[Skip to Content]
[Skip to Content Landing]
Invited Critique
March 2011March 21, 2011

Too Much of a Good Thing? Multi-tasking and Distraction in Quality ImprovementComment on: “Evaluating an Evidence-Based Bundle for Preventing Surgical Site Infection”

Author Affiliations

Author Affiliations: Department of Surgery, University of Michigan, Ann Arbor.

Arch Surg. 2011;146(3):270. doi:10.1001/archsurg.2011.7

Health care leaders increasingly focus on improving the quality of surgical care through implementation of bundles, or checklists that encourage compliance with evidence-based processes of care. In a timely and important study, Anthony and colleagues provide high level evidence of the potential dangers of this type of approach. The authors conduct a single-center randomized clinical trial to reduce SSI after colorectal surgery by mandating adherence to 5 practices that have previously been shown individually to be effective in this regard. Contrary to expectations, patients in the intervention arm developed significantly more wound infections.

First Page Preview View Large
First page PDF preview
First page PDF preview
×