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Research Letter |

Implementation of an Infection Prevention Bundle to Reduce Surgical Site Infections and Cost Following Spine Surgery ONLINE FIRST

Joseph Featherall, BS1; Jacob A. Miller, BS1; E. Emily Bennett, MD2,3; Daniel Lubelski, MD4; Hannah Wang, BS1; Tagreed Khalaf, MD2; Ajit A. Krishnaney, MD1,2,3
[+] Author Affiliations
1Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio
2Cleveland Clinic Center for Spine Health, Cleveland Clinic, Cleveland, Ohio
3Department of Neurological Surgery, Cleveland Clinic, Cleveland, Ohio
4Department of Neurological Surgery, Johns Hopkins Medicine, Baltimore, Maryland
JAMA Surg. Published online July 20, 2016. doi:10.1001/jamasurg.2016.1794
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This study compares surgical site infections and costs of care for patients undergoing spinal surgery before and after implementation of an infection prevention bundle in the neurosurgical unit of the Cleveland Clinic.

An estimated 158 000 surgical site infections (SSIs) occur in the Unites States annually, at a cost of $3.45 billion to $10.07 billion.1,2 Investigations have demonstrated the efficacy of infection prevention bundles in reducing SSIs across multiple surgical specialties.3,4 Neurosurgical SSIs incur the highest costs, and spine surgeries account for more than 1.01 million procedures annually, presenting an opportunity for reducing health care–related harm and expenditures.5 We hypothesized that implementation of an infection prevention bundle would be associated with a reduction in SSIs and disease-specific costs.

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