Surgical Site Infection: Quality Improvement Programme
Table 1: Baseline assessment of surgical site infection in our orthopaedic department
YEAR 2010RLUH Number / RLUH % / BGH Number / BGH % / National Average
Total Hip Replacement / Cases / 72 / - / 316 / - / -
Readmission rate / 3 / 4.2% / 4 / 1.2% / 0.7%
SSI rate / 3 / 4.2% / 6 / 1.9% / 1.7%
Total Knee Replacement / Cases / - / - / 371 / -
Readmission rate / - / - / 1 / 0.3% / 0.5%
SSI rate / - / - / 5 / 1.3% / 1.3%
Hip Fracture Surgery / Cases / 131 / - / - / - / -
Readmission rate / 5 / 3.8% / - / - / 1.7%
SSI rate / 6 / 4.6% / - / - / 1.9%
Long bone surgery / Cases / 177 / - / - / - / -
Readmission rate / 7 / 4% / - / - / 1.5%
SSI rate / 7 / 4% / - / - / 2.1%
Table 2: Most current annual data (2013) on local surgical site infection (SSI) in orthopaedics.
YEAR 2013RLUH Number / RLUH % / BGH Number / BGH % / National Average
Total Hip Replacement / Cases / 72 / - / 420 / - / -
Readmission rate / 1 / 1.4% / 1 / 0.2% / 0.6%
SSI rate / 1 / 1.4% / 1 / 0.2% / 1.2%
Total Knee Replacement / Cases / - / - / 375
Readmission rate / - / - / 1 / 0.3% / 0.3%
SSI rate / - / - / 5 / 1.3% / 1.7%
Hip Fracture Surgery / Cases / 305 / - / -
Readmission rate / 5 / 1.6% / - / - / 0.3%
SSI rate / 5 / 1.6% / - / - / 1.7%
Long bone surgery / Cases / 131 / - / - / -
Readmission rate / 1 / 0.8% / - / - / 1.3%
SSI rate / 1 / 0.8% / - / - / 1.7%
Figure 1: Theatre etiquette guidance for scrub team, provided as a poster in theatres
Figure 2: Locally agreed wound care protocol. Posters in theatre and available on the intranet.