SSI – Final April 2012
Category
Core
Core
Core
Core
Title
“How-to Guide: Prevent
Surgical Site Infection”
(Institute for Healthcare
Improvement [IHI])
Source
http://www.ihi.org/knowledge/Pages/Tools/HowtoGuidePre
ventSurgicalSiteInfection.aspx
“Guideline for Prevention of
Surgical Site Infection, 1999”
(U.S. Department of Health &
Human Services, Centers for
Disease Control and
Prevention [CDC])
“Frequently Asked Questions
about Surgical Site Infections”
(CDC)
Surgical Site Infection (SSI)
Toolkit (CDC)
http://www.cdc.gov/hicpac/pdf/SSIguidelines.pdf
“National Healthcare Safety
Network (NHSN)” (CDC)
http://www.cdc.gov/nhsn/
Description
This how-to guide describes key evidence-based
care components for preventing surgical site
infections, describes how to implement these
interventions, and recommends measures to
gauge improvement.
The “Guideline for Prevention of Surgical Site
Infection, 1999” presents the Centers for
Disease Control and Prevention (CDC)’s
recommendations for the prevention of surgical
site infections (SSI).
http://www.cdc.gov/HAI/ssi/faq_ssi.html
This site includes FAQs about surgical site
infections.
http://www.cdc.gov/HAI/pdfs/toolkits/SSI_toolkit021710SIB
T_revised.pdf
This CDC Toolkit is organized as a PowerPoint
document and includes SSI prevention
strategies.
The National Healthcare Safety Network (NHSN)
is a secure, internet-based surveillance system
that integrates and expands legacy patient and
healthcare personnel safety surveillance
systems managed by the Division of Healthcare
Quality Promotion (DHQP) at CDC. NHSN also
includes a new component for hospitals to
monitor adverse reactions and incidents
associated with receipt of blood and blood
products. Enrollment is open to all types of
healthcare facilities in the United States,
including acute care hospitals, long term acute
care hospitals, psychiatric hospitals,
rehabilitation hospitals, outpatient dialysis
centers, ambulatory surgery centers, and long
term care facilities.
Core
1
Category
Title
“Changes to Prevent Surgical
Site Infection” (IHI)
“Prevent Surgical Site
Infection” (IHI)
Surgical Site Infection
Prevention Bundle (Health
Protection Scotland)
“How-to Guide: Prevent
Surgical Site Infection —
Pediatric Supplement” (IHI)
Source
http://www.ihi.org/knowledge/Pages/Changes/ChangestoPr
eventSurgicalSiteInfection.aspx
http://www.ihi.org/explore/ssi/Pages/default.aspx
“Preventing Surgical Site
Infections” (U.S. Department
of Health & Human Services,
HealthCare.gov)
“Why Not The Best? Quality
Improvement Resources for
Healthcare Professionals” (The
Commonwealth Fund)
http://www.healthcare.gov/compare/partnership-forpatients/safety/infections_.html
http://www.ihi.org/knowledge/Pages/Tools/WHOSurgicalSaf
etyChecklistGettingStartedKit.aspx
Enhanced
“World Health Organization
(WHO) Surgical Safety
Checklist and Getting Started
Kit” (IHI)
Enhanced
“Infection Prevention: Surgical
Site Infection” (IHI)
http://www.ihi.org/offerings/MembershipsNetworks/Mento
rHospitalRegistry/Pages/InfectionPreventionSSI.aspx
Core
Core
Core
Core - Pedi
Core to Enhanced
Core to HPH
http://www.documents.hps.scot.nhs.uk/hai/infectioncontrol/bundles/ssi/ssi-bundle.pdf
http://www.ihi.org/knowledge/Pages/Tools/HowtoGuidePre
ventSurgicalSiteInfectionPediatricSupplement.aspx
http://whynotthebest.org/contents/index/1/4
2
Description
This site includes a number of changes facilities
can implement to prevent SSI.
This site includes a number of tools from IHI to
aid a facility in SSI prevention.
Procedures and checklists created by Health
Protection Scotland to help prevent SSI.
How-to guide tailored specifically for
pediatricians describes key evidence-based care
components for preventing surgical site
infections, describes how to implement these
interventions, and recommends measures to
gauge improvement.
Site includes a list of resources, peer reviewed
research, and successful efforts to reduce SSIs.
This site presents case studies that enable
hospitals to learn from other hospitals about
successful strategies to create safe, reliable
health care processes. Hospitals can browse
case studies by topic.
