Tzu Chi Medical Journal
Volume 21, Issue 4 , Pages 310-316 , December 2009

Effectiveness of Workflow Change for Improving the Timing of Prophylactic Antibiotics

  • Sung-Ching Pan

      Affiliations

    • Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan
  • ,
  • Hsiang-Chi Kung

      Affiliations

    • Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan
  • ,
  • Jou-Wei Lin

      Affiliations

    • Department of Internal Medicine, National Taiwan University Hospital, Yun-Lin Branch, Yun-Lin, Taiwan
  • ,
  • Szu-Min Hsieh

      Affiliations

    • Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan
  • ,
  • Shan-Chwen Chang

      Affiliations

    • Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan
    • College of Medicine, National Taiwan University, Taipei, Taiwan
    • Corresponding Author InformationCorresponding author. Department of Internal Medicine, National Taiwan University Hospital, 7, Chung-Shan South Road, Taipei, Taiwan

Received 31 July 2009 ,Revised 10 August 2009 ,Accepted 1 September 2009.

References 

  1. Burke JF . The effective period of preventive antibiotic action in experimental incisions and dermal lesions . Surgery . 1961;50:161–168
  2. Classen DC , Evans RS , Pestotnik SL , et al.   The timing of prophylactic administration of antibiotics and the risk of surgical-wound infection . N Engl J Med . 1992;326:281–286
  3. Silver A , Eichorn A , Kral J , et al.   Timeliness and use of antibiotic prophylaxis in selected inpatient surgical procedures . Am J Surg . 1996;171:548–552
  4. Bratzler DW , Houck PM , Richards C , et al.   Use of antimicrobial prophylaxis for major surgery: baseline results from the National Surgical Infection Prevention Project . Arch Surg . 2005;140:174–182
  5. Pan SC , Sun HY , Lin JW , Lin C , Lai TS , Chang SC . Improvement of timing of antibiotic administration by using a prophylactic antibiotic record form . J Formos Med Assoc . 2008;107:218–224
  6. Tan JA , Naik VN , Lingard L . Exploring obstacles to proper timing of prophylactic antibiotics for surgical site infections . Qual Saf Health Care . 2006;15:32–38
  7. US Public Health Service  . International Classification of Diseases, Ninth Revision: Clinical Modification . 4th edition. Washington, DC: US Department of Health and Human Services; 1991; Report PHS91—1260.
  8. Gaynes RP , Culver DH , Horan TC , et al.   Surgical site infection rates in the United States, 1992—1998: the National Nosocomial Infections Surveillance System basic SSI risk index . Clin Infect Dis . 2001;33(Suppl 2):S69–S77
  9. Miles AA , Miles EM , Burke J . The value and duration of defense reactions of the skin to the primary lodgement of bacteria . Br J Exp Pathol . 1957;38:79–96
  10. Bernard HR , Cole WR . The prophylaxis of surgical infection: the effect of prophylactic antimicrobial drugs on the incidence of infection following potentially contaminated operations . Surgery . 1964;56:151–157
  11. Polk HC , Lopez-Mayor JF . Postoperative wound infection: a prospective study of determinant factors and prevention . Surgery . 1969;66:97–103
  12. Stone HH , Hooper CA , Kolb LD , et al.   Antibiotic prophylaxis in gastric, biliary, and colonic surgery . Ann Surg . 1976;184:443–452
  13. Silver A , Eichorn A , Kral J , et al.   Timeliness and use of antibiotic prophylaxis in selected inpatient surgical procedures . Am J Surg . 1996;171:548–552
  14. Bull AL , Russo PL , Friedman ND , et al.   Compliance with surgical antibiotic prophylaxis: reporting from a statewide surveillance programme in Victoria, Australia . J Hosp Infect . 2006;63:140–147
  15. Schell JA , Bynum CG , Fortune GJ , et al.   Perioperative antibiotics in nonemergency bowel surgery: a quality improvement project . South Med J . 1998;91:900–908
  16. van Kasteren MEE , Mannien J , Kullberg BJ , et al.   Quality improvement of surgical prophylaxis in Dutch hospitals: evaluation of a multi-site intervention by time series analysis . J Antimicrob Chemother . 2005;56:1094–1102
  17. Cabana MD , Rand CS , Powe NR , et al.   Why don't physicians follow clinical practice guidelines? A framework for improvement . JAMA . 1999;282:1458–1465
  18. Chang FY , Chang SC , Chang KJ , et al.   Guidelines for the use of prophylactic antibiotics in surgery in Taiwan . J Microbiol Immunol Infec . 2004;37:71–74
  19. Parker BM , Henderson JM , Vitagliano S , et al.   Six sigma methodology can be used to improve adherence for antibiotic prophylaxis in patients undergoing noncardiac surgery . Anesth Analg . 2007;104:140–146
  20. Webb AL , Flagg RL , Fink AS . Reducing surgical site infections through a multidisciplinary computerized process for preoperative prophylactic antibiotic administration . Am J Surg . 2006;192:663–668
  21. Kanter G , Connelly NR , Fitzgerald J . A system and process redesign to improve perioperative antibiotic administration . Anesth Analg . 2006;103:1517–1521
  22. Prado MA , Lima MP , Gomes IR , et al.   The implementation of a surgical antibiotic prophylaxis program: the pivotal contribution of the hospital pharmacy . Am J Infect Control . 2002;30:49–56

PII: S1016-3190(09)60061-6

doi: 10.1016/S1016-3190(09)60061-6

Tzu Chi Medical Journal
Volume 21, Issue 4 , Pages 310-316 , December 2009