scholarly journals 2136. Systematic Review of Surgical Wound Class Reveals Marked Service-Related Discrepancies and Can Improve Appropriateness of Classification Impacting the Expected Number of Infections and the Standardized Infection Ratio (SIR)

2018 ◽  
Vol 5 (suppl_1) ◽  
pp. S629-S629
Author(s):  
Ayat Abuihmoud ◽  
Purisima Linchangco ◽  
Elizabeth Wise ◽  
Ashley Boldyga ◽  
Karen Nachman ◽  
...  
1987 ◽  
Vol 8 (6) ◽  
pp. 249-254 ◽  
Author(s):  
Caryl Collier ◽  
Donald P Miller ◽  
Marguerite Borst

AbstractA one-year prospective study of surgeon-specific nosocomial infection rates was done in two community hospitals. Hospital A (93 beds) and Hospital B (158 beds) have nearly identical surgical staffs. Unified criteria for the diagnosis of infections, methods of data collection, and coding were used. Data were processed with an IBM 370 computer using Statistical Analysis System (SAS). Each surgeon received semiannual reports of 1) overall infection rate by site, 2) number of surgical wound infections by wound class and type of procedure, 3) pathogens for each deep and incisional infection, and 4) quarterly wound infection rates by wound class. Analysis of reports revealed high Class I surgical wound infection rates for both general and orthopedic surgeons. One person in each group had inordinately high infection rates. These data serve as an objective incentive to reduce surgical wound infections, identify individual problems, and suggest surgical privileges be evaluated by performance.


2016 ◽  
Vol 51 (4) ◽  
pp. 639-644 ◽  
Author(s):  
Luke R. Putnam ◽  
Shauna M. Levy ◽  
Martin L. Blakely ◽  
Kevin P. Lally ◽  
Deidre L. Wyrick ◽  
...  

1991 ◽  
Vol 91 (3) ◽  
pp. S152-S157 ◽  
Author(s):  
David H. Culver ◽  
◽  
Teresa C. Horan ◽  
Robert P. Gaynes ◽  
William J. Martone ◽  
...  

1992 ◽  
Vol 13 (10) ◽  
pp. 599-605 ◽  
Author(s):  
◽  
◽  
◽  

AbstractA Surgical Wound Infection (SWI) Task Force was convened by The Society for Hospital Epidemiology of America (SHEA) to evaluate how SWI surveillance should be done and to identify where more information is needed. The Task Force reached consensus in the following areas. The Centers for Disease Control (CDC) definitions of SWI should be used for routine surveillance because of their current widespread acceptance and reproducibility. The CDC definitions have been clarified in an accompanying article (“Report From the CDC”). Direct observation of wounds and traditional infection control surveillance techniques are acceptable methods of case finding for hospitalized patients. The optimal method for case finding postdischarge or after outpatient surgery is unknown at this time. SWI rates should be stratified by surgical wound class plus a measure of patient susceptibility to infection, such as the American Society of Anesthesiology (ASA) class, and duration of surgery Surgeon-specific SWI rates should be calculated and reported to individual surgeons.


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