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Electronic reminders can help patients prevent surgical site infections
Date:8/1/2014

unteers. Volunteers were randomized to either taking two (Group A) or three showers (Group B). Group A1 and group B1 was prompted to shower by an electronic alert reminder, while Groups A2 and B2 did not receive an electronic prompt.

The participants were instructed to return to the laboratory within three hours after their last shower to have their skin-surface concentrations of CHG analyzed at five separate sites on their bodies. Researchers measured compliance by looking at skin-surface concentrations of CHG in all 80 individuals who were assigned to take the antiseptic showers.

The analysis showed that CHG skin-surface concentrations were significantly higher in groups A1 and B1 (patients who received alerts) compared with groups A2 and B2 (patients who did not get reminders). In a comparative analysis between groups A1 and A2, there was a 66 percent reduction in the composite mean concentration of CHG on the skin surface in patients who were not alerted to shower (group A2) compared with those who received electronic reminders (group A1).

Furthermore, in the groups that showered three times, there was a 67 percent reduction in the composite mean skin-surface concentration of CHG in patients who were not alerted before showering (group B2) compared with those who received electronic alerts (group B1).

Thus, the researchers conclude that the patients who did not receive digital communications reminding them to shower were significantly less compliant with preadmission orders compared with those who received the electronic reminders. These study findings have great ramifications not only for this preadmission strategy and its potential impact on SSI risk reduction, but also for other preadmission orders.

"I think a study like this provides us with a tremendous opportunity to empower patients because it clearly makes them an intimate partner in the whole health care experience," Dr. Edmiston said. "It's reminding them that they are not a
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Contact: Sally Garneski
pressinquiry@facs.org
312-202-5409
American College of Surgeons
Source:Eurekalert

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