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- Title
Reducing Deep Joint Infection in Hip Hemiarthroplasty--A Quality Improvement Project.
- Authors
Gallagher, Brendan J.; McMahon, Samuel E.; Henderson, Katie; Zachariah, Sunil; Wilson, Darrin S.
- Abstract
Objective: To improve the deep wound infection rate in patients undergoing hip hemiarthroplasty in our regional trauma center. Methods: We conducted a retrospective audit of patients who had undergone hip hemiarthroplasty between January 2013 and July 2014 and found that in 750 hip hemiarthroplasties performed, 20 (2.7%) developed a deep infection, a figure in excess of the literature standard. In line with international consensus recommendations, 4 changes to our perioperative practice were implemented: standardized draping of the affected extremity, improved skin preparation using a 2% Chlorhexidine gluconate solution, change of incision drapes to iodophor-impregnated adhesive film drapes, and the use of interactive wound dressing. We conducted staff education to highlight the impact of deep wound infection, introduce the changes, and underscore the importance of strict adherence to intraoperative sterility. Results: One year after introducing the changes, we audited the period April 2015 to March 2016, during which time 457 hip hemiarthoplasties were performed. Five (1.1%) deep infections were identified. Conclusion: Improvement in the perioperative care of our hip hemiarthroplasty patients has resulted in a reduced risk of the development of deep wound infection. This improvement was maintained in a third audit period, with continued implementation of these changes in practice.
- Subjects
JOINT disease diagnosis; WOUND infections; AUDITING; CHI-squared test; INFECTION; PREOPERATIVE care; QUALITY assurance; SURGICAL dressings; WOUND care; RETROSPECTIVE studies; DATA analysis software; HEMIARTHROPLASTY; DIAGNOSIS
- Publication
Journal of Clinical Outcomes Management, 2018, Vol 25, Issue 3, p117
- ISSN
1079-6533
- Publication type
Article