Cerrahide Bakım Paketi Uygulamaları
Özet
Son yıllarda cerrahideki birçok farklı alanın odak noktası, önlenebilir komplikasyonları azaltmaya yöneliktir. Bu amaçla bir dizi girişimlerden oluşan bakım paketleri kullanılmaya başlanmıştır. Bakım paketi içeriğinde yer alan tüm bileşenlerin kanıta dayalı olması gerekmektedir ve bakım paketinin etkili bir şekilde uygulanması için ekip çalışması ve iletişim önemlidir. Cerrahi bakım paketi uygulanması ile cerrahi girişim geçiren hastalarda enfeksiyon gelişme insidansında önemli bir düşüş olduğu belirtilmektedir.
In recent years, the focus of many different fields in surgery has been on reducing preventable complications. For this purpose, care bundles consisting of a series of interventions have begun to be used. All components included in the care bundles must be evidence-based, and teamwork and communication are important for the effective implementation of the care bundles. It is stated that there is a significant decrease in the incidence of infection development in patients undergoing surgical intervention with the application of the surgical care bundles.
Referanslar
Koek MBG, Hopmans TEM, Soetens LC, et al. Adhering to a national surgical care bundle reduces the risk of surgical site infections. PLoS One. 2017 Sep 6;12(9):e0184200. doi: 10.1371/journal.pone.0184200. PMID: 28877223; PMCID: PMC5587118
Leaper DJ, Tanner J, Kiernan M, et al. Surgical site infection: poor compliance with guidelines and care bundles. International Wound Journal. 2015; 12(3):357–62. https://doi.org/10.1111/iwj.12243
Resar R, Griffin F, Haraden C, et al. Using Care Bundles to Improve Health Care Quality. IHI Innovation Series White Paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2012. (10/04/2024 tarihinde http://www.ihi.org/resources/Pages/IHIWhitePapers/UsingCareBundles.aspx. adresinden ulaşılmıştır)
Munro N, Ruggiero M. Ventilator-Associated Pneumonia Bundle. Reconstruction for Best Care. AACN Advanced Critical Care. 2014; 25: 163–175
Baudry T, Hernu R, Valleix B, et al. Cirrhotic patients admitted to the ICU with septic shock: factors predicting short and long-term outcome. Shock. 2019;52(4):408–413. doi: 10.1097/shk.0000000000001282
Treskes N, Koekkoek WAC, van Zanten ARH. The Effect of Nutrition on Early Stress-Induced Hyperglycemia, Serum Insulin Levels, and Exogenous Insulin Administration in Critically Ill Patients With Septic Shock: A Prospective Observational Study. Shock. 2019 Oct;52(4):e31-e38. doi: 10.1097/SHK.0000000000001287. PMID: 30407371.
Wang M, Zhang Y, Zhong A, et al. Care Bundles plus Detailed Nursing on Mortality and Nursing Satisfaction of Patients with Septic Shock in ICU. Evidence-based complementary and alternative medicine. 2022 Jun 23;2022:1177961. doi: 10.1155/2022/1177961.
Vij SC, Kartha G, Krishnamurthi V, et al. Simple Operating Room Bundle Reduces Superficial Surgical Site Infections After Major Urologic Surgery. Urology. 2018 Feb;112:66-68. doi: 10.1016/j.urology.2017.10.028.
Florschutz AV, Fagan RP, Matar WY, et al. Surgical site infection risk factors and risk stratification. Journal of the American Academy of Orthopaedic Surgeons. 2015;23 (Suppl):8-11.
Noailles T, Brulefert K, Chalopin A, et al. What are the risk factors for post-operative infection after hip hemiarthroplasty: systematic review of literature. International Orthopaedics. 2016;40:1843-8.
Robb E, Jarman B, Suntharalingam G, et al. Using care bundles to reduce in-hospital mortality: quantitative survey. BMJ. 2010 Mar 31;340:c1234. doi: 10.1136/bmj.c1234.
Tanner J, Padley W, Assadian O, et al. Do surgical care bundles reduce the risk of surgical site infections in patients undergoing colorectal surgery? A systematic review and cohort meta-analysis of 8,515 patients. Surgery. 2015;158(1):66-77
Batura D, Hashemzehi T, Colemeadow J. A care bundle to improve perioperative mitomycin use in non-muscle-invasive bladder cancer. International urology and nephrology. 2018;50(6):1053–1059
Tanner J, Timmons S, Bayston R, et al. Using a comprehensive audit to identify local context prior to care bundle design and implementation for inadvertent perioperative hypothermia in colorectal surgery. BMJ open quality. 2021 Jan;10(1):e001132. doi: 10.1136/bmjoq-2020-001132.
Yu X, Chen L, Chen S, et al. Application of Care Bundles in Postanesthesia Recovery for Elderly Patients with Colorectal Cancer. Computational and mathematical methods in medicine. 2022 Jun 21;2022:7669889. doi: 10.1155/2022/7669889.
