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Use of standardized processes to achieve optimal pre-surgical Skin asepsis
(2017-04-21)
Surgical site infections are a significant threat to patient safety, they increase patient mortality and morbidity, and increase health care expenditures. A pre-surgical protocol that implements two applications of 2% Chlorhexidine gluconate using prepackaged cloths is an evidence-based practice that kills and then prohibits the growth of potentially dangerous skin flora. The purpose of this project was to evaluate the effectiveness of 2% Chlorhexidine gluconate cloths when administered twice pre-surgically to reduce the incidence of surgical site infections and to improve pre-surgical documentation. The Iowa framework for quality improvement was used with results demonstrating that, while documentation remained an area for improvement, there was a significant decrease in surgical site infections over the comparison group.
Keywords: Surgical site infection, 2% Chlorhexidine gluconate cloths, Pre-surgical skin asepsis, Patient Safety, Teamwork, EMR Documentation...