Bypassing Bariatric Costs and Cutting Rates of Surgical Site Infection

Authors

  • Celina Baker

Keywords:

bariatric surgery, cost-reduction, surgical site infection

Abstract

The Bariatric Program at The Ottawa Hospital Civic Campus (TOH-CC), which was designated as a Bariatric Centre of Excellence (BCOE) on February 10, 2017, has identified and implemented key changes in order to be more cost-efficient while providing patients with world-class care. The Bariatric Comprehensive Unit-Based Safety Program (CUSP) team modified its surgical technique and has been successful in not only reducing the cost per case but also in substantially decreasing the rates of surgical site infections (SSIs).

The Bariatric CUSP team, evaluated current practices, identified an area for improvement, and successfully implemented an alternative surgical technique. The team has, as a result, reduced its SSI rate from 8% to 1%, in 2 years, and has saved over $250,000 (26 per cent) in costs per year during this period.

Author Biography

Celina Baker

Celina Baker, RN, BScN, CPN(C) graduated with Honours fi'om the University of Ottawa in 2007 with a Bachelor of Science in Nursing.The operating room piqued her interest early on in her nursing career. In 2009 she decided to take the RN Perioperative Nursing course at Algonquin College. Celina fell in love with the OR and knew that she had finally found her niche. She achieved certification in Perioperative Nursing in 2011 and maintains that certification to this day. Since 2014 Celina has been the Care Facilitator for General Surgery in the Main OR ofT he Ottawa Hospital - Civic Campus (TOH-CC). Celina shared the successes of the Bariatric Team at TOH-CC (which has been recognized as a Bariatric Centre of Excellence) through an oral presentation at the 25th ORNAC National Conference in 2017. Celina is a current member of ORNAC and ORNAO.

References

Suter, M., Giusti, V., Héraief, E. et al. Laparoscopic Roux-en-Y gastric bypass. Surg Endosc. 2003; 17(603).

Canales, B., Gonzalez, R. Kidney stone risk following Roux-en-Y gastric bypass surgery.

Translational Andrology and Urology. 2014; 3(3).

Young, K. Bariatric infection rate dropped substantially. The Ottawa Hospital Journal. 2016; 19(6).

EEA Orvil Transoral Circular Stapler In-Service Video https://www.youtube.com/watchP v=lGOMC8fE-SQ. Accessed on March 5, 2017.

Malone, L. M.D. et al. Surgical Site Infections: Reanalysis of Risk Factors. Journal of Surgical bypass. Obesity Surgery. 2010; 20 Research. 2002; 103 (1). (4).

Accreditation Canada — National 10. Shope TR, Cooney RN, McLeod J, Surgical Quality Improvement et al. Early results after laparoscopic Program (NSQIP). gastric bypass: EEA vs CIA stapled https://accreditation.ca/national— gastrojejunal anastomosis. Obesity surgical—quality—improvement— Surgery. 2003; 13 (3). program—nsqip. Accessed on March 5, 2017. 11. MBSAQIP Semiannual Report: Site Summary 01/01/2016 —

Canadian Patient Safety Institute 12/31/2016. The Ottawa Hospital (CPSI) —http://www.patient — Civic Campus. safetyinstitute.ca/en/Topic/Pages/

Surgical—Site—Infection—(SSI).aspx. 12. American College of Surgeons — Accessed on September 20, 2017. Metabolic and Bariatric Surgery Accreditation and Quality

NSQIP Semiannual Report. The Improvement Program Performance Measurement Group. (MBSAQIP). https://www.facs. The Ottawa Hospital — Civic org/quality%20programs/mbsaqip. Campus. Accessed on March 5, 2017.

Bohdjalian, A. et al. Circular— vs. 13. Skinner, B. CUSP Communiqué. linear—stapled gastrojejunostomy in The Ottawa Hospital. February laparoscopic Roux—en—Y gastric 2017. ‘Y’

Published

2018-03-01

How to Cite

Baker, C. (2018). Bypassing Bariatric Costs and Cutting Rates of Surgical Site Infection. Operating Room Nurses Association of Canada Journal, 36(1), 35–41. Retrieved from https://ornacjournal.ca/index.php/ornac/article/view/12111

Issue

Section

Feature Articles