Infection Control Today

MAR 2019

ICT delivers to infection preventionists & their colleagues in the operating room, sterile processing/central sterile, environmental services & materials management, timely & relevant news, trends & information impacting the profession & the industry

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Page 22 of 28

22 ICT March 2019 feature By Sue Barnes, RN, CIC, FAPIC W ith patient-centered care, a patient's i n d i v i d u a l h e a l t h c a r e n e e d s , perspectives and desired outcomes are the basis of the healthcare plan and outcome measures. 1 In the arena of surgical care, likely the single the most highly desired outcome on the part of patients and hospitals alike, is zero preventable surgical site infections (SSIs). With the continual introduction, but variable adoption of, technology to support SSI prevention, a market survey was undertaken to better understand the patient's perspective. Preventing SSI is a key U.S. healthcare priority, especially given that the number of surgical procedures performed continues to increase. Public reporting of SSI rates and compliance with prevention processes is now required by law, and reimbursements to hospitals for treating SSIs are being reduced or denied. 2 In 2006, CMS began basing hospital reimbursement, in part, on patient satisfaction through the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) program. Together, these developments contributed to an increased focus by hospitals on patient satisfaction with care provided, and the emergence of a movement called patient- centered care with the goal of empowering patients to become active participants in their care. 3 Patient satisfaction has now become a standard quality metric, and Patient Centered Care an imperative among hospitals and hospital systems wishing to be successful under increasingly competitive and fi nancially challenging conditions. In one report from Impact Advisors and the Scottsdale Institute, 80 percent of chief information offi cers (CIOs) said that patient experience is one of the highest organizational priorities. 4 In parallel, patients are becoming more discerning consumers regarding the quality of healthcare, the skill of providers and the products designed to make healthcare safer. Patient-Centered Care: Understanding Patient Perception of Surgical Infection Prevention Technology As has been reported in studies and conference presentations, until recent years, very few patients would have challenged physicians and healthcare workers on their hand hygiene. However, this perception is shifting as patients become better informed. Programs such as "It's OK to Ask" have become common in healthcare facilities, empowering patients to request hand hygiene by their providers to ensure their own safety. 5,6 This is a trend which will likely only increase over time, and lead to more frequent and similar conversations between patients and surgeons, for instance, relative to the use of new technology designed to reduce surgical infection risk. With consideration of this trend, a market survey was planned to better understand patient perspectives regarding this type of technology. Understanding the patient's perspective of the risk of SSI and the measures taken to prevent SSI including technology and innovation, is foundational to intervening to ensure best-in-class surgical care, and patient satisfaction scores refl ecting the same. In 2018, a market survey was commis- sioned with the goal of learning about patient perception regarding new technology designed to reduce surgical infection risk. The survey comprised 11 multiple-choice questions and was performed via electronic questionnaire of 311 U.S. residents over the age of 45, using Survey Monkey. Sample size was calculated per SMA (Simplified Memory Bounded) algorithm to estimated accuracy of plus or minus 5 percent. In the respondent sample, there were no signifi cant differences in gender, geographic location or age subgroup. The survey responses indicated that the potential post-operative surgical compli- cation of greatest concern to these patients was post-operative surgical infection (more than bleeding, post-op pain, and incorrect implant position) Getting an infection of the artifi cial knee, requiring knee removal Having excessive bleeding from surgery, requiring a blood transfusion Have the artifi cal knee in the wrong position, requiring knee repositioning Having increased pain after surgery, requiring more pain medication Of the potential complications you could get from elective surgery (such as knee replacement) which concerns you the most:

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