Society of Hospital Medicine

SHM

How
to Use
Introduction

How To Use

Analyze
Care Delivery

Track
Performance

Reliable
Interventions

Continue to
Improve

Diabetic Foot Infection >>
- Learn from Variation in the Process
- Hold the Gains and Spread Improvement
Complicated Pressure Ulcers >>
- Learn from Variation in the Process
- Hold the Gains and Spread Improvement
Surgical Site Infections >>
- Learn from Variation in the Process
- Hold the Gains and Spread Improvement

Education
Resources

QI
Basics
QI Slide Sets

QI Web Resources

Core Competencies

Complicated Skin & Skin Structure Infections (cSSSIs) Project Team

SHM thanks all the members of the Complicated Skin & Skin Structure Infections (cSSSIs) Expert Panel. The distinguished panel is a compilation of experts with representation from hospital medicine, infectious disease, wound care nursing, pharmacy, and surgery. Their expertise was essential to the construction of this resource room and the implementation guide for improving care for the inpatient with a complicated skin & skin structure infection.

Expert Panel

Chair: Sabitha Rajan, MD
Lead Author and Editor of the Surgical Site Infections portion of the Complicated Skin and Skin Structure Infections Resource Room and Implementation Guide
Director, Division of Inpatient Medicine, Chief of Staff, Continuing Care Hospital
Scott & White Health System, Texas A&M Health Science Center
Temple, Texas

Hospital Medicine

Nasim Afsar-manesh, MD Assistant Clinical Professor Internal Medicine and Neurosurgery Director, Hospital Medicine Quality Initiatives Director, Neurosurgery Clinical Quality Program Ronald Reagan UCLA Medical Center, Los Angeles, California	Chayan Chakraborti, MD Hospitalist; Medical Center of Louisiana, New Orleans (MCLNO) Assistant Professor of Medicine Tulane University Health Sciences Center New Orleans, Louisiana
Barbara Hoffman, MD, MBA, CMD Assistant Professor, Family and Community Medicine Penn State University Hershey, Pennsylvania	Joseph Li, MD, Director, Hospital Medicine Program Beth Israel Deaconess Medical Center Boston, Massachusetts
Osama Mitri, MD Medical Director of the hospitalist program- Aultman Inpatient Medicine Aultman Hospital Canton, Ohio	James Pile, MD Divisions of Hospital Medicine and Infectious Diseases Interim Director, Division of Hospital Medicine Associate Program Director, Internal Medicine Residency WRU/MetroHealth Medical Center Cleveland, Ohio
Michael Radzienda, MD Assistant Professor and Chief, Section of Hospital Medicine Medical College of Wisconsin Director of Hospital Medicine Service Froedtert Memorial Lutheran Hospital, Milwaukee, Wisconsin	Sabitha Rajan, MD Complicated Skin & Skin Structure Infections (cSSSIs) Expert Panel Chair Lead Author and Editor: Surgical Site Infections Chapters Director, Division of Inpatient Medicine, Chief of Staff Continuing Care Hospital Scott & White Health System, Texas A&M Health Science Center Temple, Texas
Danielle Scheurer, MD, MSc, FHM Assistant Professor of Medicine Harvard Medical School Brigham and Women’s Hospitalist Service Director General Medical Service, Brigham and Women’s Hospital, Boston, Massachusetts

Wound Care Nursing

Kathy T. Whittington RN, MS, CWCN
Wound Care Clinical Director – Marketing
Molnlycke Health Care US, LLC
Atlanta, Georgia

Surgery

Lena M. Napolitano, MD
Professor of Surgery, Division Chief, Acute Care Surgery
[Trauma, Burn, Critical Care, Emergency Surgery]
Associate Chair of Surgery Department of Surgery Director
Trauma and Surgical Critical Care
University of Michigan Health System
Ann Arbor, Michigan

Pharmacy

Dana Whitney, Pharm.D., BCPS
Clinical Pharmacy Specialist for Infectious Diseases
Boston Medical Center
Boston, Massachusetts

Workgroups

Diabetic Foot Infection Workgroup

Michael Radzienda, MD Diabetic Foot Infection Workgroup Lead Assistant Professor and Chief, Section of Hospital Medicine, Medical College of Wisconsin, Director of Hospital Medicine Service Froedtert Memorial Lutheran Hospital Milwaukee, Wisconsin	Chayan Chakraborti, MD Hospitalist; Medical Center of Louisiana, New Orleans (MCLNO) Assistant Professor of Medicine, Tulane University Health Sciences Center New Orleans, Louisiana
James Pile, MD Divisions of Hospital Medicine and Infectious Diseases Interim Director, Division of Hospital Medicine Associate Program Director, Internal Medicine Residency WRU/MetroHealth Medical Center Cleveland, Ohio	Dana Whitney, Pharm.D., BCPS Clinical Pharmacy Specialist for Infectious Diseases Boston Medical Center Boston, Massachusetts

