Improvement of surgical wound classification following a targeted training program at a children's hospital
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Read the article on jpedsurg.org ↗Article · Sep 2018 · 1 min read
In brief
In brief
Targeted training program for pediatric surgeons and nurses significantly improved surgical wound classification accuracy from 35% error rate to 9% at a children's hospital. Intervention included educational sessions and posted reference materials in operating rooms, with nurses confirming classification with surgeons before EMR documentation.
Written by the GCMD Library team from the article.
Background
Inaccurate assignment of surgical wound class (SWC) remains a challenge in perioperative documentation. The purpose of our intervention was to increase the accuracy of SWC through a targeted training program directed toward pediatric surgeons and nurses.
Methods
A retrospective electronic medical record (EMR) chart review of 400 operations was performed according to NSQIP criteria during specified periods in 2014 and 2017, assessing SWC errors before and after a training program and posting of reference materials in operating rooms at a 165-bed children's hospital. After each operation, nurses confirmed SWC with the surgeon before recording the value in the EMR. Differences in proportions of misclassified SWC were evaluated with a chi-square test.
Results
Following the educational program, misclassified SWC improved from 70/200 (35.0%) to 18/200 (9.0%), p