Video Presentation
(Requires Window Media Player)
Surgical site wound infections can be a complication of coronary artery bypass graft (CABG) surgery. In 2001, through its ongoing performance improvement monitoring, Baptist Medical Center detected a CABG surgical wound infection and other infection at a rate that was higher than anticipated. The medical staff and hospital analyzed CABG-related clinical surgical practices, compared them to national best practices, and identified strategies for improvement: clipping rather than shaving hair at the surgical site; infusing insulin for 72 hours post-operatively to maintain blood sugars; standardizing wound care; applying appropriate antibiotics in the nose; and establishing an antibiotic-to-incision time between 30-60 minutes.
The results of this initiative:
-
Decreased CABG surgical wound infection rate, no cases of CABG-related infection were reported, and antibiotic-to-incision times were within the Centers for Disease Control and Prevention recommendations.
-
Prompted other improvement activities for the hospital's cardiovascular surgery patients.
-
Increased teamwork and communication between physicians, nurses, pharmacy, and OR staff in its efforts to revise processes to integrate the administration of antibiotics in the OR.
-
Supported the hospital's efforts to expand community access to cardiovascular services.
-
Validated the hospital's quality improvement framework and leadership to effect positive change within the organization.
About Baptist Medical Center
Baptist Medical Center is a fullservice tertiary hospital that provides a wide range of services in cardiology, oncology, women's health, orthopaedics and pediatrics. Its other major services include emergency care, critical care, bloodless medicine, pulmonary, pastoral care, radiology, minimally invasive procedures, rehabilitation and psychiatry/psychology. Baptist Medical Center is part of Baptist Health, a faith-based, mission driven health system in Florida.
Video Presentation
(Requires Window Media Player)