Close this panel
Browse By Category
Browse By Presenter
Browse By Title
Browse By Rating
Close this panel
Close this panel Covidien image

Support for the 2012 Poster Gallery provided by Covidien.

(20) A Multidisciplinary, Evidence-Based Approach to Reduce Post-Craniotomy Surgical Site Infection Rates

Traci McGee


This projectís purpose is to address a concerning increase in the adult craniotomy surgical site infection (SSI) rate, identified by Infection Control & Prevention (IC&P) during the first six months of 2010. The SSI rate increased from 2.8 infections per 100 cases in late 2009 to 8.4 infections per 100 cases in the second quarter of 2010. A multidisciplinary task force (MTF) was formed, consisting of members from infection control, quality, sterile processing, perioperative education, neurosurgeons, anesthesia staff, and neuro manager and charge nurses. The MTF reviewed all relevant cases of post-craniotomy infections to identify common denominators. Next, they observed practice and mapped a process flow for craniotomies, identifying four major areas: hand scrub, sterile technique, head prep, and sterile wound dressing. Corresponding interventions included basic refresher training: hand scrub, maintaining sterile field, and sterilization of instrumentation; Lean methodology applied to remove unnecessary clutter and to reduce foot traffic in OR; adopted standard head prep: Chlorhexidine gluconate; and adopted standard wound dressing. Following interventions, the SSI rates among adult post-craniotomy patients decreased substantially with a low rate of 2.0 infections per 100 cases in the fourth quarter of 2010. Implications for Perioperative Nursing are that formation of a MTF, careful analysis, and reduction of intraoperative process variation may lead to SSI reduction.

Rate This Poster

Stuff for notes
Stuff for Message board

Share Poster


Technical Support

(877) 426-6323


SUBMIT FEEDBACKfeedback icon

We really appreciate your feedback on the eventScribe website. We use the data to improve the experience and simplify the process for users like you.


Log In / Sign Up

Log In   Sign Up
Access your bookmarked poster and notes by logging in ...   Sign up to take notes on poster, bookmark poster, and submit feedback.
  Lost your access key?      
You need to be logged in to bookmark posters, save notes, or rate posters.