{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T01:54:59Z","timestamp":1790560499369,"version":"4.1.0"},"reference-count":67,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,4,27]],"date-time":"2023-04-27T00:00:00Z","timestamp":1682553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aornjournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["AORN Journal"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Surgical site infections (SSIs) can be costly and result in prolonged hospital stays; readmissions; and additional diagnostic tests, therapeutic antibiotic treatments, and surgical procedures. Evidence\u2010based practices for preventing SSIs include environmental cleaning; instrument cleaning, decontamination, and sterilization; preoperative bathing; preoperative <jats:italic>Staphylococcus aureus<\/jats:italic> decolonization; intraoperative antimicrobial prophylaxis; hand hygiene; and surgical hand antisepsis. Strong partnerships among infection prevention personnel, perioperative nurses, surgeons, and anesthesia professionals may enhance perioperative infection prevention. Facility and physician\u2010specific SSI rates should be reported to physicians and frontline personnel in a timely, accessible manner. Together with costs associated with SSIs, these data help determine the success of an infection prevention program. Leaders can develop a comprehensive business case proposal for perioperative infection prevention programs. The proposal should describe the need for the program and anticipated return on investment; it also should focus on the goal of decreasing SSIs by establishing metrics for assessing outcomes and addressing barriers.<\/jats:p>","DOI":"10.1002\/aorn.13912","type":"journal-article","created":{"date-parts":[[2023,4,27]],"date-time":"2023-04-27T13:37:41Z","timestamp":1682602661000},"page":"277-290","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Best Practices and a Business Case for Surgical Site Infection Prevention"],"prefix":"10.1002","volume":"117","author":[{"given":"Minji","family":"Kang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria E.","family":"Andrew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akil","family":"Farishta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah C.","family":"Oltmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranavi V.","family":"Sreeramoju","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,27]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"2021 National and State HAI Progress Report: Acute Care Hospitals. Centers for Disease Control and Prevention. Accessed January 2 2023.https:\/\/www.cdc.gov\/hai\/excel\/hai\u2010progress\u2010report\/2021\u2010SIR\u2010ACH.xlsx"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.712461"},{"key":"e_1_2_11_4_1","unstructured":"Patient Safety Primer.Surgical site infections. Agency for Healthcare Research and Quality. September 7 2019. Accessed January 2 2023.https:\/\/psnet.ahrq.gov\/primer\/surgical\u2010site\u2010infections"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1086\/657912"},{"key":"e_1_2_11_6_1","unstructured":"National Healthcare Safety Network.Surgical Site Infection Event (SSI). Centers for Disease Control and Prevention.January2023. Accessed January 2 2023.https:\/\/www.cdc.gov\/nhsn\/pdfs\/pscmanual\/9pscssicurrent.pdf"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2014.07.014"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S73565"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/mlr.0000000000000620"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmsa012337"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2021.10.040"},{"key":"e_1_2_11_12_1","unstructured":"Hospital Readmissions Reduction Program (HRRP).Centers for Medicare & Medicaid Services. Modified August 5 2022. Accessed January 2 2023.https:\/\/www.cms.gov\/Medicare\/Medicare\u2010Fee\u2010for\u2010Service\u2010Payment\/AcuteInpatientPPS\/Readmissions\u2010Reduction\u2010Program"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2006.7.s1\u201019"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2013.2925"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/dcr.0000000000000054"},{"key":"e_1_2_11_16_1","first-page":"87","volume-title":"Guidelines for Perioperative Practice","year":"2023"},{"key":"e_1_2_11_17_1","first-page":"1185","volume-title":"Guidelines for Perioperative Practice","year":"2023"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11605\u2010020\u201004608\u20104"},{"key":"e_1_2_11_19_1","first-page":"181","volume-title":"Guidelines for Perioperative Practice","year":"2023"},{"key":"e_1_2_11_20_1","unstructured":"Occupational Safety and Health Administration.Bloodborne pathogens. 29 CFR \u00a71910.1030. Accessed January 6 2023."},{"key":"e_1_2_11_20_2","unstructured":"https:\/\/www.osha.gov\/laws\u2010regs\/regulations\/standardnumber\/1910\/1910.1030"},{"key":"e_1_2_11_21_1","first-page":"407","volume-title":"Guidelines for Perioperative Practice","year":"2023"},{"key":"e_1_2_11_22_1","first-page":"1057","volume-title":"Guidelines for Perioperative Practice","year":"2023"},{"key":"e_1_2_11_23_1","first-page":"619","volume-title":"Guidelines for Perioperative Practice","year":"2023"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2017.0904"},{"key":"e_1_2_11_25_1","volume-title":"Global Guidelines for the Prevention of Surgical Site Infection","author":"World Health Organization","year":"2018"},{"key":"e_1_2_11_26_1","unstructured":"Chlorhexidine gluconate \u2013 drug summary. Prescribers\u2019 Digital Reference. Accessed January 2 