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to access AORN 2017:
The Key to SSI Reduction: Achieving Systemness

In an effort to reduce surgical site infections (SSIs), health care institutions throughout the nation must implement a continuum of care that begins with perioperative planning and is consistent until the patient arrives home or at another level of care. This requires standardization and it is important that the care delivered at every level is aligned and there is consistency from provider to provider. This activity describes the risk factors and causes of SSIs, the impact on the patient, and guidelines for prevention. It will introduce the concept of High Reliability Organizations (HROs) and how they use systemness to anticipate, detect and respond in a manner that prevents catastrophic consequences. Perioperative personnel will be able to strategize how to promote systemness in their practice setting.


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to access AORN 2016:
Reducing Colorectal Surgical Site Infections

One of the expected outcomes for all surgical patients is that they are free of infection; achieving this outcome is one of the perioperative nurse’s greatest responsibilities, especially in today’s dynamic health care environment. Surgical site infections (SSIs) remain a health care concern; for colorectal surgery patients, SSI rates are disproportionately higher and the resulting infections have adverse clinical and economic implications, such as patient morbidity and mortality, extended lengths of hospital stay, and increased health care costs. Recently, The Joint Commission Center for Transforming Healthcare and seven participating health care facilities conducted a study focused on colorectal surgery since it is a common procedure across various types of hospitals, has a high variability in performance, can be associated with significant complications, and presents considerable opportunities for improvement. Therefore, perioperative nurses should be aware of the impact of colorectal SSIs today, their potential contributing factors, and various protocols and products available to effectively reduce the risks for colorectal SSIs. This continuing education activity will discuss how colorectal SSIs affect reimbursement in current health care economic environments. The three types of colorectal SSIs will be defined. Key results from The Joint Commission Center for Transforming Healthcare colorectal SSI study, including contributing factors and targeted solutions, will be reviewed. Practices and products available today that assist in reducing the risks associated with colorectal SSIs will be outlined. Finally, strategies to sustain long term success in changing colorectal SSI risk reduction practices will be explored.