Outpatient Surgery Magazine

Manager's Guide to Infection Control - May 2016

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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6 0 S U P P L E M E N T T O O U T P A T I E N T S U R G E R Y M A G A Z I N E M A Y 2 0 1 6 What is the perioperative surgical home (PSH) model? It's a patient-centered and physician-led multidisciplinary team- based system of coordinated care that guides patients through the surgical experience, from deciding on the need for surgery to discharge from a medical facility and return to normal func- tion. The model aims to transform surgical care by improv- ing clinical outcomes, enhancing patient involvement and lowering costs. How does that apply to improving infection control efforts? It calls for the development of clinical pathways and stan- dardization of the entire perioperative episode of care. Optimization of underlying conditions such as diabetes, pre- habilitation with improved nutrition and identifying patients at high risk of developing SSIs are a few of the benefits. Of course, 100% adherence to the perioperative administra- tion of antibiotics is another obvious component. Patient education and engagement with the perioperative process will also lower SSI rates. You've mentioned that change demands a sense of urgency. Why? About 70% of change initiatives fail in all indus- tries, including health care. John Kotter, a Harvard Business School professor and a foremost expert on this topic, has indicated that much of that high rate of fail- urning Platforms, Coordinated Care and SSI Prevention B Zeev Kain, MD, PhD Anesthesiologist and perioperative surgical home proponent

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