At Children's Hospital Boston, the cardiovascular operating room nurses led an initiative aimed at reducing surgical site infections (SSIs) in pediatric patients undergoing cardiac surgery. After first standardizing how skin preparation was performed, the nurses sought to determine which agents might be most effective. A literature review yielded relevant research; a survey of other pediatric surgery centers was also conducted. Based on what they learned, the nurses were able to recommend, implement, and evaluate a practice change. This has resulted in reduced SSI rates and improved patient outcomes.
This second article in a series on evidence-based practice describes an initiative at Children's Hospital Boston to reduce surgical site infections in children undergoing heart surgery.
Patricia Galvin is a clinical coordinator and staff nurse level III at Children's Hospital Boston.
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