The Crani Bundle: Chlorhexidine Gluconate Bathing, Patient Hand Hygiene, and Surgical Site Dressing Care in Preventing Surgical Site Infections.

IF 1.2 4区医学 Q3 NURSING

Journal of nursing care quality Pub Date : 2025-04-22 DOI:10.1097/NCQ.0000000000000869

Lauren M Franker, Molly Pretet, Kristin Simmons, Barbara Douglas, Lisa Young

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引用次数: 0

Abstract

Background: Surgical site infections (SSIs) are preventable complications. The Joint Commission (TJC) National Patient Safety Goal® (NPSG) 7 focuses on decreasing health care-associated infections (HAIs), such as SSIs.

Local problem: The neurosurgery service line encountered 4 SSIs from craniotomy procedures over a 27-month period with 2 occurring in 1 month requiring immediate attention.

Methods: A pre- (January 2018 to March 2020)/post-implementation (April 2020 to July 2022) design, using rapid Plan-Do-Study-Act cycles, guided this evidenced-based practice quality improvement project.

Interventions: The Crani Bundle, a nurse-led SSI prevention initiative focusing on patient hand hygiene and postoperative chlorhexidine gluconate bathing, was developed and implemented to reduce SSI after craniotomy (SSI-CRAN).

Results: Implementation of the Crani Bundle decreased SSI-CRAN from 3.38% (n = 4/118) to 0.0% (n = 0/87).

Conclusions: The Crani Bundle was effective in reducing SSI-CRAN, meeting TJC NPSG® of preventing HAIs and improving patient safety.

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Crani束：葡萄糖酸氯己定沐浴，患者手部卫生和手术部位敷料护理预防手术部位感染。

背景：手术部位感染（ssi）是可预防的并发症。联合委员会（TJC）国家患者安全目标®（NPSG） 7侧重于减少医疗保健相关感染（HAIs），如ssi。局部问题：神经外科服务线在27个月的时间里遇到了4例开颅手术后的ssi，其中2例在1个月内发生，需要立即注意。方法：实施前（2018年1月至2020年3月）/实施后（2020年4月至2022年7月）设计，采用快速的计划-执行-研究-行动周期，指导本循证实践质量改进项目。干预措施：Crani Bundle是一项由护士主导的SSI预防倡议，重点关注患者手部卫生和术后葡萄糖酸氯己定沐浴，旨在减少开颅术后SSI （SSI- cran）。结果：Crani Bundle的实施使SSI-CRAN从3.38% （n = 4/118）降低到0.0% （n = 0/87）。结论：Crani Bundle可有效降低SSI-CRAN，满足TJC NPSG®预防HAIs的要求，提高患者安全性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of nursing care quality 医学-护理

CiteScore

2.40

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Journal of Nursing Care Quality (JNCQ) is a peer-reviewed journal that provides practicing nurses as well as nurses who have leadership roles in nursing care quality programs with useful information regarding the application of quality principles and concepts in the practice setting. The journal offers a forum for the scholarly discussion of “real world” implementation of quality activities.