Reducing SSI:What Can You Do

Dif ferently Tomorrow?

Panel Discussion andQ&A Session

©2012 Applied Medical Resources Corporation. All rights reserved. Applied Medical and the Applied Medical logo design are registered trademarks of Applied Medical Resources Corporation. 1999AL0812This commercially supported satellite symposium is independent of the ACS educational activities and is not accredited by the American College of Surgeons.

MODERATOR:

Peter W. Marcello, MD, FACS, FASCRS

PANELISTS:

To view the clinical studies and footage from this symposium,scan the QR code or visit www.stopwoundinfection.com

Resources • Clinical Studies • Legislation • Symposiums

Bradley R. Davis, MD, FACS, FASCRS

E. Patchen Dellinger, MD, FACS

Deborah Hobson, BSN

Shirin Towf igh, MD, FACS

Elizabeth C. Wick, MD

Sponsored by:

A New Generation Medical Device Company

Peter W. Marcello, MD, FACS, FASCRS Vice Chairman of Colon & Rectal Surgery

Lahey Clinic

Burlington, Massachusetts

Dr. Peter Marcello is a Vice Chairman in the Department of Colon and Rectal surgery at the Lahey Clinic in Burlington, Massachusetts. In 1997 he joined the sta� at the Cleveland Clinic, where he worked closely with Dr. Je�ery Milsom, one of the early pioneers of laparoscopic colectomy. He returned to Lahey Clinic in 1999 and has performed more than 2,000 laparoscopic colorectal procedures including participation in the COST trial comparing open and laparoscopic colectomy for colon cancer and the current ACOSOG trial comparing open and laparoscopic surgery for rectal cancer. Dr. Marcello has made over 120 national and international presentations and is widely published (>50 articles) in the topic of laparoscopic colon and rectal surgery. He has organized and participated in more than 120 postgraduate courses in teaching laparoscopic colorectal

surgery. He is the current chair of the New Technology Committee for the American Society of Colon and Rectal Surgeons and is also the current chair of the Membership Committee of SAGES. He is currently working on the development of laparoendoscopic techniques for colorectal neoplasia.

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sis also the current chair colorectal neoplasia.

Elizabeth C. Wick, MDAssistant Professor of Surgery and Oncology

Johns Hopkins University

Dr. Elizabeth C. Wick is a board-certi�ed colorectal surgeon and assistant professor of surgery at Johns Hopkins University. Her clinical practice is focused on the care of patients with benign and malignant colorectal conditions. Her research is focused on the colonic �ora and the role of the bacteria in carcinogenesis. Additionally, she works with Dr. Peter Pronovost on the AHRQ contract to implement the comprehensive unit-based safety program (CUSP) in the operating room with the goal of reducing surgical site infections at 100 hospitals. The goal of CUSP is to educate frontline providers on the science of safety and then empower them to identify and correct lapses in care. She successfully used this approach to reduce SSIs at Johns Hopkins.

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Shirin Towf igh, MD, FACSAssistant Professor of Surgery

Cedars-Sinai Medical Center

Dr. Tow�gh is full-time faculty surgeon and Associate Professor of Surgery at Cedars-Sinai Medical Center in Los Angeles, CA. She also holds academic positions at UCLA’s David Ge�en School of Medicine and USC’s Viterbi School of Engineering. She trained in general surgery at UCLA after matriculating from the UCSD medical school. Her clinical practice is minimally invasive general surgery with a focus on hernia surgery. She has special interest in Surgical Infections and has published and presented on a variety of tools to reduce surgical site infections. She is Clinical Champion of Surgical Site Infection Reduction Project at her hospital and has collaborated with the American College of Surgeons and the Joint Commission’s Center for Transforming Healthcare in a similar capacity. She holds leadership roles in the Surgical Infections Society, American College of Surgeons,

Society for American Gastrointestinal and Endoscopic Surgeons, and American Hernia Society.

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Reducing SSI:What Can You Do Dif ferently Tomorrow?

Panel IntroductionPeter W. Marcello, MD, FACS, FASCRS

Panel Question & Answer Session

SUSP: Improving Surgical Site Infections ThroughOperating Room Comprehensive Unit-Based SafetyProgram (CUSP)Deborah Hobson, BSNElizabeth C. Wick, MD

Scope of Surgical Site Infection Issue E. Patchen Dellinger, MD, FACS

How to Implement an SSI Bundle Shirin Towf igh, MD, FACS

SSI Bundles- Quality vs. QuantityThe Importance of Evidence-Based BundlesE. Patchen Dellinger, MD, FACSg

