Abstract
Surgical site infection (SSI) and surgical site occurrence (SSO) are common occurring in up to 30% of patients undergoing surgery, in particular emergency surgery. This chapter’s KPIs deal with the detection, measurement and prevention of SSI. In addition to prevent incisional hernia and wound dehiscence optimum fascial closure needs to occur
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Keywords
1 Wound Care
Emergency surgery patients under SSI surveillance
Description | Measurement of SSI and surgical site occurrence |
Rationale | Optimising patient outcome through reduction in surgical site occurrence is crucial. Understanding the prevalence of SSI and SSO is vital to reducing complications and minimising cost. This translates to happier patients and families. |
Target | 90% of patients who undergo laparotomy are subject to SSI surveillance 3 monthly |
KPI reporting | 6 monthly |
Data sources | EGS registry |
2 Wound Care
A wound care bundle to include pre-operative, intra-operative, and post-operative key interventions KPI 50
Description | Documented compliance with wound care bundle. |
Rationale | Wound infection can be markedly reduced by a collaborative approach in wound infection reduction. |
Target | 90% of emergency abdominal surgery has compliance with wound care bundle. |
KPI reporting | 6 monthly |
Data sources | EGS registry |
3 Laparotomy Wound Care
A wound closure bundle to include documentation of facial closure technique, subcutaneous and skin closure techniques to ensure
Description | Documented compliance with recent advance in fascial closure and layered closure techniques |
Rationale | Wound infection can be markedly reduced by a bundle approach. |
Target | 90% emergency abdominal surgery has compliance with ideal laparotomy closure bundle. |
KPI reporting | 6 monthly |
Data sources | EGS registry |
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© 2020 World Society of Emergency Surgery and Donegal Clinical and Research Academy
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Sugrue, M. (2020). Wound Care. In: Sugrue, M., Maier, R., Moore, E.E., Catena, F., Coccolini, F., Kluger, Y. (eds) Resources for Optimal Care of Emergency Surgery. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-49363-9_24
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DOI: https://doi.org/10.1007/978-3-030-49363-9_24
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Publisher Name: Springer, Cham
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Online ISBN: 978-3-030-49363-9
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