Outpatient Surgery Magazine

OR Excellence 2019 Awards - September 2019 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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extracted from every phase of the patient's care. Another prob- lem was the siloing of cardiac patients' pre-op, perioperative and post-op phases of care. The new electronic report allowed the team to determine if "we were really doing what we said we were doing" with SSI prevention, says Ms. Mahabee-Betts. "We discov- ered a lot of gaps in nursing practices." In real time, the docu- ment captures all the essential components and data points needed for an SSI bundle. As a result, the total number of SSIs in the cardiac unit at Temple decreased from 11 in 2017 to 5 in 2018 to 2 in 2019, and the cardiac unit's program has become a model for the rest of the hospital. • Team-wide approach. UPMC Pinnacle in Harrisburg, Pa., has an ambitious goal — zero SSIs — and bolstered it with a variety of changes. Hand hygiene is now audited monthly. "If someone is caught not wash- ing their hands, we sometimes give the person who caught them a $20 gift card," says Sandra Winston, MHA, MSN, RN, vice president of surgical services. Other SSI prevention initiatives at UPMC Pinnacle: A Surgical Optimization Clinic for high-risk patients screens them for smok- ing, obesity, diabetes and COPD; if there are risky conditions, let- ters are sent to both the surgeon and PCP, asking them to consider sending the patient to the clinic for optimization. To limit foot traffic in the ORs, "do not enter" signs are placed on doors during surger- ies. "Every single person has a responsibility to prevent SSIs," says Ms. Winston. "Even one infection is too many." — Joe Paone 8 4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • S E P T E M B E R 2 0 1 9 • KEEP OUT! UPMC Pinnacle uses signs on its OR doors to discourage staffers from entering unnecessarily during surgeries. UPMC Pinnacle

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