(Answered) Reducing Intraoperative Surgical Site Infections – Capstone Project


(Answered) Reducing Intraoperative Surgical Site Infections – Capstone Project

I represent a customer here. I need an extreme professional who has got deep knowledge in both statistical and medical areas. The project contains 2 parts. This is the first one – 7-8 pages. Total length of the project is 15 pages plus graphs and slides. The customer’s assignment. Don’t rush, scrutinize the content: The section I need help with is the statistics portion of my paper. This would be part 4 of my project including graphs and charts. The parts that I have completed are in red.  I also have completed the data gathering process and will supply it when needed. The aim of the project is to understand if the use of preventive measures made any difference to the incidence of SSI. The questionnaire or survey sheet assesses if the preoperative measures were undertaken or not after the training. However, there is no visible statistical observations pertaining to the impact of such procedures on the sterility conditions among patients. Is there any data pertaining to ‘Comparison of results from patients prior infection rates compared to the infection rate of patients whose instruments were changed for skin closure. ‘ My part of the project pertains to the teachings that were done to reduce the incidence of SSI. Prior infections rates were elevated. I was part of this project that had the following results We queried the UHC, NSQIP, and NHSN databases from July 2012 to June 2014 for SSI after gynecologic surgery at our institution. Each organization uses different definitions and inclusion and exclusion criteria for SSI. The rate of SSI was also obtained from chart review from April 1 to June 30, 2014. SSI was classified as superficial, deep, or organ space infection. The rates reported by the agencies were compared with the rates obtained by chart review using Fisher’s exact test. Results: Overall SSI rates for the databases were as follows: UHC, 1.5%; NSQIP, 8.8%; and NHSN, 2.8% (P < .001). The individual databases had wide variation in the rate of deep infection (UHC, 0.7%; NSQIP, 4.7%; NHSN, 1.3%; P < .001) and organ space infection (UHC, 0.4%; NSQIP, 4.4%; NHSN, 1.4%; P < .001). In agreement with the variation in reporting methodology, only 19 cases (24.4%) were included in more than one database and only one case was included in all three databases (1.3%). We initiated a new protocol for how we perform skin closure for Gynecological surgery. The GYN team were educated on the new closing technique which consisted of the process listed on the checklist. After one month of performing the new technique, I was given the task of monitoring how the 20 individuals performed the task. Were they in compliance, did they have an issues or questions. I have not been told if there was or is a reduction based on data, however; the surgeons have stated that there has been improvement in SSI for our department. Thanks

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