Perioperative WarmingOxygen ControlGlycemic Control Culture Change in the OR

E. Patchen Dellinger, MD, FACSProfessor and Vice Chairman, Department of Surgery

Chief, Division of General Surgery

University of Washington

Dr. Dellinger graduated from Swarthmore College and Harvard Medical School. During surgical training at the Beth Israel Hospital, Boston, Massachusetts, Dr. Dellinger completed an ID Fellowship at Tufts. He is past president of SIS, a fellow of the IDSA and of SHEA. He was �rst author of the IDSA “Quality standard for prophylactic antimicrobial use in surgical procedures” and an author of the IDSA “Practice guidelines for the diagnosis and management of skin and soft-tissue infections,” and currently represents IDSA to SCIP. Dr. Dellinger is a member of the American Surgical Association, the Society of University Surgeons, the American College of Surgeons, and the American Society for Metabolic and Bariatric Surgery. He was on HICPAC from 2004-07. He represents SIS in the current e�ort to produce a coordinated surgical antibiotic

prophylaxis guideline jointly from ASHP, SIS, IDSA, and SHEA. He was recently appointed to the Working Group on preventing surgical site infection as part of the second Global Patient Safety Challenge "Safe Surgery Saves Lives" of WHO. Dr. Dellinger is chair of the Inf Dis TAP for the NQF and a member of the NQF Patient Outcomes Steering Committee. He has been performing general and bariatric surgery at the University of Washington since 1977 where he is Professor, Vice-Chair, and Chief of the Division of General Surgery. Dr. Dellinger is an Associate Medical Director of the University of Washington Medical Center and Chief of Sta�. He is on the management committee of the Surgical Care and Outcomes Assessment Program (SCOAP) and chairs the Surgical Checklist Initiative for Washington State sponsored by SCOAP. He has authored and/or coauthored more than 170 papers and chapters and he serves on the editorial boards of Surgical Infections and Infection Control and Hospital Epidemiology.

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prophysurgical site infection as part for the NQF and a member oof Washington since 1977 wh

Deborah B. Hobson, BSNPatient Safety Clinical Specialist

Armstrong Institute for Patient Safety and Quality Surgical Intensive Care Nurse

Johns Hopkins Hospital

Deborah Hobson is a Patient Safety Clinical Specialist for the Armstrong Institute for Patient Safety and Quality for Johns Hopkins Medicine. In addition, she is a sta� nurse in the Johns Hopkins Hospital’s Surgical Intensive Care Unit and Surgical Coordinator for the Department of Surgery. She is co-leader of several Johns Hopkins Medicine collaboratives including: Intensive Care Unit, deep-vein thrombosis prevention and anticoagulation, and surgical site infection prevention. She is also involved with the Johns Hopkins Quality and Patient Safety Research Group conducting research on quality and safety in the areas of safety and teamwork culture (CUSP- Comprehensive Unit-Based Safety Program), critical care, and eliminating Hospital Acquired Infections (SSI, CLABSI, VAP, CAUTI). Ms. Hobson has worked with several hospitals in the U.S. and overseas

on patient safety and quality initiatives. Ms. Hobson has been with Johns Hopkins since 1980. Ms. Hobson earned her BSN (honors) in Nursing from the University of Maryland.

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on (honors) in Nursing from

Bradley Davis, MDAssociate Professor of Surgery

Director of the Division of Surgical Education

University of Cincinnati Physicians

Dr. Bradley R. Davis is an Associate Professor of Surgery and the Director of the Division of Surgical Education at the University of Cincinnati. He is the Program Director for the General Surgery Residency and a member of the Chairman’s Advisory Group. He is a practicing colon and rectal surgeon with board certi�cation in General Surgery, Surgical Critical Care and Colon and Rectal Surgery. He completed his General Surgery Residency at the University of Cincinnati in June of 2000 and after completing a fellowship in Surgical Critical Care, he entered the Air Force. During his three years on active duty, Dr. Davis was the Medical Director for the Center for Sustainment of Trauma and Readiness Skills in Cincinnati, Ohio. Dr. Davis completed his colon and rectal fellowship at the Lahey Clinic, in Boston Massachusetts, where he was also a Clinical Instructor of Surgery

at Tufts University. His research interests are both clinical and in the realm of surgical education. He has external funding from the Department of Defense to study the impact of non-technical skills on clinical outcomes in critically ill patients. He specializes in a wide array of colon and anorectal pathology, pursuing both traditional and laparoscopic treatments of colorectal disease. He is also a fully trained endoscopist, and participates in the pelvic physiology lab at the University Hospital. Dr. Davis has presented at national and international meetings, and is the author of multiple peer reviewed research articles and is a reviewer for several journals. He serves on multiple loco-regional and national committees and is the immediate past president of the American Cancer Society, Southwest Region. He is a fellow in the American College of Surgeons and the American Society of Colon and Rectal Surgeons. He is a member of the Graduate Medical Education Council for the College of Medicine at the University of Cincinnati and is responsible for monitoring the incidence of surgical site infection for the Department of Surgery. Dr. Davis was raised in Rochester, NY and earned a Bachelor of Science Degree with Honors, from The Johns Hopkins University. He completed his medical school training, Summa Cum Laudae, at the University Of Bu�alo School Of Medicine. He is married and has two daughters.

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Bradley R. Davis, MD, FACS, FASCRS

w to Implement an SSI Bundle

SCIP Measures

Mechanical Bowel Preparation & Antibiotics

Wound Protection, Skin Preparation, Topical Antimicrobials