Resar R, Pronovost P, Haraden C et al. Using a bundle approach to improve ventilator care processes and reduce ventilator-associated pneumonia. Joint Commission journal on quality and patient safety. 2005; 31: 243–248
Pronovost P, Needham D, Berenholtz S et al. An intervention to decrease catheter-related bloodstream infections in the ICU. The New England journal of medicine. 2006; 355: 2,725–2,732
Kalil AC, Metersky ML, Klompas M, et al. Management of Adults With Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society. Clinical infectious diseases. 2016 Sep 1;63(5):e61-e111. doi: 10.1093/cid/ciw353.
Tanner J, Kiernan M, Hilliam R, et al. Effectiveness of a care bundle to reduce surgical site infections in patients having open colorectal surgery. Annals of the Royal College of Surgeons of England. 2016 Apr;98(4):270-4. doi: 10.1308/rcsann.2016.0072.
Hajirawala LN, Legare TB, Tiu SPT, et al. The Impact of a Colorectal Care Bundle for Surgical Site Infections at an Academic Disproportionate Share Hospital With a Level I Trauma Center. The American surgeon. 2020 Jul;86(7):848-855. doi: 10.1177/0003134820940240.
Ma N, Cameron A, Tivey D, et al. Systematic review of a patient care bundle in reducing staphylococcal infections in cardiac and orthopaedic surgery. Australian and New Zealand journal of surgery. 2017 Apr;87(4):239-246. doi: 10.1111/ans.13879.
Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. The New England journal of medicine. 2014;370:1198–1208
Wolfhagen N, Boldingh QJJ, Boermeester MA, et al. Perioperative care bundles for the prevention of surgical-site infections: Meta-analysis. The British journal of surgery. 2022;109(10):933-42
Chien YS, Chen HT, Chiang HT, et al. Effect of Standardized Bundle Care and Bundle Compliance on Reducing Surgical Site Infections: A Pragmatic Retrospective Cohort Study. Medical science monitor. 2024 Mar 25;30:e943493. doi: 10.12659/MSM.943493.
Leaper DJ, Holy CE, Spencer M, et al. Assessment of the risk and economic burden of surgical site infection following colorectal surgery using a US longitudinal database: Is there a role for innovative antimicrobial wound closure technology to reduce the risk of infection? Diseases of the colon and rectum. 2020;63(12):1628-38
Lohsiriwat V. High compliance with surgical site infection (SSI) prevention bundle reduces incisional SSI after colorectal surgery. Annals of coloproctology. 2021;37(3):146-52
Ruiz-Tovar J, Llavero C, Morales V, et al. Effect of the application of a bundle of three measures (intraperitoneal lavage with antibiotic solution, fascial closure with Triclosan-coated sutures and Mupirocin ointment application on the skin staples) on the surgical site infection after elective laparoscopic colorectal cancer surgery. Surgical endoscopy. 2018;32:3495–3501
Cima R, Dankbar E, Lovely J, et al. Colorectal surgery surgical site infection reduction program: a national surgical quality improvement program-driven multidisciplinary single-institution experience. Journal of the American College of Surgeons. 2013;216:23–33
Vicente-Sánchez G, Alonso-García M, Hijas-Gómez AI, et al. Effect of the Implementation of a Surgical Care Bundle in the Incidence of Surgical Site Infection in Spine Surgery: A Quasi-Experimental Study. Spine (Phila Pa 1976). 2022 Apr 15;47(8):615-623. doi: 10.1097/BRS.0000000000004212.
WHO. Global Guidelines for the Prevention of Surgical Site Infection (2nd edn). Geneva: WHO, 2018. (15/04/2024 tarihinde https://www.ncbi.nlm.nih.gov/books/NBK536404/ adresinden ulaşılmıştır)
Berrios-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention guideline for the prevention of surgical site infection 2017. JAMA Surgery. 2017;152:784–791
National Institute for Health and Care Excellence. Surgical Site Infections: Prevention and Treatment. (05/05/2024 tarihinde https://www.nice.org.uk/guidance/ng125 adresinden ulaşılmıştır)
de Vries EN, Prins HA, Crolla RM, et al. Effect of a comprehensive surgical safety system on patient outcomes. The New England journal of medicine. 2010;363:1928–1937
Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. The New England journal of medicine. 2009;360:491–499
Dean HF, King E, Gane D, Hocking D, Rogers J, Pullyblank A. Introduction of a care bundle effectively and sustainably reduces patient-reported surgical site infection in patients undergoing colorectal surgery. The Journal of hospital infection. 2020 Jun;105(2):156-161. doi: 10.1016/j.jhin.2020.04.013.
Park CM, Ha TS, Lee WY, et al. Implementing a multidisciplinary care bundle to reduce colon surgical site infections. Annals of surgical treatment and research. 2020 Nov;99(5):285-293. doi: 10.4174/astr.2020.99.5.285.
Cochrane P, DiEmanuele M. Bundling Care for Cardiac Surgery Patients. Healthcare quarterly. 2018 Jan;20(4):43-47. doi: 10.12927/hcq.2018.25424.
