M A Y 2 0 1 6 O U T P A T I E N TS U R G E R Y. N E T 1 9
However, he stresses that you won't create a
culture of compliance by just moving to a new
prep product. Instead, it requires streamlining
your choices as much as possible and then edu-
cating and re-educating staff on the proper appli-
cations of the prepping products based on the
manufacturers' instructions.
"The first obstacle we observed to compliance
in the study was that the facilities did not look at
evidence-based protocols to gather the informa-
tion they needed to identify the key ingredients or
mechanisms for applying the prep to the patient,"
says Dr. Saleh. "The top-performing facilities tend-
ed to have a consistent program of educating peo-
ple and held regular review sessions."
Overall, the key to standardization is to ensure
that the person prepping the patient for surgery
— whichever staffer, surgeon or specialty it may
be — has the tools and knowledge she needs to
do the job correctly each time. "If Ms. Smith is
taught to scrub differently than Ms. Donald, that's
where misalignment occurs," says Dr. Saleh. "It
shows the facility did not look at the best science
and standardize its protocol accordingly."
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