The aim of this checklist is to reinforce accepted
safety practices and foster better
communication and teamwork between clinical
disciplines. The checklist is intended as a tool
for use by clinicians interested in improving the
safety of their operations and reducing
unnecessary surgical deaths and complications.
This site includes a table that allows facilities
the ability to quickly find a mentor in the area
of SSI prevention with similar demographics.
Category
Title
Prevent Surgical Site
Infections: Getting Started Kit
(Safer Healthcare Now!)
Source
http://www.saferhealthcarenow.ca/EN/Interventions/SSI/D
ocuments/SSI%20Getting%20Started%20Kit.pdf
“Attacking MRSA Through
Positive Deviance” (Hospitals
in Pursuit of Excellence
[HPOE])
“DICON to Reduce MRSA”
(HPOE)
http://www.hpoe.org/case-studies/7766854045
Guide to the Elimination of
Orthopedic Surgical Site
Infections (APIC)
http://www.apic.org/Resource_/EliminationGuideForm/34e
03612-d1e6-4214-a76b-e532c6fc3898/File/APIC-OrthoGuide.pdf
“Collaboration to Prevent
Infections” (HPOE)
http://www.hpoe.org/case-studies/4736252114
“Reducing Surgical Site
Infections: Mercy Health
Center” (IHI)
http://www.ihi.org/knowledge/Pages/ImprovementStories/
ReducingSurgicalSiteInfectionsMercyHealthCenter.aspx
Enhanced
Enhanced
Enhanced
http://www.hpoe.org/case-studies/2846010762
Enhanced
Enhanced to HPH
HPH
3
Description
Safer Healthcare Now! is a national program
supporting Canadian healthcare organizations
to improve safety through the use of quality
improvement methods and the integration of
evidence in practice. This “Getting Started Kit”
has been written to help engage your
interprofessional/interdisciplinary teams in a
dynamic approach for improving quality and
safety while providing a basis for getting started
in SSI Prevention.
Case study from Albert Einstein Medical Center
that discusses how the organization tackled
MRSA using a concept known as “positive
deviance.”
Case study from DICON that describes how
Community Memorial Healthcenter (South Hill,
VA) reduced MRSA rates.
Guide from the Association for Professionals in
Infection Control and Epidemiology (APIC). The
purpose of this guide is to provide practical
tools, strategies, and resources for infection
preventionists, care providers, surgical staff,
and quality improvement teams to use in their
efforts to eliminate surgical site infections in
orthopedic surgery.
Case study from Bronson Methodist Hospital
(Kalamazoo, MI) that describes how the
Keystone Center for Patient Safety and Quality
partnered with the Michigan Health and
Hospital Association and Blue Cross Blue Shield
of Michigan to decrease HAI throughout
Michigan.
Case study that describes how Mercy Health
Center (Oklahoma City, Oklahoma) reduced
post-surgery infections by 78% in one year by
redesigning systems of care using rapid cycle
Category
Title
Source
Description
improvement.
HPH
HPH
Supporting
Supporting
“Reducing HealthcareAssociated MRSA Infections on
a Surgical Unit” (IHI)
http://www.ihi.org/knowledge/Pages/ImprovementStories/
ReducingHealthcareAssociatedMRSAInfectionsonaSurgicalU
nit.aspx
Guide for the Prevention of
Mediastinitis Surgical Site
Infections Following Cardiac
Surgery (Association for
Professionals in Infection
Control and Epidemiology
(APIC),
http://www.apic.org/Resource_/EliminationGuideForm/a99
4706c-8e6c-4807-b89a-6a7e6fb863dd/File/APICMediastinitis-Elimination-Guide.pdf
“Having Surgery? What You
Should Know Before You Go”
(CDC)
“Strategies to Prevent Surgical
Site Infections in Acute Care
Hospitals” (University of
Chicago Press, Infection
Control and Hospital
Epidemiology)
http://www.cdc.gov/features/safesurgery/
http://www.jstor.org/stable/10.1086/591064
4
Case study that describes how St. John's
Regional Center (Springfield, Missouri) reduced
hospital-acquired infections through their work
in an IHI Learning and Innovation Community
on Reducing Hospital-Acquired Infections.
Guide from the Association for Professionals in
Infection Control and Epidemiology (APIC). The
purpose of this guide is to help the infection
preventionist to implement evidence-based
strategies that minimize the risk of
postoperative mediastinitis following cardiac
surgery procedures in the inpatient hospital
setting.
A guide created by the CDC to protect yourself
and your loved ones from infections related to
surgery.
The article highlights practical
recommendations in a concise format to assist
acute care hospitals to implement and prioritize
their surgical site infection (SSI) prevention
efforts. This journal is available for purchase.