Albert H, Bataller W, Masroor N, et al. Infection prevention and enhanced recovery after surgery: A partnership for implementation of an evidence-based bundle to reduce colorectal surgical site infections. American journal of infection control. 2019 Jun;47(6):718-719. doi: 10.1016/j.ajic.2018.11.004.
Goense L, van Dijk W A, Govaert J A et al. Hospital costs of complications after esophagectomy for cancer. European journal of surgical oncology. 2017; 43:696–702
Raftery NB, Murphy CF, Donlon NE, et al. Prospective study of surgical site infections post-open esophageal cancer surgery, and the impact of care bundles. Diseases of the esophagus. 2021 Dec 24;34(12):doaa136. doi: 10.1093/dote/doaa136.
Zywot A, Lau CSM, Stephen Fletcher H, et al. Bundles Prevent Surgical Site Infections After Colorectal Surgery: Meta-analysis and Systematic Review. Journal of gastrointestinal surgery. 2017 Nov;21(11):1915-1930. doi: 10.1007/s11605-017-3465-3.
Weiner LM, Webb AK, Limbago B, et al. Antimicrobial resistant pathogens associated with healthcare-associated infections: summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2011-2014. Infection control and hospital epidemiology. 2016; 37:1288–1301. doi: 10.1017/ice.2016.174
Currie A, Burch J, Jenkins JT, et al. The impact of enhanced recovery protocol compliance on elective colorectal cancer resection: results from an international registry. Annals of surgery. 2015;261:1153-1159.
Anderson DJ, Podgorny K, Berríos-Torres SI, et al. Strategies to prevent surgical site infections in acute care hospitals: 2014 update. Infection control and hospital epidemiology. 2014, 35:605–627. doi: 10.1086/676022
Munday GS, Deveaux P, Roberts H, et al. Impact of implementation of the Surgical Care Improvement Project and future strategies for improving quality in surgery. American journal of surgery. 2014; 208:835–840. doi: 10.1016/j.amjsurg.2014.05.005
Ban KA, Minei JP, Laronga C, et al. American College of Surgeons and Surgical Infection Society: surgical site infection guidelines, 2016 update. Journal of the American College of Surgeons. 2017; 224:59–74. doi: 10.1016/j.jamcollsurg.2016.10.029
Itani KMF. Care bundles and prevention of surgical site infection in colorectal surgery. JAMA. 2015; 314:289–290. doi: 10. 1001/jama.2015.4473
Fischer JE, Weintraub R. Two senior surgeons’ view: prevention of surgical site infection associated with colorectal operations. American journal of surgery. 2015;209(6):1107-1110. doi: 10.1016/ j. amjsurg. 2014. 10. 024
Su X, Zhong MH, Ye XM, et al. Effects of Evidence-Based Continuing Care Bundle on Health Outcomes in Rectal Cancer Patients With Temporary Stomas: A Multicenter Randomized Controlled Trial. Cancer nursing. 2021 May-Jun 01;44(3):223-234. doi: 10.1097/NCC.0000000000000762.
Tufts LS, Jarnagin ED, Flynn JR, et al. A perioperative multidisciplinary care bundle reduces surgical site infections in patients undergoing synchronous colorectal and liver resection. HPB (Oxford). 2019 Feb;21(2):181-186. doi: 10.1016/j.hpb.2018.07.001.
Trangbæk RM, Wahlstrøm K, Gögenur I, et al. Associations Between Care Bundles and Postoperative Outcomes After Major Emergency Abdominal Surgery: A Systematic Review and Meta-Analysis. The Journal of surgical research. 2023 Mar;283:469-478. doi: 10.1016/j.jss.2022.10.064. Epub 2022 Nov 24.
Yamada K, Abe H, Higashikawa A, et al. Evidence-based Care Bundles for Preventing Surgical Site Infections in Spinal Instrumentation Surgery. Spine (Phila Pa 1976). 2018 Dec 15;43(24):1765-1773. doi: 10.1097/BRS.0000000000002709.
Tan T, Lee H, Huang MS, et al. Prophylactic postoperative measures to minimize surgical site infections in spine surgery: systematic review and evidence summary. The spine journal. 2020 Mar;20(3):435-447. doi: 10.1016/j.spinee.2019.09.013.
Gould JM, Hennessey P, Kiernan A, et al. A novel prevention bundle to reduce surgical site infections in pediatric spinal fusion patients. Infection control and hospital epidemiology. 2016;37:527–34.
Bagga RS, Shetty AP, Sharma V, et al. Does preventive care bundle have an impact on surgical site infections following spine surgery? An analysis of 9607 patients. Spine Deform. 2020 Aug;8(4):677-684. doi: 10.1007/s43390-020-00099-0.
Hijas-Go´mez AI, Egea-Ga´mez RM, Martı´nez-Martı´n J, et al. Surgical wound infection rates and risk factors in spinal fusion in a university teaching hospital in Madrid, Spain. Spine (Phila Pa 1976) 2017;42:748–54
Uzuka T, Takahashi H, Nakasu Y, et al. Surgical Site Infection after Malignant Brain Tumor Resection: A Multicenter Study for Induction of a Basic Care Bundle. Neurologia medico-chirurgica. (Tokyo). 2017 Oct 15;57(10):542-547. doi: 10.2176/nmc.oa.2017-0034.
