An improvement collaborative implemented a care bundle to reduce surgical site infections amongst children. Over a two year period they used the Model for Improvement to develop and implement change. Organisations were encouraged to adopt all or part of the bundle. Support was provided through webinars, discussion boards, targeted messages to leaders and in-person training. Within six months, 97% of organisations were using the bundle reliably. There was a 21% reduction in surgical site infection rates, from an average of 2.5 per 100 procedures to 1.8 per 100 procedures. The reduction was sustained over the 15 month follow-up period.
Schaffzin JK, et al. Surgical site infection reduction by the Solutions for Patient Safety Hospital Engagement Network. Pediatrics. Nov;136(5)1353-60 2015.