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Patient Safety in Surgery
Published in: Patient Safety in Surgery 1/2010

Open Access 01-12-2010 | Research

The SURgical PAtient Safety System (SURPASS) checklist optimizes timing of antibiotic prophylaxis

Authors: Eefje N de Vries, Lucia Dijkstra, Susanne M Smorenburg, R Peter Meijer, Marja A Boermeester

Published in: Patient Safety in Surgery | Issue 1/2010

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Abstract

Background

Surgical site infection (SSI) is an adverse event in which a close relation between process of care and outcome has been demonstrated: administration of antibiotic prophylaxis decreases the risk of SSI. In our tertiary referral centre, a SURgical PAtient Safety System (SURPASS) checklist was developed and implemented. This multidisciplinary checklist covers the entire surgical pathway and includes, among other items, administration of antibiotic prophylaxis before induction of anaesthesia. The aim of this study was to determine the effect of SURPASS implementation on timing of antibiotic prophylaxis.

Methods

A retrospective analysis was performed on two cohorts of patients: one cohort of surgical patients that underwent surgery before implementation of the checklist and a comparable cohort after implementation. The interval between administration of antibiotic prophylaxis and incision was compared between the two cohorts.

Results

A total of 772 surgical procedures were included. More than half of procedures were gastro-intestinal; others were vascular, trauma and hernia repair procedures. After implementation, the checklist was used in 81.4% of procedures. The interval between administration of antibiotic prophylaxis and incision increased from 23.9 minutes before implementation of SURPASS to 29.9 minutes after implementation (p = 0.047). In procedures where the checklist was used, the interval increased to 32.9 minutes (p = 0.004). The proportion of patients that did not receive antibiotics until after the incision decreased significantly.

Conclusion

The use of the SURPASS checklist leads to better compliance with regard to the timing of antibiotic prophylaxis administration.
Appendix
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Metadata
Title
The SURgical PAtient Safety System (SURPASS) checklist optimizes timing of antibiotic prophylaxis
Authors
Eefje N de Vries
Lucia Dijkstra
Susanne M Smorenburg
R Peter Meijer
Marja A Boermeester
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Patient Safety in Surgery / Issue 1/2010
Electronic ISSN: 1754-9493
DOI
https://doi.org/10.1186/1754-9493-4-6

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