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An Initiative to Prevent Surgical Site Infections After Cesarean Birth With a Quality Improvement Care Bundle.
Nursing for Women's Health 2024 March 20
OBJECTIVE: To reduce surgical site infections (SSIs) after cesarean birth through a bundled approach.
DESIGN: Quality improvement project.
SETTING/LOCAL PROBLEM: In a community hospital obstetric unit, an increase in SSIs after cesarean birth was observed.
PARTICIPANTS: Nursing leaders, obstetricians, certified nurse-midwives, physician assistants, nurses, scrub technicians, a nursing professional development specialist, and an infection prevention practitioner.
INTERVENTIONS/MEASURES: An interdisciplinary team was formed in early 2022, and an evidence-based care bundle including practice changes, education for the team, and enhanced education for patients undergoing cesarean birth was developed and implemented after a review of the literature was completed. All cesarean births were tracked pre- and postintervention to determine the rate of SSIs per 1,000 cesarean births.
RESULTS: A decrease in the rate of SSIs after cesarean birth was observed from preintervention (18.2 per 1,000 cesarean births) to postintervention (11.8 per 1,000 cesarean births).
CONCLUSION: An evidence-based quality improvement care bundle using a multidisciplinary team approach was associated with reduced SSIs in an obstetric unit.
DESIGN: Quality improvement project.
SETTING/LOCAL PROBLEM: In a community hospital obstetric unit, an increase in SSIs after cesarean birth was observed.
PARTICIPANTS: Nursing leaders, obstetricians, certified nurse-midwives, physician assistants, nurses, scrub technicians, a nursing professional development specialist, and an infection prevention practitioner.
INTERVENTIONS/MEASURES: An interdisciplinary team was formed in early 2022, and an evidence-based care bundle including practice changes, education for the team, and enhanced education for patients undergoing cesarean birth was developed and implemented after a review of the literature was completed. All cesarean births were tracked pre- and postintervention to determine the rate of SSIs per 1,000 cesarean births.
RESULTS: A decrease in the rate of SSIs after cesarean birth was observed from preintervention (18.2 per 1,000 cesarean births) to postintervention (11.8 per 1,000 cesarean births).
CONCLUSION: An evidence-based quality improvement care bundle using a multidisciplinary team approach was associated with reduced SSIs in an obstetric unit.
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