Implementation strategies to reduce surgical site infections: A systematic review.

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Promise AriyoSean M Berenholtz

Abstract

Surgical site infections (SSIs) portend high patient morbidity and mortality. Although evidence-based clinical interventions can reduce SSIs, they are not reliably delivered in practice, and data are limited on the best approach to improve adherence. To summarize implementation strategies aimed at improving adherence to evidence-based interventions that reduce SSIs. Systematic reviewMethods:We searched PubMed, Embase, CINAHL, the Cochrane Library, the WHO Regional databases, AFROLIB, and Africa-Wide for studies published between January 1990 and December 2015. The Effective Practice and Organization Care (EPOC) criteria were used to identify an acceptable-quality study design. We used structured forms to extract data on implementation strategies and grouped them into an implementation model called the "Four Es" framework (ie, engage, educate, execute, and evaluate). In total, 125 studies met our inclusion criteria, but only 8 studies met the EPOC criteria, which limited our ability to identify best practices. Most studies used multifaceted strategies to improve adherence with evidence-based interventions. Engagement strategies included multidisciplinary work and strong leadership involvement. Education strategies included vario...Continue Reading

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Citations

May 12, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Aurora E Pop-VicasNasia Safdar
Jun 6, 2019·Antimicrobial Resistance and Infection Control·Lauren ClackHugo Sax
Mar 21, 2020·BMC Health Services Research·Ivonne TomsicThomas von Lengerke
Nov 26, 2020·International Wound Journal·Asad S AkhterAndrew J Grossbach
Dec 15, 2019·American Journal of Infection Control·Gislaine Cristhina BellusseCristina Maria Galvão
Jul 28, 2020·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Shaheen MehtarJoseph S Solomkin
Apr 16, 2021·Journal of Wound Care·Anna BekiariGeorgios K Glantzounis
May 15, 2021·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Aurora E Pop-VicasNasia Safdar
Nov 4, 2021·JAMA Surgery·Nichole StarrTihitena Negussie Mammo
May 12, 2021·Annals of Surgery·Shalini AhujaUNKNOWN ASPIRES study co-investigators

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