IMPLEMENTATION OF AN ADVANCED OPERATING ROOM SCHEDULE TO INCREASE COMPLIANCE WITH CLINICAL PRACTICE GUIDELINES FOR PREOPERATIVE ANTIBIOTIC SELECTION AND TIMING: A QUALITY IMPROVEMENT PROJECT

Author

Shelby Lynne Adams, Northern Michigan UniversityFollow

Date of Scholarly Project Submission

7-2022

Degree Type

Dissertation

Degree Name

Doctor of Nursing Practice (DNP)

Department

Health and Human Performance; Nursing

Faculty Chairperson

Rachel Nye, DNP, MS, FNP-BC, RNC-OB, CNE, C-EFM

Second Committee Member

Michelle Andriacchi, DNP, RN, FNP-BC

Third Committee Member

Kristen Smith, DNP, MSN, RNC-NIC, FNP-BC

Abstract

Surgical site infection (SSI) is a major cause of morbidity and mortality in operative patients worldwide. The American Society for Health-System Pharmacists (ASHP) published the most recent clinical practice guidelines for antimicrobial prophylaxis in surgery. These guidelines are based upon the available evidence and provide a standardized approach for the safe and effective selection, dosing, and administration of antibiotics for the prevention of SSI (Bratzler et al., 2013). This Doctor of Nursing Practice (DNP) project aimed to determine if incorporating an advanced operating room (OR) schedule, inclusive of ASHP presurgical antibiotics, increased compliance with ASHP standards of antibiotic selection and antibiotic timing. A retrospective pre-post design was used for this study; data were collected between December 1, 2021, and February 28, 2022, and the sample included 829 patients. No significant change to ASHP compliance was seen in antibiotic selection (p = 0.4776) or antibiotic timing (p = 0.8058) with the advanced OR schedule.

Recommended Citation

Adams, Shelby Lynne, "IMPLEMENTATION OF AN ADVANCED OPERATING ROOM SCHEDULE TO INCREASE COMPLIANCE WITH CLINICAL PRACTICE GUIDELINES FOR PREOPERATIVE ANTIBIOTIC SELECTION AND TIMING: A QUALITY IMPROVEMENT PROJECT" (2022). DNP Scholarly Projects. 34.
https://commons.nmu.edu/dnp/34