ArticleThe Permanente journal2012
A colorectal "care bundle" to reduce surgical site infections in colorectal surgeries: a single-center experience.
Article in The Permanente journal, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 5 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Perioperative care bundles for the prevention of surgical-site infections: meta-analysis.The British journal of surgery · 2022Pooled it
- Implementation interventions in preventing surgical site infections in abdominal surgery: a systematic review.BMC health services research · 2020Pooled it
- Bundles Prevent Surgical Site Infections After Colorectal Surgery: Meta-analysis and Systematic Review.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017Pooled it
- A systematic review of clinical effectiveness of wound edge protector devices in reducing surgical site infections in patients undergoing abdominal surgery.Updates in surgery · 2017Pooled it
- Change in Adverse Events After Enrollment in the National Surgical Quality Improvement Program: A Systematic Review and Meta-Analysis.PloS one · 2016Pooled it
- Ability of minimally invasive surgery to decrease incisional surgical site infection occurrence in patients with colorectal cancer and other gastroenterological malignancies.Frontiers in surgery · 2023Article
- Bundles reduce anastomosis leak in patients undergoing elective colorectal surgery. A propensity score-matched study.Frontiers in surgery · 2023Article
- Implementation of an organ space infection prevention bundle reduces the rate of organ space infection after elective colorectal surgery.BMJ open quality · 2021Article
- Adherence to a standardized infection reduction bundle decreases surgical site infections after colon surgery: a retrospective cohort study on 526 patients.Patient safety in surgery · 2021Article
- A Review of Bowel Preparation Before Colorectal Surgery.Annals of coloproctology · 2021Review
- Implementation of a Bundle of Care in Colorectal Surgery to Reduce Surgical Site Infections Successfully at Cantonal Hospital Lucerne: Study Protocol for a Prospective Observational Study.International journal of surgery protocols · 2021Article
- Implementing a multidisciplinary care bundle to reduce colon surgical site infections.Annals of surgical treatment and research · 2020Article
- Post-operative Glycaemic Control Using an Insulin Infusion is Associated with Reduced Surgical Site Infections in Colorectal Surgery.World journal of surgery · 2020Article
- Outcomes After Bowel Resection for Inflammatory Bowel Disease in the Era of Surgical Care Bundles and Enhanced Recovery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Article
- Associations between multiple immunosuppressive treatments before surgery and surgical morbidity in patients with ulcerative colitis during the era of biologics.International journal of colorectal disease · 2019Article
- Open Surgical Incisions After Colorectal Surgery Improve Quality Metrics, But Do Patients Benefit?Diseases of the colon and rectum · 2018Article
- Modifiable and non-modifiable risk factors for surgical site infection after colorectal surgery: a single-center experience.Surgery today · 2018Article
- Can surgical site infections be reduced with the adoption of a bundle of simultaneous initiatives? The use of NSQIP incidence data to follow multiple quality improvement interventions.Canadian journal of surgery. Journal canadien de chirurgie · 2018Article
- Risk Stratification for Surgical Site Infections in Colon Cancer.JAMA surgery · 2017Article
- Adhering to a national surgical care bundle reduces the risk of surgical site infections.PloS one · 2017Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundKaiser Sunnyside Medical Center has participated in the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) since January 2006. Data on general and colorectal surgical site infections (SSIs) demonstrated a need for improvement in SSI rates.
objectiveTo evaluate application of a "care bundle" for patients undergoing colorectal operations, with the goal of reducing overall SSI rates.
methodsWe prospectively implemented multiple interventions, with retrospective analysis of data using the NSQIP database. The overall, superficial, deep, and organ/space SSI rates were compared before and after implementation of this colorectal care bundle.
resultsBetween January 2006 and December 2009, there were 430 colorectal cases in our NSQIP report with 91 infections, an overall rate of 21.16%. Between January 2010, when the colorectal care bundle was implemented, and June 2011, there were 195 cases and 13 infections, a 6.67% overall rate. The absolute decrease of 14.49% is significant (p < 0.0001). The rate of superficial SSI decreased from 15.12% to 3.59% (p < 0.0001). The rates for deep and organ/space SSI also showed a decrease; however, this was not statistically significant. The NSQIP observed-to-expected ratio for colorectal SSI decreased from a range of 1.27 to 1.83 before implementation to 0.54 after implementation (fiscal year 2010).
conclusionsOur institution was a NSQIP high outlier in general surgery SSIs and had a high proportion of these cases represented in colorectal cases. By instituting a care bundle composed of core and adjunct strategies, we significantly decreased our rate of colorectal SSIs.
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