The majority of surgical site infections are unnecessary and preventable to a large extent. They account for forty percent of all the infections acquired in hospitals. On top of that, they contribute to a longer recovery, further threat of other complications, additional pain, and even death in extreme cases. Research conducted has also revealed that surgical patients who develop complications from the surgical site infections are twice likely to die compared to those not infected (Dellinger, Hausmann & Bratzler, 2005). Furthermore, they have sixty percent more chance to be admitted in ICU, the hospital stay becomes longer, and lastly the readmission rate increase as six times more compared to those patients without infections (Griffin, 2005). These factors have demonstrated the need for interventions to prevent surgical site infections from affecting surgical patients.
Several interventions are put in place by various groups to reduce surgical site infection rates and mortality of patients. These groups comprise the National Quality Forum, the Joint Commission on Accreditation of Healthcare Organizations and the Centers for Medicare and Medicaid Services. They have collectively recommended the use of prophylactic antibiotics to prevent surgical site infections. The SSI avoidance through prophylactic antibiotic use consists of three core elements. These elements are appropriate selection, first dose timing, and discontinuation of the dose postoperatively.
Selecting an appropriate antibiotic to prevent an infection is extremely beneficial. The antibiotic selected should be one that can effectively work against the microorganism likely to cause surgical site infection (Kurtz, 2011). The antibiotic selection varies depending on the kind of surgery. Physician and clinical experts from various health bodies, boards, and groups have developed guiding principles for appropriate ...
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Prophylactic antibiotics treatment is delivered to patients, since overwhelming evidence demonstrates that this practice lowers the incidence of SSI. Although research-based guidelines for infection prevention in surgery have been published, a relevant heterogeneity in the use of these measures exists showing the need for further regulation and implementation (Beckmann et al., 2011).
In many hospitals great care and staffing are assigned to ensure that infectious outcomes are limited via adequate administration, cross checking, and backup protocols. Through the Stetler Model, we will apply nursing techniques and applications to design a model for a smaller community hospital setting using current research models to write nursing guidelines for surgical antibiotic immunoprophylaxis.
Other surgical site infections are exceedingly grave and may involve body tissues found under the skin, the organs or the implanted substance. It is therefore without doubt that surgical site infections represent a considerable portion of infections associated with health care.
743). According to CMS, “a never event must be unambiguous, preventable, serious, and either adverse, indicate of a problem in the facility, or important for public credibility and accountability”; and the eight conditions CMS initially addressed are “catheter-associated urinary tract infections, vascular catheter-associated infections, and surgical site infections after coronary artery bypass grafting, certain orthopedic surgeries, and bariatric surgery” (as cited in Brown et al, 2009).
Value Based Purchasing is a tool which aids in linking the national quality policy and lower cost goals. Value Based Purchasing is an exceptionally critical driver for revamping the manner in which services are paid. It links directly the payment to the quality of care offered to a patient.
Studies have shown that nurses have a significant role to play in preventing the HAIs since these negatively impact on the welfare of different people who may be affected. Mandatory and voluntary surveillance schemes are effective in dealing with the problem associated with HAIs and these should be properly implemented by the nurses.
The conditions make a patient to be degraded by the hospitals environment. The conditions are sometimes referred to as complications. An example of a Hospital-acquired condition is when a patient rolls and falls from the hospital bed. The result of the fall may be a broken hip.
743). According to CMS, “a never event must be unambiguous, preventable, serious, and either adverse, indicate of a problem in the facility, or important for public credibility and accountability”; and the eight conditions CMS initially
To improve the quality of its service delivery, in 2007, the center for Medicare and Medicaid services (CMS) embarked on the program of Value Based Purchasing. This was one of the strategies employed by CMS to renovate its payment system to necessitate rewarding of
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