The Pennsylvania Patient Safety Authority and the Pennsylvania National Surgical Quality Improvement Program (PA- NSQIP) initiated a collaborative project in December of 2010 to reduce surgical site infections (SSIs) among the PA-NSQIP member hospitals and to transfer successful strategies and lessons learned to other Pennsylvania hospitals. Participating hospitals' SSI data as reported to the NSQIP was used to select colorectal and bariatric surgeries as the collaborative focus and to identify high-performing and outlier hospitals' SSI rates in these areas. An SSI prevention assessment tool was developed to conduct on-site hospital interviews to assess the level of implementation of specific preventive practices at the pre-, intra-, and post-operative levels and to determine if the high-performing hospitals' lower SSI rate could be attributed to variation in implementation of practices. The on-site interviews conducted in December of 2011 revealed that the hospitals that were more diligent with a standardized approach to implementation of practices were also the high-performing hospitals with the lowest SSI rates. This article reveals multifaceted differences in the implementation of practices and identifies specific interventions for facilities needing improvement to reduce SSIs related to bariatric and colorectal surgery.
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