A Practice Improvement Project to Reduce Cesarean Surgical Site Infection Rates

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• 作者：Cindra Holland ^{cindra.holland@wright.edu}Author Vitae ; Peggy FosterAuthor Vitae ; Deborah UlrichAuthor Vitae ; Kathryn AdkinsAuthor Vitae
• 关键词：cesarean ; cesarean surgical site infection ; patient education ; postoperative infection
• 刊名：Nursing for Women's Health
• 出版年：2017
• 出版时间：December 2016-January 2017
• 年：2017
• 卷：20
• 期：6
• 页码：544-551
• 全文大小：3856 K
• 卷排序：20

文摘

We implemented an evidence-based practice improvement project at a health care facility in the Midwestern United States to address the increasing rate of cesarean surgical site infections. Women who experienced cesarean birth were cared for using a standardized evidence-based protocol including preoperative and postoperative care and education. In addition, a team-created educational video was used by both women and their families during the postoperative period and at home after discharge. This new protocol resulted in a decrease in the rate of cesarean surgical site infections from 1.35% in 2013 to 0.7% in 2014 and 0.36% in 2015. Our interdisciplinary approach to integrate best-practice strategies resulted in decreased infection rates and improved patient satisfaction scores.