Schipmann S, Akalin E, Doods J, et al. When the infection hits the wound: matched case-control study in a neurosurgical patient collective including systematic literatüre review and risk factors analysis. World Neurosurgery. 2016;95: 178–189.
Jiménez-Martínez E, Cuervo G, Carratalà J, et al. A Care Bundle Intervention to Prevent Surgical Site Infections After a Craniotomy. Clinical infectious diseases. 2021 Dec 6;73(11):e3921-e3928. doi: 10.1093/cid/ciaa884.
Mok WQ, Ullal MJ, Su S, et al. An integrative care bundle to prevent surgical site infections among surgical hip patients: A retrospective cohort study. American journal of infection control. 2019 May;47(5):540-544. doi: 10.1016/j.ajic.2018.10.011.
Chuan A, Zhao L, Tillekeratne N, et al. The effect of a multidisciplinary care bundle on the incidence of delirium after hip fracture surgery: a quality improvement study. Anaesthesia. 2020 Jan;75(1):63-71. doi: 10.1111/anae.14840.
Arkin LC, Reising E, Penoyer D, et al. Impact of Bundled Care on Outcomes Following Elective Primary Total Hip or Total Knee Arthroplasty. Orthopedic nursing. 2019 Jul/Aug;38(4):262-269. doi: 10.1097/NOR.0000000000000573.
Lumbley JL, Ali SA, Tchokouani LS. Retrospective review of predisposing factors for intraoperative pressure ulcer development. Journal of clinical anesthesia. 2014;26:368–374. doi:10.1016/j.jclinane.2014.01.012
Li L, Zhou J, Luo L, et al. Application of the Care Bundle in Perioperative Nursing Care of the Type A Aortic Dissection. International journal of general medicine. 2021 Sep 21;14:5949-5958. doi: 10.2147/IJGM.S322755.
Huang B, Li Q, Wang G. Effect of cluster nursing on state of pre-operative patients with acute aortic dissection. Hunan Journal of Traditional Chinese Medicine. 2018;38:224–227
Miyahara K, Matsuura A, Takemura H, et al. Implementation of bundled interventions greatly decreases deep sternal wound infection following cardiovascular surgery. The Journal of thoracic and cardiovascular surgery. 2014 Nov;148(5):2381-8. doi: 10.1016/j.jtcvs.2014.04.005.
Ferraz ÁAB, Vasconcelos CFM, Santa-Cruz F, et al. Surgical site infection in bariatric surgery: results of a care bundle. Revista do Colégio Brasileiro de Cirurgiões. 2019 Sep 9;46(4):e2252. Portuguese, English. doi: 10.1590/0100-6991e-20192252.
Fischer MI, Dias C, Stein AT, et al. Antibiotic prophylaxis in obese patients submitted to bariatric surgery. A systematic review. Acta cirúrgica brasileira. 2014;29(3):209-17.
Husain F, Jeong IH, Spight D, et al. Risk factors for early postoperative complications after bariatric surgery. Annals of surgical treatment and research. 2018;95(2):100-10
Candas B, Gürsoy A. Hemşireler için Harekete Geçme Zamanı: Kanıta Dayalı Uygulamalardan Bakım Paketlerine. Journal of Education and Research in Nursing. 2017; 14(3):233
Anthes E. The trouble with checklists: an easy method that promised to save lives in hospitals worldwide may not be so simple after all. Nature. 2015;523:516–8.
Urbach DR, Govindarajan A, Saskin R, et al. Introduction of surgical safety checklists in Ontario, Canada. The New England journal of medicine. 2014;370:1029–38
Reames BN, Krell RW, Campbell DA, et al. A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the keystone surgery program. JAMA Surgery. 2015;150:208–15
Bion J, Richardson A, Hibbert P, et al. ‘Matching Michigan’: a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England. BMJ quality and safety. 2013;22:110–23
Dixon-Woods M. How to improve healthcare improvement-an essaynby Mary Dixon-Woods. BMJ. 2019;367:l5514
Borgert M, Binnekade J, Paulus F, Goossens A, Dongelmans D. A flowchart for building evidence-based care bundles in intensive care: based on a systematic review. International journal for quality in health care. 2017 Apr 1;29(2):163-175. doi: 10.1093/intqhc/mzx009.
Gilhooly D, Green SA, McCann C, et al. Barriers and facilitators to the successful development, implementation and evaluation of care bundles in acute care in hospital: a scoping review. Implementation science. 2019;14:47
Speck K, Rawat N, Weiner NC, et al. A systematic approach for developing a ventilator-associated pneumonia prevention bundle. American journal of infection control. 2016;44(6):652–656.
What is a bundle? Institute for Healthcare Improvement web site. (15/05/2024 tarihinde https://www.ihi.org/insights/what-is-a-bundle. adresinden ulaşılmıştır).
