Sponsored by:

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. 1965AL0512This commercially supported satellite symposium is independent of the APIC educational activities and is not accredited by the Association for Professionals in Infection Control and Epidemiology, Inc.

MODERATOR:Peter W. Marcello, MD, FACS, FASCRS

PANELISTS:Dale W. Bratzler, DO, MPH

E. Patchen Dellinger, MD, FACSDeborah Hobson, BSNElizabeth C. Wick, MD

A New Generation Medical Device Company

To view the clinical studies and footage from this symposium,scan the QR code

or visit www.stopwoundinfection.com

Resources • Clinical Studies • Legislation • Symposiums

Elizabeth C. Wick, MDAssistant Professor of Surgery and OncologyJohns 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.

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.

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

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 Je�ery Milsom, one of the early pioneers of laparoscopic colectomy. 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 currenof the New Technology Committee for the American Society of Colon and Rectal Surgeons and is also the current chair of the

Reducing SSI:What Can You Do Di�erently Tomorrow?

Panel IntroductionPeter W. Marcello, MD, FACS, FASCRS

Panel Question & Answer Session

Bundles: Quality vs. Quantity The Importance of Evidence-Based BundlesE. Patchen Dellinger, MD, FACS

SUSP: Improving Surgical Site Infections ThroughOperating Room Comprehensive Unit-Based SafetyProgram (CUSP)Elizabeth C. Wick, MDDeborah Hobson, BSN

Scope of Surgical Site Infection Issue Dale W. Bratzler, DO, MPH

Surveillance: Challenges and Upcoming ChangesDale W. Bratzler, DO, MPH

E. Patchen Dellinger, MD, FACS

E. Patchen Dellinger, MD, FACS

Peter W. Marcello, MD, FACS, FASCRS

E. Patchen Dellinger, MD, FACSMechanical Bowel Preparation & Antibiotics

Peter W. Marcello, MD, FACS, FASCRSWound Protection: What Works, What Doesn’t?

E. Patchen Dellinger, MD, FACSE. Patchen Dellinger, MD, FACSCulture Change in the OR

E. Patchen Dellinger, MD, FACSProfessor and Vice Chairman, Department of SurgeryChief, Division of General SurgeryUniversity 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 Wash-ington 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.

Dr. Dellinger graduated from Swarthmore College and Harvard Medical School. During surgical Beth Israel Hospipresident of SIS, a fellow of the IDSA and of SHEA. He was �rst prophylactic antimicrobial use in surgical procedures” diagnosis and management of skin and soft-tissue infections,” and currently represents IDSA to SCIP. Dr. Dellinger is a member of the

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 fromSIS, IDSA, and SHEA. He was recently appointed to the Working Group on preventing surgical site infection as part of the secondGlobal Patient Safety Challenge "Safe Surgery Saves Lives" of WHO. Dr. Dellinger is chair of the Inf Dis TAP for the NQF and a

Deborah B. Hobson, BSNPatient Safety Clinical SpecialistArmstrong 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.

Deborah Hobson is a Patient Safety Clinical Specialist for the Armstrong Institute for Patient Safety and Quality for Johns Hopkins Unit and Surgical Coordinator for the Department of Surgery. She is co-leader of several Johns Hopkins Medicine 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 haswith Johns Hopkins since 1980. Ms. Hobson earned her BSN (honors) in Nursing from the University of Maryland.

Dale W. Bratzler, DO, MPHProfessor and Associate DeanDepartment of Health Administration and Policy University of Oklahoma Health Sciences CenterCollege of Public Health

Dr. Dale Bratzler is a Professor of Public Health in the Department of Health Administration and Policy, and Associate Dean in the College of Public Health at the University of Oklahoma Health Sciences Center. He recently completed his second stint as President of the American Health Quality Association, is a recent member of the National Advisory Council for the Agency for Healthcare Research, and is currently a member of the Healthcare Infection Control Practices Advisory Committee (HICPAC) for the Centers for Disease Control and Prevention. Dr. Bratzler has published extensively and frequently presents locally and nationally on topics related to healthcare

quality, particularly associated with improving care for pneumonia, increasing vaccination rates, prevention of venous thromboembolism, and reducing surgical complications.

Dr. Dale Bratzler is a Professor of Public Health in the Department of Health Administration and Policy, and Associate Dean in the completed his second stint as President of the American Health National Advisory Council for the Agency for Infection Control Practices Advisory CommitteeBratzler has published

quality, particularly associated with improvingvenous thromboembolism, and reducing surgical complications.