1033 - From Rise to Reduction: Reducing Surgical Site Infections in Orthopedic Surgery

Overview/Abstract: Surgical Site Infections (SSIs) are among the most common and preventable healthcare-associated infections, significantly impacting patient safety, length of stay, and cost of care. At Sinai Hospital, a concerning rise in SSIs following orthopedic surgeries in 2022 prompted the launch of a comprehensive, multidisciplinary initiative led by Perioperative Services, Infection Prevention, and a Clinical Outcomes Specialist. This session will walk attendees through the journey—from a rise in SSIs to a 91.7% reduction in one year—highlighting strategies, challenges, and measurable results.

Using the AHRQ SSI Prevention Framework, our team implemented a robust orthopedic SSI prevention bundle addressing nasal decolonization, CHG bathing, antimicrobial prophylaxis, hair removal practices, and OR traffic control. Rounding, real-time feedback, and digital tracking tools ensured bundle compliance. A newly developed policy, evidence-based education modules, and annual competency validation reinforced best practices across roles. Transparent quality data on huddle boards engaged nurses in ownership and sustained compliance.

Attendees will explore how the Clinical Outcomes Specialist bridged bedside practice with infection control policies, empowering nurses to speak up and close evidence-practice gaps. We will also share how culturally competent patient education addressed disparities and improved outcomes.

By the end of this session, participants will walk away with replicable strategies to reduce orthopedic SSIs, elevate frontline engagement, and build sustainable infection prevention systems across specialties.