Benlice C, Gorgun E. Using NSQIP data for quality improvement: the Cleveland Clinic SSI experience. Seminars in Colon and Rectal Surgery. 2016; 27:74–82. doi: 10.1053/j.scrs.2016.01.003
Lavallée JF, Gray TA, Dumville J, et al. The effects of care bundles on patient outcomes: a systematic review and meta-analysis. Implementation science. 2017 Nov 29;12(1):142. doi: 10.1186/s13012-017-0670-0.
Referanslar
Koek MBG, Hopmans TEM, Soetens LC, et al. Adhering to a national surgical care bundle reduces the risk of surgical site infections. PLoS One. 2017 Sep 6;12(9):e0184200. doi: 10.1371/journal.pone.0184200. PMID: 28877223; PMCID: PMC5587118
Leaper DJ, Tanner J, Kiernan M, et al. Surgical site infection: poor compliance with guidelines and care bundles. International Wound Journal. 2015; 12(3):357–62. https://doi.org/10.1111/iwj.12243
Resar R, Griffin F, Haraden C, et al. Using Care Bundles to Improve Health Care Quality. IHI Innovation Series White Paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2012. (10/04/2024 tarihinde http://www.ihi.org/resources/Pages/IHIWhitePapers/UsingCareBundles.aspx. adresinden ulaşılmıştır)
Munro N, Ruggiero M. Ventilator-Associated Pneumonia Bundle. Reconstruction for Best Care. AACN Advanced Critical Care. 2014; 25: 163–175
Baudry T, Hernu R, Valleix B, et al. Cirrhotic patients admitted to the ICU with septic shock: factors predicting short and long-term outcome. Shock. 2019;52(4):408–413. doi: 10.1097/shk.0000000000001282
Treskes N, Koekkoek WAC, van Zanten ARH. The Effect of Nutrition on Early Stress-Induced Hyperglycemia, Serum Insulin Levels, and Exogenous Insulin Administration in Critically Ill Patients With Septic Shock: A Prospective Observational Study. Shock. 2019 Oct;52(4):e31-e38. doi: 10.1097/SHK.0000000000001287. PMID: 30407371.
Wang M, Zhang Y, Zhong A, et al. Care Bundles plus Detailed Nursing on Mortality and Nursing Satisfaction of Patients with Septic Shock in ICU. Evidence-based complementary and alternative medicine. 2022 Jun 23;2022:1177961. doi: 10.1155/2022/1177961.
Vij SC, Kartha G, Krishnamurthi V, et al. Simple Operating Room Bundle Reduces Superficial Surgical Site Infections After Major Urologic Surgery. Urology. 2018 Feb;112:66-68. doi: 10.1016/j.urology.2017.10.028.
Florschutz AV, Fagan RP, Matar WY, et al. Surgical site infection risk factors and risk stratification. Journal of the American Academy of Orthopaedic Surgeons. 2015;23 (Suppl):8-11.
Noailles T, Brulefert K, Chalopin A, et al. What are the risk factors for post-operative infection after hip hemiarthroplasty: systematic review of literature. International Orthopaedics. 2016;40:1843-8.
Robb E, Jarman B, Suntharalingam G, et al. Using care bundles to reduce in-hospital mortality: quantitative survey. BMJ. 2010 Mar 31;340:c1234. doi: 10.1136/bmj.c1234.
Tanner J, Padley W, Assadian O, et al. Do surgical care bundles reduce the risk of surgical site infections in patients undergoing colorectal surgery? A systematic review and cohort meta-analysis of 8,515 patients. Surgery. 2015;158(1):66-77
Batura D, Hashemzehi T, Colemeadow J. A care bundle to improve perioperative mitomycin use in non-muscle-invasive bladder cancer. International urology and nephrology. 2018;50(6):1053–1059
Tanner J, Timmons S, Bayston R, et al. Using a comprehensive audit to identify local context prior to care bundle design and implementation for inadvertent perioperative hypothermia in colorectal surgery. BMJ open quality. 2021 Jan;10(1):e001132. doi: 10.1136/bmjoq-2020-001132.
Yu X, Chen L, Chen S, et al. Application of Care Bundles in Postanesthesia Recovery for Elderly Patients with Colorectal Cancer. Computational and mathematical methods in medicine. 2022 Jun 21;2022:7669889. doi: 10.1155/2022/7669889.
Resar R, Pronovost P, Haraden C et al. Using a bundle approach to improve ventilator care processes and reduce ventilator-associated pneumonia. Joint Commission journal on quality and patient safety. 2005; 31: 243–248
Pronovost P, Needham D, Berenholtz S et al. An intervention to decrease catheter-related bloodstream infections in the ICU. The New England journal of medicine. 2006; 355: 2,725–2,732
Kalil AC, Metersky ML, Klompas M, et al. Management of Adults With Hospital-acquired and Ventilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society. Clinical infectious diseases. 2016 Sep 1;63(5):e61-e111. doi: 10.1093/cid/ciw353.
Tanner J, Kiernan M, Hilliam R, et al. Effectiveness of a care bundle to reduce surgical site infections in patients having open colorectal surgery. Annals of the Royal College of Surgeons of England. 2016 Apr;98(4):270-4. doi: 10.1308/rcsann.2016.0072.
