Born,
The DNP Project: Literature Synthesis
“For adult patients, on a medical-surgical unit, does implementation of the Enhanced Recovery After Surgery (ERAS) protocol, as compared to current practice, impact surgical site infection (SSI) rates in 8-10 weeks?”
Paragraph Example
A surgical site infection is ” an infection related to an operative procedure that occurs at or near the surgical incision within 30 days of the procedure or within 90 days if a prosthetic material is implanted at surgery” (U.S. Department of Health and Human Services, 2019). In the United States, surgical site infections affect as many as 300,000 patients annually and account for nearly 1 million additional inpatient days (Loyola University Health Systems, 2017; Centers for Disease Control and Prevention, 2021). The risk of surgical site infection following colorectal surgery is one of the highest when compared to any surgical specialty. Colorectal surgery places a considerable burden on health care systems related to high complication risks, notably surgical site infections, and contributes to poor outcomes and increased readmission rates (Leaper et al., 2020; Turner & Migaly, 2019). In 2020, 3,062 acute care hospitals reported a total of 6,094 surgical site infections related to colorectal surgery (Centers for Disease Control and Prevention, 2020). An increased length of stay not only causes a direct cost to the health care system and payer but also causes patient and social-economical ramifications from the cost of supplies, nursing care, and loss of work and productivity (Turner & Migaly, 2019).
Decreasing the incidence of surgical site infections in colorectal surgery patients is a common theme of all research studies evaluated. These studies all looked at outcomes on surgical site infection rates with the implementation of the Enhanced Recovery After Surgery (ERAS) protocol.
According to one observational study, it was found that participants who underwent colorectal surgery with the implementation of the ERAS protocol, had fewer complications and decreased length of stay (Arrick et al., 2019). The second independent study found that with the implementation of the ERAS protocol, patients had a decreased length of stay with a decrease in readmissions, and a reduction in postoperative complications (Johnson & Fogel, 2017).
Implementation Plans
I will continue to participate in the case study for this DNP project. It is my hope to be able to present this case study in the future to the organization in which I work once I have completed the case study and have solid evidence from my literature synthesis and data from research to present this to major stakeholders in hopes that the Enhanced Recovery After Surgery (ERAS) protocol can be implemented.
References:
Arrick, L., Mayson, K., Hong, T., & Warnock, G. (2019). Enhanced recovery after surgery in colorectal surgery: Impact of protocol adherence on patient outcomes. Journal of Clinical Anesthesia, 55, 7-12. doi:10.1016/jcliniane.20.18.12.034
Centers for Disease Control and Prevention. (2020). Colon surgical site infections. bhttps://arpsp.cdc.gov/profile/infections/colon (Links to an external site.)
Leaper, D., Holy, C., Spencer, M., Chitnis, A., Hogan, A., Wright, G., Po-Han Chen, B., & Edmiston Jr., C. (2020). Assessment of the risk and economic burden of surgical site infections following colorectal surgery using a US longitudinal database: Is there a role for innovative antimicrobial wound closure technology to reduce the risk of infection? Dis Colon Rectum, 63, 1628-1638. https://doi.10.1097/DCR.0000000000001799
Loyola University Health System. (2017, January 19). Surgical site infections are the most costly of hospital infections: Guidelines for preventing surgical site infections are updated.
Turner, M. & Migaly, J. (2019). Surgical site infection: The clinical and economic impact. Clin Colon Rectal Surg, 32(3), 157-165. https://doi.10.1055/s-0038-1677002
They have a magnificent team. These people are always kind and willing to listen to your concerns or issues. Better yet, your assignment is always ready before the time, they usually send you a draft to double-check before they finalize your paper.
Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.
You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.
Read moreEach paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.
Read moreThanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.
Read moreYour email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.
Read moreBy sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.
Read more