Antisepsis Case Studies

Great Essays
The first surgeon to use surgical skin antisepsis was Joseph Lister. He experimented in the 1800s with using carbolic acid on various types of surgical wounds. Lister had discovered that by using carbolic acid on the patient’s skin and on his hands; the rates of surgical site infections (SSIs) and death in his patients were reduced (Spruce, 2016). HE was also the first physician to publish an article related to antiseptic techniques; the article was titled On the Antiseptic Principle in the Practice of Surgery. Lister’s ideas were very slowly accepted by his peers but eventually became the basic foundation to what we know now is practiced as a part of routine surgical care (Spruce, 2016).
After Lister’s work in the 1800s, studies on surgical
…show more content…
SSI also contributes to an increased length of stay and a reduced quality of life with an estimated $7 billion annually in health care expenditures. Patients are not the only ones that receive a negative effect with SSIs (Podgorny & Kumar, 2013). Insurance companies are spending more money and hospitals doing damage control to try to rid itself of the negative reputations. With 40-60 presence of SSI being preventable, these statistics have brought to light a public health concern that needs to be addressed. This is why National Patient Safety Goal (NPSG) 07.05.01 was …show more content…
The SSI Change Project was started in 2010 to address feedback from 17 Joint Commission-accredited hospitals. These hospitals completed environmental assessment surveys to determine if they could successfully implement the eight elements of performance to prevent or reduce SSIs (Podgorny & Kumar, 2013). The results of this project was published in 2013 and is called The Joint Commission’s Implementation Guide for NPSG.07.05.01 on Surgical Site Infections: The SSI Change Project. These hospitals helped determine what 23 effective practices that have been used successfully that could be included in the NPSG.07.05.01 (Podgorny & Kumar, 2013). It was through this study that Joint Commission became aware of the fact that guidance and direction are needed for hospitals to understand how to successfully

Related Documents

  • Improved Essays

    The Joint Commission determines and sets goals for each year, which traditionally mirror federal expectations for healthcare. These goals generally highlight specific safety concerns that are problematic and affect healthcare systems nationwide. For 2016, hospital goals include patient identification, communication, medication safety, alarm safety, healthcare associated infection, falls, pressure ulcers, risk management and universal protocol (TJC, 2016). Within each goal are sub-goals that further address the concerns and identify evidence based practices to ensure success in the prevention of patient harm in each of these areas. During tracers, the auditors focus on these goals and are looking to validate that each of these goals is achieved through implementation of policies and procedures and they will review the processes in which these policies and procedures were implemented and checked for continuous…

    • 804 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Joint Commission History

    • 414 Words
    • 2 Pages

    The Joint Commission, created in 1951, is a non-profit organization composed of 32 members, including doctors, nurses, administrators, and among others in the health facility. The Joint Commission undergoes a survey every 3 years to assure safety. The intention is to provide a high quality and safety care in the medical facility by investigating errors, analyzing the cause, and fixing the problem. In 2002, The Joint Commission established its National Patient Safety Goals (NPSGs), wherein the major goal is contribute for an excellence to patient care. There are ways to ascertain a satisfactory care by identifying patients correctly, Improving staff communication, using medicines safely, using alarms safely, preventing infection, identifying…

    • 414 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    The Joint Commission and Patient Safety For more than twenty-five years, The Joint Commission on Accreditation of Healthcare Organization (JCAHO), which is renamed as The Joint Commission (TJC), has published every year The Patient Safety Goals to be implemented by all healthcare institutions nationwide. In 2009, TJC established the Joint Commission Center for Transforming Health Care. As the quality-improvement arm of TJC, the center embarked in addressing patient safety problems in hospitals. On top of the safety issues identified is communication.…

    • 746 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Surgical Site Infections are related to delayed healing, increased patient morbidity and mortality, increased hospital stay, readmission and facility costs. Anderson et al. (2014) explains that these infections extend a patients hospital stay on average of 7 to 11 days and cost roughly $3.5 to $10 billion annually in healthcare expenditures according to the consumer price index for inpatient hospital services. Most of these costs are not reimbursed by insurance because they fall within the 30-day readmission rate. Shepard et al.…

    • 883 Words
    • 4 Pages
    Improved Essays
  • Great Essays

    Joint Commission Essay

    • 1469 Words
    • 6 Pages

    The Joint Commission (TJC) is an independent, nonprofit organization that evaluates and accredits health care organizations in the United States. Their purpose is to improve general health care by evaluating these organizations and making sure they provide safe and effective care of the highest quality (The Joint Commission, 2017). The Joint Commission created the National Patient Safety Goals (NPSG) in 2002 to help recognize areas of concern in patient safety. The NPSG is developed and updated by a panel of nurses, physicians, pharmacists, risk managers, clinical engineers, and other professionals who have experience in dealing with patient safety issues in a variety of settings (The Joint Commission, 2016). This panel works with TJC to find…

    • 1469 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    Civil War Antibiotics