Hajirawala LN, Legare TB, Tiu SPT, et al. The Impact of a Colorectal Care Bundle for Surgical Site Infections at an Academic Disproportionate Share Hospital With a Level I Trauma Center. The American surgeon. 2020 Jul;86(7):848-855. doi: 10.1177/0003134820940240.
Ma N, Cameron A, Tivey D, et al. Systematic review of a patient care bundle in reducing staphylococcal infections in cardiac and orthopaedic surgery. Australian and New Zealand journal of surgery. 2017 Apr;87(4):239-246. doi: 10.1111/ans.13879.
Magill SS, Edwards JR, Bamberg W, et al. Multistate point-prevalence survey of health care-associated infections. The New England journal of medicine. 2014;370:1198–1208
Wolfhagen N, Boldingh QJJ, Boermeester MA, et al. Perioperative care bundles for the prevention of surgical-site infections: Meta-analysis. The British journal of surgery. 2022;109(10):933-42
Chien YS, Chen HT, Chiang HT, et al. Effect of Standardized Bundle Care and Bundle Compliance on Reducing Surgical Site Infections: A Pragmatic Retrospective Cohort Study. Medical science monitor. 2024 Mar 25;30:e943493. doi: 10.12659/MSM.943493.
Leaper DJ, Holy CE, Spencer M, et al. Assessment of the risk and economic burden of surgical site infection following colorectal surgery using a US longitudinal database: Is there a role for innovative antimicrobial wound closure technology to reduce the risk of infection? Diseases of the colon and rectum. 2020;63(12):1628-38
Lohsiriwat V. High compliance with surgical site infection (SSI) prevention bundle reduces incisional SSI after colorectal surgery. Annals of coloproctology. 2021;37(3):146-52
Ruiz-Tovar J, Llavero C, Morales V, et al. Effect of the application of a bundle of three measures (intraperitoneal lavage with antibiotic solution, fascial closure with Triclosan-coated sutures and Mupirocin ointment application on the skin staples) on the surgical site infection after elective laparoscopic colorectal cancer surgery. Surgical endoscopy. 2018;32:3495–3501
Cima R, Dankbar E, Lovely J, et al. Colorectal surgery surgical site infection reduction program: a national surgical quality improvement program-driven multidisciplinary single-institution experience. Journal of the American College of Surgeons. 2013;216:23–33
Vicente-Sánchez G, Alonso-García M, Hijas-Gómez AI, et al. Effect of the Implementation of a Surgical Care Bundle in the Incidence of Surgical Site Infection in Spine Surgery: A Quasi-Experimental Study. Spine (Phila Pa 1976). 2022 Apr 15;47(8):615-623. doi: 10.1097/BRS.0000000000004212.
WHO. Global Guidelines for the Prevention of Surgical Site Infection (2nd edn). Geneva: WHO, 2018. (15/04/2024 tarihinde https://www.ncbi.nlm.nih.gov/books/NBK536404/ adresinden ulaşılmıştır)
Berrios-Torres SI, Umscheid CA, Bratzler DW, et al. Centers for Disease Control and Prevention guideline for the prevention of surgical site infection 2017. JAMA Surgery. 2017;152:784–791
National Institute for Health and Care Excellence. Surgical Site Infections: Prevention and Treatment. (05/05/2024 tarihinde https://www.nice.org.uk/guidance/ng125 adresinden ulaşılmıştır)
de Vries EN, Prins HA, Crolla RM, et al. Effect of a comprehensive surgical safety system on patient outcomes. The New England journal of medicine. 2010;363:1928–1937
Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. The New England journal of medicine. 2009;360:491–499
Dean HF, King E, Gane D, Hocking D, Rogers J, Pullyblank A. Introduction of a care bundle effectively and sustainably reduces patient-reported surgical site infection in patients undergoing colorectal surgery. The Journal of hospital infection. 2020 Jun;105(2):156-161. doi: 10.1016/j.jhin.2020.04.013.
Park CM, Ha TS, Lee WY, et al. Implementing a multidisciplinary care bundle to reduce colon surgical site infections. Annals of surgical treatment and research. 2020 Nov;99(5):285-293. doi: 10.4174/astr.2020.99.5.285.
Cochrane P, DiEmanuele M. Bundling Care for Cardiac Surgery Patients. Healthcare quarterly. 2018 Jan;20(4):43-47. doi: 10.12927/hcq.2018.25424.
Albert H, Bataller W, Masroor N, et al. Infection prevention and enhanced recovery after surgery: A partnership for implementation of an evidence-based bundle to reduce colorectal surgical site infections. American journal of infection control. 2019 Jun;47(6):718-719. doi: 10.1016/j.ajic.2018.11.004.
Goense L, van Dijk W A, Govaert J A et al. Hospital costs of complications after esophagectomy for cancer. European journal of surgical oncology. 2017; 43:696–702
Raftery NB, Murphy CF, Donlon NE, et al. Prospective study of surgical site infections post-open esophageal cancer surgery, and the impact of care bundles. Diseases of the esophagus. 2021 Dec 24;34(12):doaa136. doi: 10.1093/dote/doaa136.
