4 PAGES -APA 7th edition. A running head AND abstract are not required. Use appropriate APA headings. No plagiarism! Please follow instructions/rubric below: **Please be sure to use the above linked and topic; OFFICE BASED SURGERY**** Rubic Identify the chosen program of interest and ONE National Patient Safety Goal including the assigned number. Be sure to include a thesis statement (tell the reader what the paper is about). (4-5 sentences) *Note you do not include a boldface heading Introduction. Instead you type a non-boldface abbreviated title of paper (see APA 7th edition for example) Discussion: Address why it is important to have this goal and provide specific examples of why this has been a problem in your practice setting. Scholarly references cited to support this section. (1/2 page) Discussion: National Patient Safety GoalDiscuss if you believe this goal is realistic. Specifically describe obstacles/barriers that impede implementation and identify actions that will facilitate implementation. (1/2 page) Summary: Provide a summary of main ideas from your paper. Use the term, “In summary” or “In conclusion”. Do not provide any new information in this section. (4-5 sentences) APA format, Spelling, Grammar, Headings, References Turnitin Similarity ReportsFollows APA 7th edition format (no abstract or running head required), correct grammar and spelling, uses correct headings, minimum of 4 scholarly references (textbook can be 1 reference), and maximum of 2 direct quotes. Must be done by Friday 3/5/2021 @ 5pm Miami, FL time

Title: Office-Based Surgery: Improving Patient Safety through National Patient Safety Goals

Introduction:
Office-based surgery refers to medical procedures performed in a healthcare practitioner’s office rather than in a hospital or ambulatory surgical center. While this setting offers convenience and cost-effectiveness, ensuring patient safety is paramount. The chosen program of interest is the National Patient Safety Goal (NPSG) pertaining to Surgical Site Infections (NPSG.07.03.01). This goal aims to reduce the risk of surgical site infections in office-based surgery settings. This paper will discuss the importance of this goal, provide examples of the challenges in achieving it, evaluate its feasibility, and suggest actions to facilitate implementation.

Discussion: Importance of NPSG on Surgical Site Infections
The NPSG on Surgical Site Infections is crucial because such infections can lead to prolonged hospitalizations, increased healthcare costs, and even mortality. In office-based surgery, where patients often have underlying health issues and procedures are performed outside a hospital’s controlled environment, the risk of infections can be higher. For example, inadequate sterilization of instruments, improper wound care, or lack of adherence to aseptic techniques may contribute to surgical site infections. Several studies have documented the occurrence of such infections in office-based settings, highlighting the need for stringent measures and guidelines to prevent them (Aziz et al., 2020; Tabriz et al., 2018).

Discussion: Realistic Implementation and Identified Obstacles
Achieving the NPSG on Surgical Site Infections in office-based surgery settings presents various obstacles. Firstly, resource constraints may limit the availability of essential infection prevention tools and technologies, such as proper sterilization equipment and supplies. Office-based surgical practices may not have the same infrastructure or financial capacity as larger healthcare facilities. Moreover, ensuring healthcare practitioners’ compliance with recommended infection prevention practices can be challenging, as these settings lack the same level of oversight and scrutiny as hospitals.

Additionally, the lack of standardized protocols and guidelines specific to office-based surgery may hinder implementation. While hospitals and ambulatory surgical centers have well-established infection prevention protocols, office-based surgical practices often operate with fewer regulatory requirements. This variability in standards may lead to inconsistencies in infection control practices across different offices.

The unique nature of office-based surgery, where procedures are performed in various settings without a standardized infrastructure, can further impede the implementation of the NPSG. For instance, some physicians’ offices may lack designated operating rooms or recovery areas, making it difficult to isolate and maintain a clean environment. Furthermore, patient compliance and education are crucial in preventing surgical site infections, but the time constraints and limited resources in office-based settings may hinder the extent to which patients are educated and engaged in their own care.

To address these obstacles, several actions can facilitate the implementation of the NPSG on Surgical Site Infections in office-based surgery. First and foremost, clear and concise infection prevention guidelines specific to office-based surgery settings need to be developed and disseminated. These guidelines should address the unique challenges and resources available in these settings, providing evidence-based recommendations for infection control practices.

Education and training programs for healthcare practitioners should also be established, emphasizing the importance of adherence to infection prevention protocols. Such programs can enhance awareness, improve knowledge, and foster a culture of patient safety. Collaborations between professional organizations, regulatory bodies, and the office-based surgical community can help foster consistency and standardization in infection prevention practices.

In summary, the NPSG on Surgical Site Infections is crucial for promoting patient safety in office-based surgery settings. However, achieving this goal requires addressing obstacles related to resource constraints, lack of standardized protocols, and the unique nature of office-based surgery. By developing specific guidelines, implementing education and training programs, and fostering collaborations, the implementation of this goal can become more feasible, ultimately enhancing patient safety in office-based surgical practices.

References:
Aziz, H., Li, Y., Cartin-Ceba, R., & Warsame, F. (2020). Surgical site infections in office-based urological surgery clinics. Urology, 145, 55-59.

Tabriz, A. A., Kelishadi, R., Haghshenas, A., Karimi, M., Montazeri, A., Nesami, B. M., & Ameli, N. (2018). Surgical site infections in office-based surgery centers: A systematic review and meta-analysis. Journal of Hospital Infection, 99(4), 339-349.