    • 540 Words
    • 3 Pages

    Today doctors and surgeons have better tools, treatments, and now know the importance of sterilizing their operating rooms and…

    • 540 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Civil War Medicine Essay

    • 1915 Words
    • 8 Pages

    Civil War Doctors and Medicine Every Thursday Americans tune in to watch their favorite medical drama Grey’s Anatomy. Even the show is not completely accurate once you get past the crying and romance, a decent representation of today’s medicine is shown. However, modern medicine has not always been this way. When going into war injuries are to be expected by both sides. With today’s technology healing those who are wounded is not a challenge that arises anymore.…

    • 1915 Words
    • 8 Pages
    Superior Essays
  • Improved Essays

    The most common treatment surgeons used was amputation. Hip amputations had a mortality rate of eighty-three percent. Surgeons didn’t know anything about hygiene or sanitation, so they would use the same tools over and over again. The most the tools would get clean would be a quick wipe on the surgeon's apron. Despite others beliefs, surgeons played a big part in the Civil War hospitals.…

    • 520 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    During the 1700s, in the Colonial period, the practice of medicine was primitive, as was the healthcare provided to the early settlers. During this time “heroic medicine” was practiced. Aggressive treatments such as bleeding, purging, and blistering occupied a central place in therapeutics. Different philosophies (Western medicine and Native American medicine) were making it difficult for doctors to command the authority they desired. It was very easy to become a doctor during this period, anyone could claim to be a doctor.…

    • 1076 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    Evidence Based Practice

    • 1323 Words
    • 6 Pages

    The nurse and other care providers play a key role in the prevention of hospital acquired infection (HAI). Urinary tract infection (UTI) accounts is the commonest accounting for 35% of all infections with 80% of them being associated to indwelling urinary catheter (Schneider, M. A. 2012). In this document, the author discusses the process of implementation evidence based change aimed at reducing the incidence of catheter associated urinary tract infection (CAUTI). Evidence based practice is a problem- solving approach that incorporate best practice arrived at from reliable studies and patient care outcome best available practice and the consideration of patient choice and values, to attain the highest level of quality of care and client needs…

    • 1323 Words
    • 6 Pages
    Improved Essays
  • Great Essays

    I feel that this is an experience that every student in healthcare should go through. One of the most important observations that I made concerns the various procedures of preventing infections in the operating room. The prevention majorly focuses on the patient, especially when considered the patient has open sounds during the operating process. At times, the practitioners tend to forget the importance of cleaning their hands with soap and water or with alcohol-based cleaners when interacting with the environment (Scott, Earl, Leaper, Massey, Mewburn, Williams, 1999). Notably, the assumption that the practitioner does not need to clean hands simply because they have gloves is misplaced, and it is often overlooked (Weber, Anderson, &Rutala, 2013; Karki& Cheng, 201)).…

    • 2140 Words
    • 9 Pages
    Great Essays
  • Improved Essays

    Joseph Lister is a well-known biologist and the reason people survive surgery. He created a way to increase the survival rates for patients after a major surgery. Although it was more time consuming than the original way, it was worth it in the results. Joseph Lister came from an experienced educational background and added a major contribution to the biological society. His inspiration took him a long way and he created a name for himself in the biological community.…

    • 1993 Words
    • 8 Pages
    Improved Essays
  • Improved Essays

    In the attempt to call the attention to the importance of improving the quality and health care outcomes, in 1999 the Institute of Medicine had submitted a report called To Err Is Human: Building a Safer Health System. Although more than ten years ago, this report stressed the need of a redesign in the process of the patient’s care, little progress in the improvement of quality and safety has been achieved (Clark, 2013). Even though there were some important initiatives in the implementation of quality and safety after the report, only in 2013 The Joint Commission made a significant contribution in order to accelerate the process and enforced quality and safety through standards such as National Patient Safety Goals and Core Measures of nursing…

    • 1231 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Joseph Lister

    • 503 Words
    • 3 Pages

    An extraordinary discovery for medicine Joseph Lister – an English surgeon’s biography Antiseptic is a substance that could be applied to living skin to prevent infection generated by microorganisms. Some examples of antiseptics are: alcohol, iodine, salt, sodium bicarbonate, and boric acid. Before the discovery of antiseptics, there was an increasing death rate among patients undergoing surgery.…

    • 503 Words
    • 3 Pages
    Decent Essays
  • Improved Essays

    Nosocomial Infection

    • 1004 Words
    • 5 Pages

    Nosocomial infections, or infections acquired from a healthcare setting, should always be on the mind of surgical technologists. Recently, nosocomial infection rates have risen, and a surgical technologist must be very diligent in maintaining the sterile technique in order to combat this. A common type of nosocomial infection is surgical site infections, or SSIs. SSIs result from a variety of sources, both endogenous (such as bacteria living on the patient’s skin) and exogenous (outside the patient, such as from the equipment). Most SSIs and other nosocomial infections are caused by the bacteria Staphylococcus aureus (S. aureus).…

    • 1004 Words
    • 5 Pages
    Improved Essays