Zywot A, Lau CSM, Stephen Fletcher H, et al. Bundles Prevent Surgical Site Infections After Colorectal Surgery: Meta-analysis and Systematic Review. Journal of gastrointestinal surgery. 2017 Nov;21(11):1915-1930. doi: 10.1007/s11605-017-3465-3.
Weiner LM, Webb AK, Limbago B, et al. Antimicrobial resistant pathogens associated with healthcare-associated infections: summary of data reported to the National Healthcare Safety Network at the Centers for Disease Control and Prevention, 2011-2014. Infection control and hospital epidemiology. 2016; 37:1288–1301. doi: 10.1017/ice.2016.174
Currie A, Burch J, Jenkins JT, et al. The impact of enhanced recovery protocol compliance on elective colorectal cancer resection: results from an international registry. Annals of surgery. 2015;261:1153-1159.
Anderson DJ, Podgorny K, Berríos-Torres SI, et al. Strategies to prevent surgical site infections in acute care hospitals: 2014 update. Infection control and hospital epidemiology. 2014, 35:605–627. doi: 10.1086/676022
Munday GS, Deveaux P, Roberts H, et al. Impact of implementation of the Surgical Care Improvement Project and future strategies for improving quality in surgery. American journal of surgery. 2014; 208:835–840. doi: 10.1016/j.amjsurg.2014.05.005
Ban KA, Minei JP, Laronga C, et al. American College of Surgeons and Surgical Infection Society: surgical site infection guidelines, 2016 update. Journal of the American College of Surgeons. 2017; 224:59–74. doi: 10.1016/j.jamcollsurg.2016.10.029
Itani KMF. Care bundles and prevention of surgical site infection in colorectal surgery. JAMA. 2015; 314:289–290. doi: 10. 1001/jama.2015.4473
Fischer JE, Weintraub R. Two senior surgeons’ view: prevention of surgical site infection associated with colorectal operations. American journal of surgery. 2015;209(6):1107-1110. doi: 10.1016/ j. amjsurg. 2014. 10. 024
Su X, Zhong MH, Ye XM, et al. Effects of Evidence-Based Continuing Care Bundle on Health Outcomes in Rectal Cancer Patients With Temporary Stomas: A Multicenter Randomized Controlled Trial. Cancer nursing. 2021 May-Jun 01;44(3):223-234. doi: 10.1097/NCC.0000000000000762.
Tufts LS, Jarnagin ED, Flynn JR, et al. A perioperative multidisciplinary care bundle reduces surgical site infections in patients undergoing synchronous colorectal and liver resection. HPB (Oxford). 2019 Feb;21(2):181-186. doi: 10.1016/j.hpb.2018.07.001.
Trangbæk RM, Wahlstrøm K, Gögenur I, et al. Associations Between Care Bundles and Postoperative Outcomes After Major Emergency Abdominal Surgery: A Systematic Review and Meta-Analysis. The Journal of surgical research. 2023 Mar;283:469-478. doi: 10.1016/j.jss.2022.10.064. Epub 2022 Nov 24.
Yamada K, Abe H, Higashikawa A, et al. Evidence-based Care Bundles for Preventing Surgical Site Infections in Spinal Instrumentation Surgery. Spine (Phila Pa 1976). 2018 Dec 15;43(24):1765-1773. doi: 10.1097/BRS.0000000000002709.
Tan T, Lee H, Huang MS, et al. Prophylactic postoperative measures to minimize surgical site infections in spine surgery: systematic review and evidence summary. The spine journal. 2020 Mar;20(3):435-447. doi: 10.1016/j.spinee.2019.09.013.
Gould JM, Hennessey P, Kiernan A, et al. A novel prevention bundle to reduce surgical site infections in pediatric spinal fusion patients. Infection control and hospital epidemiology. 2016;37:527–34.
Bagga RS, Shetty AP, Sharma V, et al. Does preventive care bundle have an impact on surgical site infections following spine surgery? An analysis of 9607 patients. Spine Deform. 2020 Aug;8(4):677-684. doi: 10.1007/s43390-020-00099-0.
Hijas-Go´mez AI, Egea-Ga´mez RM, Martı´nez-Martı´n J, et al. Surgical wound infection rates and risk factors in spinal fusion in a university teaching hospital in Madrid, Spain. Spine (Phila Pa 1976) 2017;42:748–54
Uzuka T, Takahashi H, Nakasu Y, et al. Surgical Site Infection after Malignant Brain Tumor Resection: A Multicenter Study for Induction of a Basic Care Bundle. Neurologia medico-chirurgica. (Tokyo). 2017 Oct 15;57(10):542-547. doi: 10.2176/nmc.oa.2017-0034.
Schipmann S, Akalin E, Doods J, et al. When the infection hits the wound: matched case-control study in a neurosurgical patient collective including systematic literatüre review and risk factors analysis. World Neurosurgery. 2016;95: 178–189.
