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Consensus Bundle on Prevention of Surgical Site Infections After Major Gynecologic Surgery

Published:December 07, 2016DOI:https://doi.org/10.1016/j.jogn.2016.10.003

      Abstract

      Surgical site infections are the most common complications of surgery in the United States. Of surgeries in women of reproductive age, hysterectomy is one of the most frequently performed, second only to cesarean birth. Therefore, prevention of surgical site infections in women undergoing gynecologic surgery is an ideal topic for a patient safety bundle. The primary purpose of this safety bundle is to provide recommendations that can be implemented into any surgical environment in an effort to reduce the incidence of surgical site infection. This bundle was developed by a multidisciplinary team convened by the Council on Patient Safety in Women's Health Care. The bundle is organized into four domains: Readiness, Recognition and Prevention, Response, and Reporting and Systems Learning. In addition to recommendations for practice, each of the domains stresses communication and teamwork between all members of the surgical team. Although the bundle components are designed to be adaptable to work in a variety of clinical settings, standardization within institutions is encouraged.
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      Biography

      Joseph E. Pellegrini, PhD, CRNA, is an associate professor in the Department of Organizational Systems and Adult Health, University of Maryland School of Nursing, Baltimore, MD.

      Biography

      Paloma Toledo, MD, MPH, is an assistant professor in the Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, IL.

      Biography

      David E. Soper, MD, is a professor in the Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, SC.

      Biography

      William C. Bradford, DO, is the Vice President of Evaluation, American College of Osteopathic Obstetricians and Gynecologists, Fort Worth, TX.

      Biography

      Deborah A. Cruz, MSN, RNC, CRNP, is a perinatal nurse practitioner and a clinical nurse specialist in the Department of Obstetrics and Gynecology, Thomas Jefferson University Hospital, Philadelphia, PA.

      Biography

      Barbara S. Levy, MD, is the Vice President of Health Policy, American College of Obstetricians and Gynecologists, Washington, DC.

      Biography

      Lauren A. Lemieux is a program manager, Strategic Health Care Initiatives, American College of Obstetricians and Gynecologists, Washington, DC.

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