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The development and use of tools for monitoring the occurrence of surgical wound infections

Author

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  • C Sherlaw-Johnson

    (University College)

  • P Wilson

    (University College London Hospitals)

  • S Gallivan

    (University College)

Abstract

Infections acquired during patients' hospital stays are a major health care concern in the UK. They can be fatal, lead to excess morbidity and lengthen hospital stay. There is therefore considerable interest in using analytical tools for monitoring the occurrence of infections so that any problems with the quality of patient care can be quickly identified and rectified. The development and implementation of such tools are complicated as some infections can be difficult to diagnose and it can take several weeks before an infection manifests itself. Another important issue is that some patients are more likely to contract an infection than others, regardless of the standard of care they receive. This paper describes work that has been undertaken in collaboration with University College London Hospitals (UCLH) to develop appropriate outcome monitoring tools for surgical wound infections that are easy for hospital staff to use and interpret. The underlying risk model has been developed and validated locally at UCLH, and for more widespread implementation it would require revalidation for new centres.

Suggested Citation

  • C Sherlaw-Johnson & P Wilson & S Gallivan, 2007. "The development and use of tools for monitoring the occurrence of surgical wound infections," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 58(2), pages 228-234, February.
    • Handle: RePEc:pal:jorsoc:v:58:y:2007:i:2:d:10.1057_palgrave.jors.2602223
    DOI: 10.1057/palgrave.jors.2602223
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    References listed on IDEAS

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    1. J Lovegrove & C Sherlaw-Johnson & O Valencia & T Treasure & S Gallivan, 1999. "Monitoring the performance of cardiac surgeons," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 50(7), pages 684-689, July.
    2. Stefan H. Steiner & Richard J. Cook & Vern T. Farewell, 2001. "Risk-Adjusted Monitoring of Binary Surgical Outcomes," Medical Decision Making, , vol. 21(3), pages 163-169, May.
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    Cited by:

    1. Brailsford, Sally & Vissers, Jan, 2011. "OR in healthcare: A European perspective," European Journal of Operational Research, Elsevier, vol. 212(2), pages 223-234, July.

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