Jiménez-Martínez E, Cuervo G, Carratalà J, et al. A Care Bundle Intervention to Prevent Surgical Site Infections After a Craniotomy. Clinical infectious diseases. 2021 Dec 6;73(11):e3921-e3928. doi: 10.1093/cid/ciaa884.
Mok WQ, Ullal MJ, Su S, et al. An integrative care bundle to prevent surgical site infections among surgical hip patients: A retrospective cohort study. American journal of infection control. 2019 May;47(5):540-544. doi: 10.1016/j.ajic.2018.10.011.
Chuan A, Zhao L, Tillekeratne N, et al. The effect of a multidisciplinary care bundle on the incidence of delirium after hip fracture surgery: a quality improvement study. Anaesthesia. 2020 Jan;75(1):63-71. doi: 10.1111/anae.14840.
Arkin LC, Reising E, Penoyer D, et al. Impact of Bundled Care on Outcomes Following Elective Primary Total Hip or Total Knee Arthroplasty. Orthopedic nursing. 2019 Jul/Aug;38(4):262-269. doi: 10.1097/NOR.0000000000000573.
Lumbley JL, Ali SA, Tchokouani LS. Retrospective review of predisposing factors for intraoperative pressure ulcer development. Journal of clinical anesthesia. 2014;26:368–374. doi:10.1016/j.jclinane.2014.01.012
Li L, Zhou J, Luo L, et al. Application of the Care Bundle in Perioperative Nursing Care of the Type A Aortic Dissection. International journal of general medicine. 2021 Sep 21;14:5949-5958. doi: 10.2147/IJGM.S322755.
Huang B, Li Q, Wang G. Effect of cluster nursing on state of pre-operative patients with acute aortic dissection. Hunan Journal of Traditional Chinese Medicine. 2018;38:224–227
Miyahara K, Matsuura A, Takemura H, et al. Implementation of bundled interventions greatly decreases deep sternal wound infection following cardiovascular surgery. The Journal of thoracic and cardiovascular surgery. 2014 Nov;148(5):2381-8. doi: 10.1016/j.jtcvs.2014.04.005.
Ferraz ÁAB, Vasconcelos CFM, Santa-Cruz F, et al. Surgical site infection in bariatric surgery: results of a care bundle. Revista do Colégio Brasileiro de Cirurgiões. 2019 Sep 9;46(4):e2252. Portuguese, English. doi: 10.1590/0100-6991e-20192252.
Fischer MI, Dias C, Stein AT, et al. Antibiotic prophylaxis in obese patients submitted to bariatric surgery. A systematic review. Acta cirúrgica brasileira. 2014;29(3):209-17.
Husain F, Jeong IH, Spight D, et al. Risk factors for early postoperative complications after bariatric surgery. Annals of surgical treatment and research. 2018;95(2):100-10
Candas B, Gürsoy A. Hemşireler için Harekete Geçme Zamanı: Kanıta Dayalı Uygulamalardan Bakım Paketlerine. Journal of Education and Research in Nursing. 2017; 14(3):233
Anthes E. The trouble with checklists: an easy method that promised to save lives in hospitals worldwide may not be so simple after all. Nature. 2015;523:516–8.
Urbach DR, Govindarajan A, Saskin R, et al. Introduction of surgical safety checklists in Ontario, Canada. The New England journal of medicine. 2014;370:1029–38
Reames BN, Krell RW, Campbell DA, et al. A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the keystone surgery program. JAMA Surgery. 2015;150:208–15
Bion J, Richardson A, Hibbert P, et al. ‘Matching Michigan’: a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England. BMJ quality and safety. 2013;22:110–23
Dixon-Woods M. How to improve healthcare improvement-an essaynby Mary Dixon-Woods. BMJ. 2019;367:l5514
Borgert M, Binnekade J, Paulus F, Goossens A, Dongelmans D. A flowchart for building evidence-based care bundles in intensive care: based on a systematic review. International journal for quality in health care. 2017 Apr 1;29(2):163-175. doi: 10.1093/intqhc/mzx009.
Gilhooly D, Green SA, McCann C, et al. Barriers and facilitators to the successful development, implementation and evaluation of care bundles in acute care in hospital: a scoping review. Implementation science. 2019;14:47
Speck K, Rawat N, Weiner NC, et al. A systematic approach for developing a ventilator-associated pneumonia prevention bundle. American journal of infection control. 2016;44(6):652–656.
What is a bundle? Institute for Healthcare Improvement web site. (15/05/2024 tarihinde https://www.ihi.org/insights/what-is-a-bundle. adresinden ulaşılmıştır).
Benlice C, Gorgun E. Using NSQIP data for quality improvement: the Cleveland Clinic SSI experience. Seminars in Colon and Rectal Surgery. 2016; 27:74–82. doi: 10.1053/j.scrs.2016.01.003
Lavallée JF, Gray TA, Dumville J, et al. The effects of care bundles on patient outcomes: a systematic review and meta-analysis. Implementation science. 2017 Nov 29;12(1):142. doi: 10.1186/s13012-017-0670-0.
