Bratzler Dale W, Hunt David R
Oklahoma Foundation for Medical Quality, Oklahoma City, OK 73134, USA.
Clin Infect Dis. 2006 Aug 1;43(3):322-30. doi: 10.1086/505220. Epub 2006 Jun 16.
Among the most common complications that occur after surgery are surgical site infections and postoperative sepsis, cardiovascular complications, respiratory complications (including postoperative pneumonia), and thromboembolic complications. Patients who experience postoperative complications have dramatically increased hospital length of stay, hospital costs, and mortality rates. The Centers for Medicare & Medicaid Services, in collaboration with the Centers for Disease Control and Prevention, has implemented the Surgical Infection Prevention Project to decrease the morbidity and mortality associated with postoperative surgical site infections. More recently, the Surgical Care Improvement Project, a national quality partnership of organizations committed to improving the safety of surgical care, has been announced. This review will provide an update from the Surgical Infection Prevention Project and provide an introduction to the Surgical Care Improvement Project.
手术后最常见的并发症包括手术部位感染和术后脓毒症、心血管并发症、呼吸并发症（包括术后肺炎）以及血栓栓塞并发症。发生术后并发症的患者住院时间、住院费用和死亡率显著增加。医疗保险和医疗补助服务中心与疾病控制和预防中心合作实施了手术感染预防项目，以降低与术后手术部位感染相关的发病率和死亡率。最近，已宣布开展手术护理改进项目，这是一个致力于提高手术护理安全性的全国性组织质量合作项目。本综述将提供手术感染预防项目的最新情况，并介绍手术护理改进项目。
