Reduced risk of surgical site infections through surveillance in a network

摘要: Objective. To estimate the effect of multicentre surveillance for nosocomial infections on patients’ risk surgical site infection (SSI). Design. Prospective multi-centre cohort study, from January 1996 to December 2000. Setting. Acute care hospitals in The Netherlands. Study participants. All 50 performing one seven selected procedures Dutch network PREZIES were invited. Thirty-seven participated (74%) and provided information 21 920 operations, after which 885 (4%) SSI occurred. Interventions. comprised following: Development methodology by multidisciplinary team; use a standardized registration protocol software; regular training data collectors; anonymous inter-hospital comparison rates feedback results; appointment contact person per hospital, responsible collection; dissemination results other health professionals. Regular discussion both successful failing prevention strategies that had been instituted based results. Outcome measure. Risk SSI. Results. was reduced patients who an operation during fourth year (RR = 0.69; 95% confidence interval (CI) 0.52–0.89) decreased further operated fifth 0.43; CI 0.24–0.76) as compared with underwent surgery within start their hospital. No significant reduction observed second third years. Conclusion. Surveillance, supported participation network, registered PREZIES. Our suggest control teams need be perseverant programmes should given time before evaluation.