Division of Trauma and Critical Care, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, USA.
Surg Clin North Am. 2012 Apr;92(2):285-305, ix. doi: 10.1016/j.suc.2012.01.011. Epub 2012 Feb 1.
Individual health care quality measures that have been shown to improve outcome can be combined together into what are called care bundles, with the expectation that this set of practices produces further improvements in outcome. Prevention of surgical site infection is the focus of several quality measures put forward by the Surgical Care Improvement Project; these can collectively be considered a bundle as well. Whether these process measures, which include several components related to the administration of antibiotic prophylaxis, are effective in decreasing rates of surgical site infection has come under considerable debate recently.
已经证明能够改善结果的个体医疗保健质量措施可以组合在一起形成所谓的护理包,期望这组实践能进一步改善结果。预防手术部位感染是外科护理改进项目提出的几项质量措施的重点;这些措施可以被视为一个整体。最近,这些包括与抗生素预防给药相关的几个方面的流程措施是否能有效降低手术部位感染率受到了广泛的争论。