Operating Room Attire Policy and Healthcare Cost: Favoring Evidence over Action for Prevention of Surgical Site Infections Adham Elmously, MD, Katherine.

Slides:

Advertisements

Similar presentations

How surgeons can find information online? Martin Hewitt International Journal of Surgery Volume 5, Issue 6, Pages (December 2007) DOI: /j.ijsu

Advertisements

Early Wound Morbidity after Open Ventral Hernia Repair with Biosynthetic or Polypropylene Mesh Sambit Sahoo, MD, PhD, Ivy N. Haskins, MD, Li-Ching Huang,

Onlay with Adhesive Use Compared with Sublay Mesh Placement in Ventral Hernia Repair: Was Chevrel Right? An Americas Hernia Society Quality Collaborative.

Congestive Heart Failure from Traumatic Arteriovenous Fistula

The Hartford Consensus: Survey of the Public and Healthcare Professionals on Active Shooter Events in Hospitals Lenworth M. Jacobs, MD, MPH, FACS, Karyl.

Association of Safety Culture with Surgical Site Infection Outcomes

A Prospective Randomized Trial of Ultrasound- vs Landmark-Guided Central Venous Access in the Pediatric Population Matias Bruzoni, MD, Bethany J. Slater,

Simple Suturing Technique for Umbilical Dimple Wound after Single-Incision Laparoscopic Surgery Yoichi Matsui, MD, PhD, Sohei Satoi, MD, PhD, FACS, Satoshi.

Procedure-Specific Trends in Surgical Outcomes

Freedom with Responsibility: A Consensus Strategy for Preventing Injury, Death, and Disability from Firearm Violence Ronald M. Stewart, MD, FACS, Deborah.

Microbiome Medicine: This Changes Everything

Reduced Postoperative Chronic Pain after Tension-Free Inguinal Hernia Repair Using Absorbable Sutures: A Single-Blind Randomized Clinical Trial Igor.

Exploring the Relationship Between Stereotype Perception and Residents' Well-Being Arghavan Salles, MD, PhD, Claudia M. Mueller, PhD, MD, FACS, Geoffrey.

The Diverse Surgeons Initiative: An Effective Method for Increasing the Number of Under-represented Minorities in Academic Surgery Paris D. Butler, MD,

Emergency Access to Neurosurgical Care for Patients with Traumatic Brain Injury Sunjay Sharma, MD, David Gomez, MD, PhD, Charles deMestral, MD, PhD, Marvin.

Mary J. Edwards, MD, FACS, Michael Lustik, MS, Mark W

Preoperative Standard Oral Nutrition Supplements vs Immunonutrition: Results of a Systematic Review and Meta-Analysis Refaat A. Hegazi, MD, PhD, MPH,

Simple Suturing Technique for Umbilical Dimple Wound after Single-Incision Laparoscopic Surgery Yoichi Matsui, MD, PhD, Sohei Satoi, MD, PhD, FACS, Satoshi.

Bouffant vs Skull Cap and Impact on Surgical Site Infection: Does Operating Room Headwear Really Matter? Shanu N. Kothari, MD, FACS, Madeline J. Anderson,

Introduction of Mechanical Sphincter Augmentation for Gastroesophageal Reflux Disease into Practice: Early Clinical Outcomes and Keys to Successful Adoption

Methicillin-Resistant Staphylococcus aureus Nosocomial Pneumonia

Validation of New Readmission Data in the American College of Surgeons National Surgical Quality Improvement Program Morgan M. Sellers, BA, Ryan P. Merkow,

Are Surgeons Being Paid Fairly by Medicaid

Hyde M. Russell, MD, Soraya L. Johnson, BS, Katherine C

Unplanned reoperations after vascular surgery

Frailty as a Predictor of Surgical Outcomes in Older Patients

Kristy Kummerow Broman, MD, MPH, Omobolanle O. Oyefule, MD, Sharon E

Unplanned reoperations after vascular surgery

A Patient-Centered Early Warning System to Prevent Readmission after Colorectal Surgery: A National Consensus Using the Delphi Method Linda T. Li, MD,

Perceived Complexity of Various Liver Resections: Results of a Survey of Experts with Development of a Complexity Score and Classification Major K. Lee,

Creating Individual Surgeon Performance Assessments in a Statewide Hospital Surgical Quality Improvement Collaborative Christopher M. Quinn, MS, Karl.

Cost Effectiveness of Mesh Prophylaxis to Prevent Parastomal Hernia in Patients Undergoing Permanent Colostomy for Rectal Cancer Lawrence Lee, MD, MSc,

Gastric Perforation Associated with Bilateral Inguinal Hernias

Maureen V. Hill, MD, Ryland S. Stucke, MD, Sarah E

Carlos E. Bravo-Iniguez, MD, Khaled Hammouda, MD, Gita N

Taking Control of Your Surgery: Impact of a Prehabilitation Program on Major Abdominal Surgery Ryan Howard, MD, Yue S. Yin, BS, Lane McCandless, BS,

Complications of Pediatric Cholecystectomy: Impact from Hospital Experience and Use of Cholangiography Lorraine I. Kelley-Quon, MD, MSHS, Adrian Dokey,

Changing Surgical Trends in Young Patients with Early Stage Breast Cancer, 2003 to 2010: A Report from the National Cancer Data Base Catherine E. Pesce,

