BACKGROUND: During 2006 and 2007 the rate of caesarean section surgical wound infection was 17,4 % in Baerum Hospital. OBJECTIVE: The objective was to reduce the incidence to below the Norwegian national level of 8 %. DESIGN: The intervention (a quality improvement project) was implemented in September 2008. A bundle of measures were introduced. Staff from all aspects of patient flow was recruited. Cochrane literature was used as gold standard. Data registration was based upon CDC criteria. RESULTS: were based on data collected through the Norwegian national surveillance system for infections in health care, NOIS. Study setting This Maternity clinic has about 2500 births annually and a caesarean section rate pushing 15 %. PATIENT GROUP: The study was conducted on caesarean section patients registered in NOIS (2008-2010). From September 2009 data were harvested continuously. ASSESSMENT: Data were monitored as cumulative incidence rate and by statistical process control as g chart (number of surgeries between infections including a delayed moving average). Infection control staff reported results to Head of Maternity Clinic monthly. RESULTS: The overall rate of caesarean section surgical wound infections was significantly reduced to 3,1 % (2008-2010 about 1 % in 2010). This result was demonstrated elegantly as a marked shift in process in g-chart. We found the g-chart was efficient, sensitive and simple to handle.
BACKGROUND: During 2006 and 2007 the rate of caesarean section surgical wound infection was 17,4 % in Baerum Hospital. OBJECTIVE: The objective was to reduce the incidence to below the Norwegian national level of 8 %. DESIGN: The intervention (a quality improvement project) was implemented in September 2008. A bundle of measures were introduced. Staff from all aspects of patient flow was recruited. Cochrane literature was used as gold standard. Data registration was based upon CDC criteria. RESULTS: were based on data collected through the Norwegian national surveillance system for infections in health care, NOIS. Study setting This Maternity clinic has about 2500 births annually and a caesarean section rate pushing 15 %. PATIENT GROUP: The study was conducted on caesarean section patients registered in NOIS (2008-2010). From September 2009 data were harvested continuously. ASSESSMENT: Data were monitored as cumulative incidence rate and by statistical process control as g chart (number of surgeries between infections including a delayed moving average). Infection control staff reported results to Head of Maternity Clinic monthly. RESULTS: The overall rate of caesarean section surgical wound infections was significantly reduced to 3,1 % (2008-2010 about 1 % in 2010). This result was demonstrated elegantly as a marked shift in process in g-chart. We found the g-chart was efficient, sensitive and simple to handle.
Authors: Arthur W Baker; Salah Haridy; Joseph Salem; Iulian Ilieş; Awatef O Ergai; Aven Samareh; Nicholas Andrianas; James C Benneyan; Daniel J Sexton; Deverick J Anderson Journal: BMJ Qual Saf Date: 2017-11-24 Impact factor: 7.035
Authors: Daisy Goodman; Greg Ogrinc; Louise Davies; G Ross Baker; Jane Barnsteiner; Tina C Foster; Kari Gali; Joanne Hilden; Leora Horwitz; Heather C Kaplan; Jerome Leis; John C Matulis; Susan Michie; Rebecca Miltner; Julia Neily; William A Nelson; Matthew Niedner; Brant Oliver; Lori Rutman; Richard Thomson; Johan Thor Journal: BMJ Qual Saf Date: 2016-04-13 Impact factor: 7.035