The Surgical Care Improvement Project Antibiotic Guidelines: Should We Expect More Than Good Intentions?
作者： Robert B. Schonberger , Paul G. Barash , Robert S. Lagasse
DOI: 10.1213/ANE.0000000000000735
关键词:
摘要: Since 2006, the Surgical Care Improvement Project (SCIP) has promoted 3 perioperative antibiotic recommendations designed to reduce incidence of surgical site infections. Despite good evidence for efficacy these recommendations, efforts SCIP have not measurably improved rates We offer arguments as why fallen short expectations. then suggest a reorientation quality improvement focus less on reporting, and incentivizing adherence imperfect metrics, more creating local regional collaboratives educate clinicians about how improve practice. Ultimately, successful projects are behavioral interventions that will only succeed degree they motivate individual clinicians, practicing within particular context, do difficult work identifying failures iteratively working toward excellence.
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