Complicated Pressure Ulcer Workgroup

Barbara Hoffman, MD, MBA, CMD Assistant Professor, Family and Community Medicine Penn State University Hershey, Pennsylvania	Joseph Li, MD, Director, Hospital Medicine Program Beth Israel Deaconess Medical Center Boston, Massachusetts
Osama Mitri, MD Medical Director of the hospitalist program- Aultman Inpatient Medicine Aultman Hospital Canton, Ohio	Kathy T. Whittington RN, MS, CWCN Wound Care Clinical Director – Marketing Molnlycke Health Care US, LLC Atlanta, Georgia

Surgical Site Infections Workgroup

Nasim Afsar-manesh, MD Assistant Clinical Professor Internal Medicine and Neurosurgery Director, Hospital Medicine Quality Initiatives Director, Neurosurgery Clinical Quality Program Ronald Reagan UCLA Medical Center, Los Angeles, California	Chayan Chakraborti, MD Hospitalist; Medical Center of Louisiana, New Orleans (MCLNO) Assistant Professor of Medicine, Tulane University Health Sciences Center New Orleans, Louisiana
Lena M. Napolitano, MD Professor of Surgery, Division Chief, Acute Care Surgery [Trauma, Burn, Critical Care, Emergency Surgery] Associate Chair of Surgery Department of Surgery Director Trauma and Surgical Critical Care University of Michigan Health System Ann Arbor, Michigan	Sabitha Rajan, MD Complicated Skin & Skin Structure Infections (cSSSIs) Expert Panel Chair Lead Author and Editor: Surgical Site Infections Chapters Director, Division of Inpatient Medicine, Chief of Staff Continuing Care Hospital Scott & White Health System, Texas A&M Health Science Center Temple, Texas
Danielle Scheurer, MD, MSc, FHM Assistant Professor of Medicine Harvard Medical School Brigham and Women’s Hospitalist Service Director General Medical Service, Brigham and Women’s Hospital, Boston, Massachusetts

Society of Hospital Medicine Staff

Senior Director of Quality Initiatives
Jane Kelly-Cummings, RN

Senior Project Manager
Joy Wittnebert

Senior Manager
JoAnne Resnic

Web Interactive Services Manager
Shawn Sullivan

Interactive Designers
Dan Chung & Leonard Malcolm

Quality Initiatives Assistants
Reshma Patel and Roshni Dhruva

Special thanks to:

Expert panel chair / Sabitha Raja
Writing panel

Surgical site Infections/MRSA in Skin Infections: Sabitha Rajan, Danielle Scheuer, Chayan Chakrabort, Nasim Afsarmanesh
Diabetic Foot Infection: Michael Radzienda, Chayan Chakraborti, James Pile, Dana Whitney
Pressure Ulcers: Barbara Hoffman, Joe Li, Osama Mitri, and Kathy Whittington

Workgroup leaders / Sabitha Rajan (Surgical Site Infections), Michael Radzienda (Diabetic Foot Infection), Barbara Hoffman (Complicated Pressure Ulcers ), Danielle Scheuer(Surgical Site Infections), Chayan Chakraborti(Surgical Site Infections), Nasim Afsarmanesh(Surgical Site Infections)

Generous contributors of order sets, guidelines, protocols, pathways and other tools / Sabitha Rajan, Michael Radzienda, Dana Whitney, Kathy Whittington, Lena Napolitano, Chad Whelan

Review and feedback / JoAnne Resnic, Senior Manager, Society of Hospital Medicine

Funding / Ortho McNeil

SHM staff members / Jane Kelly-Cummings, Joy Wittnebert-Barnosky, Shawn Sullivan, Leonard Malcom, Dan Chung, Reshma Patel, and Roshni Dhruva

SHM is dedicated to the continuous improvement of the products and services that we offer. This Implementation Guide continues to be a work in progress; we highly encourage and welcome constructive criticism and feedback via email to csssis@hospitalmedicine.org

Complicated Skin & Skin Structure Infections (cSSSIs) Resource Room Project Team
This resource room is sponsored in part by an unrestricted educational grant from Ortho McNeil.

Disclaimer
The Complicated Skin & Skin Structure Infections (cSSSIs) Resource Room is an online resource for visitors to the Society of Hospital Medicine’s website. All content and links have been reviewed by the cSSSIs Resource Room Project Team, however the Society of Hospital Medicine does not exercise any editorial control over content associated with the external links that have been made available via this website.

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