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  • Pre-Operative Antibiotic Administration Improvement Project

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    Sara Aly Youssef
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    This document outlines an improvement project to increase compliance with proper administration of pre-operative antibiotics. A multidisciplinary team was organized and found that compliance with timing of pre-operative antibiotics was less than 50% and duration of post-operative antibiotics was over 24 hours for most patients. The current process was clarified and a fishbone diagram identified areas for improvement. The team's plan is to conduct orientation sessions for doctors and nurses, monitor pre-operative antibiotic administration quarterly, and measure outcomes through antibiotic consumption metrics and economic outcomes.

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    ME Improvement Project

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    This document outlines an improvement project to increase compliance with proper administration of pre-operative antibiotics. A multidisciplinary team was organized and found that compliance with timing of pre-operative antibiotics was less than 50% and duration of post-operative antibiotics was over 24 hours for most patients. The current process was clarified and a fishbone diagram identified areas for improvement. The team's plan is to conduct orientation sessions for doctors and nurses, monitor pre-operative antibiotic administration quarterly, and measure outcomes through antibiotic consumption metrics and economic outcomes.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    11 views15 pages

    Pre-Operative Antibiotic Administration Improvement Project

    Uploaded by

    Sara Aly Youssef
    This document outlines an improvement project to increase compliance with proper administration of pre-operative antibiotics. A multidisciplinary team was organized and found that compliance with timing of pre-operative antibiotics was less than 50% and duration of post-operative antibiotics was over 24 hours for most patients. The current process was clarified and a fishbone diagram identified areas for improvement. The team's plan is to conduct orientation sessions for doctors and nurses, monitor pre-operative antibiotic administration quarterly, and measure outcomes through antibiotic consumption metrics and economic outcomes.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 15

    Pre-operative Antibiotic

    Administration
    Improvement Project
    INTRODUCTION

    Pre-operative antibiotic administration


    Pre-operative dose timing: The optimal time for
    administration of preoperative doses is within 60 minutes
    before surgical incision

    Duration of prophylaxis: recommendations for a shortened


    postoperative course of antimicrobials involving a single dose
    or continuation for less than 24 hours are provided

    Bratzler, Dale W., et al. "Clinical practice guidelines for


    antimicrobial prophylaxis in surgery." Surgical
    infections 14.1 (2013): 73-156.
    Find a Process to Improve
    Compliance of timing of pre-operative
    antibiotics is less than 50 %

    Duration of post-operative antibiotics


    is > 24 hours in most of patients
    Organize a Multidisciplinary Team
    SN Team Member Name Title/Role
    1. Dr. Shiref Hussein CMO
    2. Dr. Shahira Elatiafy Abdulla CNO
    3. Dr. Hussien Reyad QPS manger
    4. Dr. Walled Asem Chief pharmacist
    5. Dr. Khaled Subeih Surgery HOD
    6. Dr. Mohamed Elhadidy OPD Director
    Dr. Sara Youssef Clinical
    7. Pharmacist
    8. Dr. Noha Darweesh IPC Manager
    Clarify the Current Process
    November October September
    51.3% 46.7% 43.2% Compliance
    of Timing of
    Pre-operative
    Antibiotics
    DDDs of Pre-operative
    Antibiotics 2018-2019

    240.66
    250 212.87

    200

    150
    2018
    100
    2019
    50 14.56 6.99
    0
    Cefuroxime DDD Cefazolin DDD
    Clarify the Current Process Medication order

    Transcription in the
    system

    Dispensing from pharmacy

    Antibiotic given in OR Skin test is made in


    general ward
    Maximum duration of post-
    operative antibiotic is 24 hours

    Clinical pharmacist

    Prospective audit and feedback

    Compliance of all
    doctors will be measured
    Fish bone diagram
    Communication Manpower

    Fear of Surgical Site


    Weak communication Infections
    between general ward
    and OR Lack of knowledge of
    optimum window for
    administration of
    preoperative antibiotics Pre-operative antibiotic
    administration
    Patient comes late
    to surgery
    Improper timing of giving
    preoperative antibiotic in
    the ward
    Environment

    Method
    Plan the Improvement
    Target Responsible Action Step SN
    Date
    Done Dr: Sara Youssef Conduct orientation for 1
    doctors
    Done Dr: Sara Youssef Conduct orientation for 2
    nurse staff
    Quarterly Dr: Sara Youssef Monitoring of pre- 3
    operative antibiotic
    administration
    Outcome Measures

    Antibiotic -1
    consumption
    metrics
    DDDs of Preoperative Antibiotics per
    1000 Inpatient Days
    536
    600 Vs
    530.3
    500 259.1

    400 Pre-intervention
    Jan, Feb
    300 Post-
    intervention
    200 April, May
    135.9 123.2
    100
    5.82
    0
    Cefuroxime Cefazolin
    Outcome Measures

    Economic -2
    Outcomes
    Antimicrobial Expenditure
    Saudi Ryal per 1000 Inpatient Days
    25000
    23911.
    20000 5
    Vs
    9163.7
    15000
    Pre-intervention
    23766.5 Jan, Feb
    10000 Post-intervention
    April, May
    6049.5
    5000
    3069.27

    144.9
    0
    Cefuroxime Cefazolin

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