PreciSSIon (Preventing Surgical Site Infection across a region) is a collaborative involving all hospitals in the West of England.
Their collective aim was to reduce SSIs after elective colorectal surgery by implementing a four-point evidence-based bundle of care developed at North Bristol NHS Trust in February 2013.
From November 2019, the West of England AHSN supported the PreciSSIon collaborative to spread use of the care bundle to other hospital trusts (Royal United Hospitals Bath, University Hospitals Bristol and Weston, Gloucestershire Hospitals and Great Western Hospital) through project management, provision of resources, and funding of collaborative events.
The PreciSSIon bundle, includes: 2% chlorhexidine skin preparation; a second dose of antibiotics four hours after operating; use of dual ring wound protectors; and antibacterial sutures for wound closure.
The collaborative also set out to establish more reliable SSI measurement after elective colorectal surgery, using a validated patient reported outcome questionnaire at 30 days.
The West of England AHSN supported the PreciSSIon collaborative using the IHI Breakthrough Collaborative model and produced materials to aid data collection and implementation of the care bundle. These included quality improvement (QI) resources, an implementation toolkit, posters and videos.
The AHSN also ran learning and sharing events for the collaborative, which were an opportunity to share successes, challenges, and discuss data collection. One face-to-face meeting occurred before the COVID-19 pandemic, but all subsequent events were virtual.