2016-17 Sentara Orthopedics Annual Report

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Differentiated Orthopedic Care at Sentara

Clinical Research

Throughout Sentara, we continually embrace the value of good clinical research and the difference it can make in patient care. Orthopedic surgeons who practice at Sentara facilities continue to pursue clinical improvements through clinical trials and research, both at the local and national levels. Across the regions, these surgeons are presenting their findings at national association meetings and being published in specialty trade journals.

System-wide Clinical Trials

Cupron: World’s largest clinical trial on copper a success at Sentara

A 10-month clinical trial at Sentara Leigh Hospital in Norfolk, Virginia, determined that hard surfaces and linens infused with copper oxide compounds contributed to an 83 percent reduction in C-difficile and a 78 percent overall reduction in multi-drug resistant organisms (MDROs) including C-diff, MRSA and VRE in a real-world clinical environment. These results occurred in a hospital with a robust protocol for managing infection risk certified by the health care accrediting body DNV-GL Healthcare.

Patient data was analyzed from the highest-touch surfaces in patient rooms including rolling bedside tables and hand rails on the sides of patient beds, plus bed linens, gowns and washcloths that came into direct contact with patients.

Sentara Healthcare partnered with Richmond, Virginia-based Cupron Inc., which invented the proprietary copper oxide technology used in the surfaces and textiles, and Norfolk, Virginia-based EOS Surfaces LLC, which developed the unique copper oxide-impregnated hard surfaces. EOS Surfaces manufactured custom-made countertops, bathroom sinks, bedside tables and bedrails that were installed in 124 patient rooms in the newly-built East Tower at Sentara Leigh Hospital, plus copper-infused work surfaces at nursing and charting stations, in soil rooms and other common areas.

We owe it to our patients to try new approaches and this clinical trial indicates that copper-infused products are an effective addition to a robust infection prevention program. Sentara is in the process of incorporating Cupron materials in all of our 12 hospitals in Virginia and North Carolina.

The results of the trial were published in the peer-reviewed American Journal of Infection Control on Sept. 28, 2016, and were presented at the annual conference of the Infectious Disease Society of America in New Orleans on Oct. 27, 2016.

Clinical Research

Our facilities feature orthopedic surgeons who are actively involved in research and clinical trials to helping to advance patient care. Institutional Review Boards in each region review, approve and govern clinical trials at our facilities. This policy ensures patients are safe and informed when participating.

Nose to Toes: Infection Prevention Pilot

Reducing Surgical Site Infections

For our Sentara Back & Neck Center program, presurgery patient education involves time spent with the Spine Patient Navigator where patients learn not only how to prepare for surgery but also to learn what steps patients can take to reduce infections along with reducing the risk of a blood clot (VTE).

From March 2016 to March 2017, Sentara Norfolk General Hospital focused on reducing the surgical site infection rate with the introduction of a protocol that had patients bathing the night before and morning of surgery with a soap packet and instructions that were provided, changed the wipe down in pre-op from site specific to total body and implemented an intranasal swabbing with povidone-iodine.

LifeNet Health

An extensive amount of research has led to amazing work with donor bio-implant technologies and cellular therapy materials that are changing people’s lives. This is especially true for regenerative care in orthopedics where injured or diseased bones, tendons and muscles can directly affect the quality of a person’s life. Our surgeons have access to these new technologies that honor donors and their families while allowing healing for patients with orthopedic concerns.

PATIENT CONNECTION

Sentara Ortho Client Connection icon Christine

“Before my surgery, I was in a wheelchair and could not take care of my 8-month-old son. Now, two months post-surgery and with the help of your loved one’s tissue, I am fully mobile, working out five times a week, and chasing my almost year-old son around the house. I would not have been able to recover as quickly or as well without the gift your family gave me.”