Key result
The SQUIRES telemedicine-augmented quality improvement program is being evaluated in a proof-of-concept study to determine its impact on the administration of on-time surgical antibiotic prophylaxis.
Why the study?
Reliable administration of surgical antibiotic prophylaxis reduces surgical site infections, but whether a telemedicine-augmented quality improvement program improves timely administration remained to be determined.
Does a telemedicine-augmented quality improvement program improve the administration of on-time surgical antibiotic prophylaxis in patients undergoing surgical procedures?
Observational (n=40,000)
Yes
Does a telemedicine-augmented quality improvement program improve the administration of on-time surgical antibiotic prophylaxis in patients undergoing surgical procedures?
This protocol outlines a proof-of-concept study to evaluate whether a telemedicine-augmented quality improvement program can improve the timely administration of surgical antibiotic prophylaxis.
<ns3:p><ns3:bold>Introduction: </ns3:bold>Quality improvement (QI) in healthcare results in better patient outcomes, healthcare system performance, and professional development. One target of QI initiatives in the perioperative period is surgical site infections (SSI), for which several risk factors have been identified. Reliable administration of indicated surgical antibiotic prophylaxis is a modifiable factor of particular relevance. We hypothesize that a novel telemedicine-augmented quality improvement program will improve administration of surgical antibiotic prophylaxis.</ns3:p><ns3:p> </ns3:p><ns3:p> <ns3:bold>Objectives: </ns3:bold>The objective of this QI study is to evaluate the utility of a telemedicine-augmented QI initiative on administration of timely surgical antibiotic prophylaxis. The incidence of SSI will also be reported for multiple surgical services.</ns3:p><ns3:p> </ns3:p><ns3:p> <ns3:bold>Methods: </ns3:bold>This will be a multi-center prospective before-and-after proof-of-concept study. Patients undergoing a surgical procedure across seven operating room facilities at four hospitals in the BJC Healthcare System will be included. Approximately 40,000 patients over an eight-month period will be enrolled. This eight-month period will include a baseline observational phase, an education intervention phase, an intervention phase employing real-time event detection with associated guidance from a remote telemedicine center, and a subsequent observational phase. The primary outcome will be administration of on-time surgical antibiotic prophylaxis throughout the trial. Other outcomes will include incidence of SSIs.</ns3:p><ns3:p> </ns3:p><ns3:p> <ns3:bold>Registration Information</ns3:bold>: This trial is registered on clinicaltrials.gov, NCT04983329 (30<ns3:sup>th</ns3:sup> July 2021).</ns3:p>
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de et al. (2022) conducted an observational in Patients undergoing surgical procedures (n=40,000). Telemedicine-augmented quality improvement program (SQUIRES) vs. Baseline observational phase (before-and-after design) was evaluated on Administration of on-time surgical antibiotic prophylaxis. The SQUIRES telemedicine-augmented quality improvement program is being evaluated in a proof-of-concept study to determine its impact on the administration of on-time surgical antibiotic prophylaxis.
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