Surgical site infection bundle |
Preoperative |
Scrub | 91 | 86 |
Appropriate hair removal | NR | NR |
Appropriate antibiotic timing | 47 | 92 |
Appropriate antibiotic | 83 | 96 |
Blood glucose measurement | 27 | 87 |
Bowel preparation | 39 | 78 |
Intraoperative |
Isolation technique | 76 | 86 |
Wound barrier | 86 | 88 |
Antimicrobial sutures | 86 | 88 |
Antibiotic redosing if case > 4 h | 56 | 62 |
Temperature measurement | NR | NR |
Warming | 83 | 96 |
Blood glucose measurement | 1 | 2 |
Postoperative |
Normothermia attained in postanesthesia recovery | 93 | 80 |
High-flow oxygen for 1 h | 2 | 66 |
Blood glucose measurement | 23 | 76 |
Standardized wound care orders | 45 | NR |
Dressing removed on postoperative day 2 | 37 | NR |
Enhanced recovery after surgery |
Preoperative |
Preadmission counselling | — | 97 |
Both doses of carbohydrate drink administered | — | 85 |
Venous thromboembolism prophylaxis | — | 90 |
Prophylactic antibiotic 0–60 min before incision | — | 93 |
Oral antibiotic therapy | — | 80 |
Intraoperative |
Goal-directed fluid therapy | — | 79 |
Multimodal pain management | — | 79 |
Normothermia attained in postanesthesia recovery | — | 93 |
Multimodal antiemetic therapy | — | 80 |
No abdominal or pelvic drains | — | 87 |
Postoperative |
Chewing gum by postoperative day 0 or 1 | — | 78 |
Clear fluids started by postoperative day 0 or 1 | — | 77 |
Intravenous fluid administration discontinued by postoperative day 0 or 1 | — | 13 |
Prophylactic antiemetic for 24 h | — | 93 |
Mobilization by postoperative day 0 or 1 | — | 87 |
Mobilization 2 times per day by postoperative day 2 | — | 80 |
Eating solid food by postoperative day 2 | — | 38 |
Foley catheter removed by postoperative day 2 | — | 74 |