Outpatient Surgery Magazine

Special Outpatient Surgery Edition - Infection Control - May 2019

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/1119364

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Page 14 of 66

applied the appropriate prep in only 3% of cases and followed dry times only 41% of the time, they knew they not only had to educate staff. They also had to limit the skin prep agents available at the institution. They found that the facility had 9 different product options and that, for povidone-iodine solutions, the scrub and paint directions for use differed between 2 and 3 different manufacturers. As a result, the researchers chose to reduce the number of prep solutions available for use in an effort to limit the variability of appropriate application techniques and dry times. Their efforts worked: Prep time compliance for 2% CHG/70% isopropyl alcohol and aqueous CHG solutions went from 6% to 50% and from 0% to 40%, respective- ly. Dry time compliance for aqueous CHG and povidone-iodine solu- tions jumped from 48% to 84% and from 14% to 78%, respectively. Continued progress You've identified prepping problem areas and implemented a process improvement plan, so what's next? Post-intervention audits measure the success of your efforts to improve prepping practices and identify new and persistent challenges. It's also imperative that your staff receive repeated education on prepping guidelines, technique demon- stration and scientific rationale for best practices. Ultimately, if you want to maintain the gains you achieve with an intervention, continue to measure compliance. Adopting a shifting schedule of random audits throughout the year or conducting a regular audit review of your electronic medical records to verify that preps were allowed to dry adequately before draping can help those compliance percentages to keep moving in the right direc- tion and continue the climb above 50%. OSM M A Y 2 0 1 9 • O U T PA T I E N T S U R G E R Y. N E T • 1 5 Dr. Johnson (hboehm705@gmail.com) is a freelance medical writer based in Vero Beach, Fla.

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