Use of standardized processes to achieve optimal pre-surgical Skin asepsis
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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
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Outcomes Research |
Research Approach | Translational Research/Evidence-based Practice |
Keywords | Preoperative Care Standards; Surgical Wound Infection; Evidence Based Practice; Team Excellence |
CINAHL Subject(s) | Surgical Wound Infection--Prevention and Control; Surgical Wound Infection; Asepsis--Methods; Asepsis; Patient Safety; Patient Record Systems; Documentation; Electronic Health Records; Teamwork; Nursing Practice, Evidence-Based |
Grantor | Capella University |
Advisor | Nogueras, Debra J.; Stayner, Mindy |
Level | DNP |
Year | 2017 |
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