Abstract
The department of Cardiothoracic surgery at Uppsala University Hospital has 25 beds in 1-4 patient rooms and an operating suite consisting of 5 operating rooms with ultraclean air. Around 700 open heart (250 isolated Coronary artery by-pass grafting, CABG) operations are performed annually. In 2009, the numbers of deep sternal wound infections (DSWI) increased to unacceptable rates despite existing hygienic guidelines.
Highlights
The department of Cardiothoracic surgery at Uppsala University Hospital has 25 beds in 1-4 patient rooms and an operating suite consisting of 5 operating rooms with ultraclean air
To show how root cause analysis followed by quality improvement interventions reduced the rate of deep sternal wound infections (DSWI) after CABG surgery
Only isolated CABG patients requiring surgical revision due to DSWI were included.Swabs and tissue biopsies were taken during surgical revision and analysed with standard methods
Summary
The department of Cardiothoracic surgery at Uppsala University Hospital has 25 beds in 1-4 patient rooms and an operating suite consisting of 5 operating rooms with ultraclean air. Around 700 open heart (250 isolated Coronary artery by-pass grafting, CABG) operations are performed annually. In 2009, the numbers of deep sternal wound infections (DSWI) increased to unacceptable rates despite existing hygienic guidelines
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