Date of Graduation

Fall 12-13-2019

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions


Site Infections (SSIs) are the second highest amongst healthcare-associated infections (HAIs). SSI rates are disproportionally higher among colon surgeries, resulting in significant complications with adverse clinical and economic impacts (Keenan et al., 2014). The overall upward trend in SSI rates, including the increase colon SSI rates in 2018 called for immediate action in a 120-bed community medical center. A multidisciplinary team was assembled to implement an improvement initiative using evidence-based guidelines. An evidence-based care bundle was designed and implemented to prevent and reduce colon SSI rates. There are seven process measures: the use of chlorhexidine wipes preoperatively, hair clipping outside the operating room, weight-based antibiotics, normothermia, antibiotic redosing, surgical skin prep and glucose monitoring. The outcome measure is to achieve a consistent standardized infection ratio (SIR) of less than one for three out of four quarters by the end of the 2nd quarter of 2020. Only one SSI for colon surgery was identified to date for 2019, compared to four identified in 2018. There was a 75% decrease of colon SSIs. Our institution had a high proportion of SSI cases represented in colorectal cases. With the implementation of a prevention bundle, the rate of SSIs in colon surgery significantly decreased.