医療施設コンプライアンス 13項目
Surgical Site Infection (SSI) Prevention Audit
このチェックリストは英語版です。
Perioperative audit of surgical site infection prevention practices including antimicrobial prophylaxis, skin antisepsis, normothermia, glycemic control, and NHSN surveillance.
CDC SSI Guideline 2017NHSN SSISCIP / AORN Guidelines
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Preoperative Preparation
- Is hair removal avoided, or performed with clippers rather than razors when necessary? *
- Is preoperative bathing/showering with soap or an antiseptic agent performed? *
- Is an alcohol-based skin antiseptic used for skin preparation unless contraindicated? *
Antimicrobial Prophylaxis
- Is prophylactic antibiotic administered within 60 minutes before incision (120 minutes for vancomycin/fluoroquinolones)? *
- Is antibiotic selection consistent with facility guidelines for the procedure type? *
- Is intraoperative redosing performed for prolonged procedures or major blood loss? *
- Is prophylaxis discontinued within 24 hours after surgery end (48 hours for cardiac)? *
Intraoperative Controls
- Is perioperative normothermia maintained? *
- Is perioperative glycemic control maintained (target <200 mg/dL) for all patients? *
- Is increased fraction of inspired oxygen delivered intraoperatively and postoperatively where appropriate?
Surveillance & Feedback
- Are SSIs identified using current NHSN definitions with defined surveillance periods? *
- Is the SSI standardized infection ratio calculated and reported by procedure? *
- Is surgeon-specific SSI data reviewed and shared confidentially with providers?
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