2023.https:\/\/www.pdr.net\/drug\u2010summary\/Hibiclens\u2010chlorhexidine\u2010gluconate\u20102708.401"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1086\/676022"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/1099800416654013"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/nor.0000000000000786"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa003069"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa0808939"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.5387"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.299.10.1149"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.2146\/ajhp120568"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/jac.0b013e3181d91680"},{"key":"e_1_2_11_36_1","first-page":"267","volume-title":"Guidelines for Perioperative Practice","year":"2023"},{"key":"e_1_2_11_37_1","first-page":"1087","volume-title":"Guidelines for Perioperative\u00a0Practice","year":"2023"},{"key":"e_1_2_11_38_1","first-page":"1015","volume-title":"Guidelines for Perioperative Practice","year":"2023"},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2019.6044"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aorn.2017.08.001"},{"key":"e_1_2_11_41_1","first-page":"337","volume-title":"Guidelines for Perioperative Practice","year":"2023"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000542\u2010200108000\u201000040"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2016.10.029"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.294.16.2035"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1213\/ane.0b013e31823fada8"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2017.11.010"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc23\u2010s016"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2015.174"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2018.03.005"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arth.2013.06.012"},{"key":"e_1_2_11_51_1","doi-asserted-by":"publisher","DOI":"10.1177\/1062860618821180"},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9124006"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11746"},{"key":"e_1_2_11_54_1","unstructured":"Joint statement: roadmap for maintaining essential surgery during COVID\u201019 pandemic. American College of Surgeons. Updated August 10 2020. Accessed January 2 2023.https:\/\/www.facs.org\/covid\u201019\/clinical\u2010guidance\/roadmap\u2010maintain\u2010essential\u2010surgery"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1017\/ice.2022.295"},{"key":"e_1_2_11_56_1","unstructured":"American Society of Anesthesiologists and Anesthesia Patient Safety Foundation joint statement on elective surgery and anesthesia for patients after COVID\u201019 infection. Anesthesia Patient Safety Foundation. March 9 2021. Updated February 22 2022. Accessed January 2 2023.https:\/\/www.apsf.org\/news\u2010updates\/asa\u2010and\u2010apsf\u2010joint\u2010statement\u2010on\u2010elective\u2010surgery\u2010and\u2010anesthesia\u2010for\u2010patients\u2010after\u2010covid\u201019\u2010infection\/"},{"key":"e_1_2_11_57_1","unstructured":"Joint statement: roadmap for maintaining essential surgery during COVID\u201019 pandemic (Nov. 23 2020). American College of Surgeons. Updated November 23 2020. Accessed January 2 2023.https:\/\/www.facs.org\/for\u2010medical\u2010professionals\/covid\u201019\/clinical\u2010guidance\/nov2020\u2010roadmap\/"},{"key":"e_1_2_11_58_1","unstructured":"Interim infection prevention and control recommendations for healthcare personnel during the coronavirus disease 2019 (COVID\u201019) pandemic. Centers for Disease Control and Prevention. Updated September 23 2022. Accessed January 2 2023.https:\/\/www.cdc.gov\/coronavirus\/2019\u2010ncov\/hcp\/infection\u2010control\u2010recommendations.html"},{"key":"e_1_2_11_59_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijgo.14605"},{"key":"e_1_2_11_60_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102016\u2010013037"},{"key":"e_1_2_11_61_1","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0000000000002249"},{"key":"e_1_2_11_62_1","doi-asserted-by":"publisher","DOI":"10.1177\/1062860619845494"},{"key":"e_1_2_11_63_1","unstructured":"Hospital\u2010Acquired Condition Reduction Program.Centers for Medicare & Medicaid Services. Modified August 10 2022. Accessed January 2 2023.https:\/\/www.cms.gov\/Medicare\/Quality\u2010Initiatives\u2010Patient\u2010Assessment\u2010Instruments\/Value\u2010Based\u2010Programs\/HAC\/Hospital\u2010Acquired\u2010Conditions"},{"key":"e_1_2_11_64_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2013.2246"},{"key":"e_1_2_11_65_1","doi-asserted-by":"publisher","DOI":"10.1097\/sla.0000000000004909"},{"key":"e_1_2_11_66_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2014.2891"},{"key":"e_1_2_11_67_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010020\u20104995\u2010z"}],"container-title":["AORN Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aornjournal.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aorn.13912","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T17:19:14Z","timestamp":1692638354000},"score":1,"resource":{"primary":{"URL":"https:\/\/aornjournal.onlinelibrary.wiley.com\/doi\/10.1002\/aorn.13912"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,27]]},"references-count":67,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,5]]}},"alternative-id":["10.1002\/aorn.13912"],"URL":"https:\/\/doi.org\/10.1002\/aorn.13912","archive":["Portico"],"relation":{},"ISSN":["0001-2092","1878-0369"],"issn-type":[{"value":"0001-2092","type":"print"},{"value":"1878-0369","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,27]]},"assertion":[{"value":"2022-04-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-01","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}