prevent SSI. Results discussion: In total, 13 studies met inclusion criteria. Of these, 12 quantitative methods, while a single qualitative interviews. The majority North America. All evaluated multifaceted quality-improvement interventions aimed at preventing SSI patients undergoing surgery. Across reviewed, following team-based approaches enacted: bundled approach, sharing responsibility, and, adhering best practice. described team collaborations that circumscribed role. None reviewed input allied or patient participation prevention. Conclusion: Patient-centered increasing prevention evaluating contributions requires future research.