Choose a systematic review from the list of approved reviews based on your interests or your
practice situation.
Formulate a significant clinical question related to the topic of the systematic review
that will be the basis for your capstone change project.
Relate how you developed the question.
Describe the importance of this question to your clinical practice previously, currently,
or in the future.
Describe what a research-practice gap is.
I choose Health-Associated Infections (HAI) because I work in Home Care and when I see post
op patients this is one of the issues that they experience ,specifically older adults.
It helps to remember the way that the PICO question is formulated .
Question: Does the use of pre-op antiseptic solutions to shower or bathing decrease hospital
acquired infections on surgical site within 30 days of procedure ?
Population: Postoperative patients
Intervention: Shower or bathing with antiseptic solution pre- op to for preventing hospital‐
acquired surgical site infections.
Comparison: Shower or bathing with non‐antiseptic solutions pre-op for preventing HAI on
surgical site.
Outcome: Reduction in surgical site infections
Time: within 30 days Post Op
This is important because according with The Centers for Disease Control and Prevention (CDC)
the infections reported post op are on the rise .
Hospital acquired infections (HAI) cause complications and sometimes patient’s death.
An estimation in 2009 states that with these infections ,hospital stay extends approx by 9.7
days and increased costs by $20,842 per admission ($900 millions ),not counting hospital costs
of more than $700 million for hospital readmission in health care spending.