21 Aug 2015 | Infection Prevention & Control
The Health Quality & Safety Commission’s Surgical Site Infection Improvement (SSII) programme has simplified the way data relating to interventions for cardiac surgery is collected, and an automated approach is being tested.
The programme has focused on cardiac surgeries since 2014, following a successful focus on hip and knee surgeries.
In August that year, following consultation with cardiothoracic surgeons and Auckland, Waikato, Capital & Coast, Canterbury and Southern DHBs, the scope of the programme was expanded from including only planned cardiac bypass grafting procedures to also including additional cardiac surgery procedures. This has meant a considerable change to the way data is collected.
After several months of investigation, the programme team has developed a simplified, partially automated data collection approach that does not compromise the quality or value of the data. The approach is currently being tested in Auckland and Canterbury DHBs, while Southern DHB continues with manual data collection. The team hopes to work with Waikato and Capital & Coast DHBs as soon as testing is complete.
The SSII programme is encouraging DHBs to roll out the interventions (type, timing and dose of prophylactic antibiotics, and appropriate skin preparation) before the data collection system is automated, as they are best practice for the prevention of surgical site infections following cardiac surgery.
The programme team has agreed with DHBs that reporting will not start until automated data collection is in place.
For more information, contact Rachel Hill, SSII programme project manager or Dr Arthur Morris, SSII programme clinical lead. You can also refer to the implementation manual for further information about the interventions.