Table 2.
Adherence to Clean Cut surgical infection prevention standards at baseline and after process improvement interventions
| Baseline (n = 374) | After implementation (n = 1839) | P * | |
|---|---|---|---|
| Skin preparation compliance | |||
| Surgeon hand scrub completed | 340 (90·9) | 1824 (99·2) | < 0·001 |
| Surgical site skin preparation completed | 370 (98·9) | 1828 (99·4) | 0·311 |
| Total compliance | 336 (89·8) | 1814 (98·6) | < 0·001 |
| Sterile field compliance | |||
| New surgical gloves used by surgeon | 371 (99·2) | 1832 (99·6) | 0·268 |
| Sterility indicator present inside gown and drape pack | 52 (13·9) | 1209 (65·7) | < 0·001 |
| If so, had colour changed indicating sterility | 51 (98·1) | 1188 (98·3) | 0·920 |
| Dry gowns and drapes used | 251 (67·1) | 1819 (98·9) | < 0·001 |
| Gowns without holes or tears | 366 (97·9) | 1815 (98·7) | 0·218 |
| Drapes without holes or tears | 366 (97·9) | 1832 (99·6) | < 0·001 |
| Total compliance | 50 (13·4) | 1151 (62·6) | < 0·001 |
| Instrument sterility compliance | |||
| Sterility indicator present inside instrument tray | 133 (35·6) | 1258 (68·4) | < 0·001 |
| If so, had colour changed indicating sterility | 132 (99·2) | 1240 (98·6) | 0·521 |
| Inside of the instrument tray dry | 251 (67·1) | 1801 (97·9) | < 0·001 |
| Total compliance | 57 (15·2) | 1207 (65·6) | < 0·001 |
| Antibiotic administration compliance | |||
| Antibiotics given before surgery | 322 (86·1) | 1706 (92·8) | < 0·001 |
| Antibiotics given in operating room | 110 (29·4) | 877 (47·7) | < 0·001 |
| Total compliance | 147 (39·3) | 951 (51·7) | < 0·001 |
| Gauze count compliance | |||
| Gauze count before operation | 301 (80·5) | 1756 (95·5) | < 0·001 |
| Gauze count after operation | 294 (78·6) | 1749 (95·1) | < 0·001 |
| Total compliance | 282 (75·4) | 1716 (93·3) | < 0·001 |
| Checklist compliance | |||
| Procedure announced before the start of the operation | 304 (81·3) | 1716 (93·3) | < 0·001 |
| Time out/team introductions performed | 231 (61·8) | 1457 (79·2) | < 0·001 |
| Estimated blood loss stated aloud | 319 (85·3) | 1678 (91·2) | < 0·001 |
| Total compliance | 216 (57·8) | 1417 (77·1) | < 0·001 |
Values in parentheses are percentages. Total compliance includes full compliance with each of the processes within the category.
*
χ2 test.