Assessment of protocols for surgical-site preparation in a regional network of hospitals

作者：Dolores Penalver Mompean Maria; Jesus Saturno Hernandez Pedro; Fonseca Miranda Yadira; da Silva Gama Zenewton Andre

来源：Revista Latino-Americana de Enfermagem, 2012, 20(2): 316-324.

DOI：10.1590/S0104-11692012000200014

• Quality Assurance, Health Care
• Guidelines as Topic
• Evidence-based Practice
• Infection Control
• Hospitals, Public
• Safety Management
• Nursing Assessment

Surgical-site infection is a preventable adverse event. Implementation of good practices for correct surgical-site preparation can contribute to lessen this safety problem. The objective of this study was to describe the presence and quality of protocols on surgical-site preparation in the Murcia (Spain) regional network of public hospitals. The indicator %26quot;existence of protocol for surgical-site preparation%26quot; was assessed, as well as the formal quality (expected attributes) and contents (compared to current evidence-based recommendations) of existing documents. Seven of the nine hospitals have a protocol for surgical-site preparation. Opportunities to improve have been identified in relation to the protocols%26apos; formal quality and contents. Recommendations related to skin asepsis are incomplete and those related to hair removal contradict existing evidence. Most hospitals have protocols for surgical-site preparation; however, there is great room for improvement, in relation to their expected attributes and to the inclusion of evidence-based recommendations.

• 出版日期2012-4