Nader N. Massarweh, MD, MPH, David R. Flum, MD, MPH, FACS, Rebecca G

Correction Journal of the American College of Surgeons

Spillover Effect of Evidence-Based Postoperative Opioid Prescribing

Association of Safety Culture with Surgical Site Infection Outcomes

Kathryn A. Schlosser, MD, Michael R

Thomas J. Birdas, MD, MBA, FACS, Grace F

A New Composite Measure for Assessing Surgical Performance

Erratum The American Journal of Human Genetics

Military surgeons just want to have fun

Sequential time to positivity of blood cultures can be a predictor of prognosis of patients with persistent Staphylococcus aureus bacteraemia M.-S. Hsu,

Retained Surgical Sponges: Findings from Incident Reports and a Cost-Benefit Analysis of Radiofrequency Technology Tamara L. Williams, MSN, Derrick K.

Assessing Learning During Morbidity and Mortality Conference with a Real-time Response System Ira L. Leeds, MD, Sandra DiBrito, MD, Christian Jones,

Exploring the Relationship Between Stereotype Perception and Residents' Well-Being Arghavan Salles, MD, PhD, Claudia M. Mueller, PhD, MD, FACS, Geoffrey.

Significant Variation in Surgical Supply Cost Secondary to Surgeon Preference for Laparoscopic Cholecystectomy Michelle C. Nguyen, MD, Matthew J. Luzum,

Timing of Complications and Length of Stay after Rectal Cancer Surgery

Rebecca L. Hoffman, MD, Rachel R. Kelz, MD, FACS, Christopher J

Measuring Variation in Use of the WHO Surgical Safety Checklist in the Operating Room: A Multicenter Prospective Cross-Sectional Study Stephanie Russ,

David J. Hall, MD, Kevin R. Olsen, MD, Juan C. Mira, MD, Patrick W

Outcomes after Pancreatectomy with Routine Pasireotide Use

Angela M. Ingraham, MD, Mark E. Cohen, PhD, Mehul V

Predictors of 30-day postoperative stroke or death after carotid endarterectomy using the 2012 carotid endarterectomy-targeted American College of Surgeons.

Significant Reduction of Colorectal Surgical Site Infections after Full-Year Implementation of Antibiogram-Driven Preoperative Antibiotic Protocol Gopi.

Who is your plastic surgeon

G.C. Schito Clinical Microbiology and Infection

Personal Consequences of Malpractice Lawsuits on American Surgeons

Journal of the American College of Surgeons

Blake Cady, MD, Thomas Miner, MD, Abraham Morgentaler, MD

Trauma: Still the Cornerstone of Acute Care Surgery Specialty

Jessica M. Mayor, MD, Jason L

Impact of Immunotherapy after Resection of Pancreatic Cancer

Impact of Resident Involvement in Surgery (IRIS-NSQIP): Looking at the Bigger Picture Based on the American College of Surgeons-NSQIP Database Antoine.

Evidence-Based Bundled Quality Improvement Intervention for Reducing Surgical Site Infection in Lower Extremity Vascular Bypass Procedures Katherine.

Presentation transcript:

Operating Room Attire Policy and Healthcare Cost: Favoring Evidence over Action for Prevention of Surgical Site Infections Adham Elmously, MD, Katherine D. Gray, MD, Fabrizio Michelassi, MD, FACS, Cheguevara Afaneh, MD, FACS, Michael D. Kluger, MD, FACS, Arash Salemi, MD, FACS, Anthony C. Watkins, MD, Alfons Pomp, MD, FACS Journal of the American College of Surgeons Volume 228, Issue 1, Pages 98-106 (January 2019) DOI: 10.1016/j.jamcollsurg.2018.06.010 Copyright © 2018 American College of Surgeons Terms and Conditions

Figure 1 Standardized difference plot. Differences before and after propensity score matching comparing covariates confounding surgical site infection for patients undergoing operations before and after the policy change. Journal of the American College of Surgeons 2019 228, 98-106DOI: (10.1016/j.jamcollsurg.2018.06.010) Copyright © 2018 American College of Surgeons Terms and Conditions

Figure 2 Multivariable model for predictors of surgical site infection. Forest plot of multivariable logistic regression model for the association of patient and procedural factors with postoperative surgical site infection. ASA, American Society of Anesthesiologists; OR, operating room. Journal of the American College of Surgeons 2019 228, 98-106DOI: (10.1016/j.jamcollsurg.2018.06.010) Copyright © 2018 American College of Surgeons Terms and Conditions

Figure 3 Microbiome of surgical site infection by attire policy. Pie charts represent the 3 most common microbiological isolates from positive wound cultures of patients with surgical site infection before and after the policy change. Streptococcus mitis was the third most common bacteria before the policy change vs Pseudomonas aeruginosa after the policy change; however, there was no difference in the proportion of Staphylococcus aureus isolates. Journal of the American College of Surgeons 2019 228, 98-106DOI: (10.1016/j.jamcollsurg.2018.06.010) Copyright © 2018 American College of Surgeons Terms and Conditions

Figure 4 Proportion of Staphylococcal species in clean and clean-contaminated procedures. Journal of the American College of Surgeons 2019 228, 98-106DOI: (10.1016/j.jamcollsurg.2018.06.010) Copyright © 2018 American College of Surgeons Terms and Conditions