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25 results

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  • Risk factor evaluation and performance improvement for surgical site infections in patients undergoing abdominal hysterectomy at a large academic safety net hospital

  • Anna Buford, Tyler Anderson, Roman Jandarov, Joseph Schaffer, Jacqueline Wells, Marianne Bartlett, Latitia Houston, Calvin White, Laura Buford, Madhuri Sopirala
  • Journal:
    Infection Control & Hospital Epidemiology / Volume 46 / Issue 5 / May 2025
    Published online by Cambridge University Press:
    07 April 2025, pp. 481-487
    Print publication:
    May 2025
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  • Objective:

    To identify Surgical Site Infection (SSI) risk factors for abdominal hysterectomy patients and report the results of a performance improvement initiative.

    Design:

    Retrospective case-control.

    Setting:

    Parkland Hospital, an 882-bed academic, safety-net, tertiary referral center and a level 1 trauma center serving a diverse population of primarily uninsured patients in North Texas.

    Participants:

    Patients over 18 who underwent abdominal hysterectomy and were diagnosed with SSIs within 30 days of surgery between 2019 and 2021.

    Methods:

    Cases were matched to controls from the same or closest calendar month in a 1:2 ratio. Chart review of electronic medical records (EMR) was performed comparing variables using Pearson’s χ2 test for categorical variables and Student’s t-test for continuous variables followed by logistic regression for multivariate analysis. Upon identifying vaginal preparation technique as an area of improvement while investigating SSI bundle compliance, we implemented an OR staff training intervention.

    Results:

    Diabetes was identified as a significant risk factor while Hispanic or Latino ethnicity was associated with significantly lower rates of infection. Most organisms identified were enteric pathogens. Following the intervention, Parkland’s deep and organ-space Standardized Infection Ratio (SIR) decreased from 1.46 in 2021 to 0.519 for the rolling 12 months as of June 2024.

    Conclusions:

    Our multidisciplinary intervention improving the quality and consistency of pre-operative vaginal preparation was associated with a reduction in abdominal hysterectomy SSI.

  • Goitre in Two African Sculptures

  • Calvin Wells
  • Journal:
    Medical History / Volume 12 / Issue 1 / January 1968
    Published online by Cambridge University Press:
    16 August 2012, pp. 89-91
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  • Fifteenth-Century Wood-Carvings in St. Mary's Church, Bury St. Edmunds

  • Calvin Wells
  • Journal:
    Medical History / Volume 9 / Issue 3 / July 1965
    Published online by Cambridge University Press:
    16 August 2012, pp. 286-288
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  • Osteogenesis Imperfecta from an Anglo-Saxon Burial Ground at Burgh Castle, Suffolk

  • Calvin Wells
  • Journal:
    Medical History / Volume 9 / Issue 1 / January 1965
    Published online by Cambridge University Press:
    16 August 2012, pp. 88-89
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  • Multiple Basal Cell Naevus Syndrome in Ancient Egypt

  • Merton I. Satinoff, Calvin Wells
  • Journal:
    Medical History / Volume 13 / Issue 3 / July 1969
    Published online by Cambridge University Press:
    16 August 2012, pp. 294-297
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  • A Palaeopathological Rarity in a Skeleton of Roman Date

  • Calvin Wells
  • Journal:
    Medical History / Volume 17 / Issue 4 / October 1973
    Published online by Cambridge University Press:
    16 August 2012, pp. 399-400
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  • A POSSIBLE CASE OF LEPROSY FROM A SAXON CEMETERY AT BECKFORD

  • Calvin Wells
  • Journal:
    Medical History / Volume 6 / Issue 4 / October 1962
    Published online by Cambridge University Press:
    16 August 2012, pp. 383-386
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  • Paget's Disease in an Anglo-Saxon

  • Calvin Wells, Nicholas Woodhouse
  • Journal:
    Medical History / Volume 19 / Issue 4 / October 1975
    Published online by Cambridge University Press:
    16 August 2012, pp. 396-400
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  • The Excavation of Eighteen Round Barrows near Shrewton, Wiltshire

  • Charles Green, Stephen Rollo-Smith, Elisabeth Crowfoot, Calvin Wells
  • Journal:
    Proceedings of the Prehistoric Society / Volume 50 / Issue 1 / December 1984
    Published online by Cambridge University Press:
    23 May 2014, pp. 255-318
    Print publication:
    December 1984

  • The excavation of eighteen round barrows was undertaken by the late Charles Green during summer seasons from 1958 to 1960, in advance of their destruction by ploughing. The excavated barrows are members of two linear groups which occupy adjacent spurs to the east of the village of Shrewton in the modern parish of that name (fig. 1). One of the barrows investigated lies in Winterbourne Stoke parish. This western part of Salisbury Plain is termed the ‘Lower Plain’ comprising those areas having their ‘upper limit… between 400 and 450 feet OD and their lower limit where they overlook the valley trenches … between 250 and 300 feet O.D.’ (Gifford 1957, 6). In such a lower valley lie the modern villages of Shrewton and Rollestone, and through it flows the river Till, the nearest modern open water supply to the barrows. This connects the area to the River Avon via the Wylye and Nadder.

  • Probable trephination of five Early Saxon skulls

  • Part of
  • Calvin Wells
  • Journal:
    Antiquity / Volume 48 / Issue 192 / December 1974
    Published online by Cambridge University Press:
    02 January 2015, pp. 298-302
    Print publication:
    December 1974
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  • Nottingham Hill, Gloucestershire, 1972

  • Calvin Wells
  • Journal:
    Antiquity / Volume 48 / Issue 192 / December 1974
    Published online by Cambridge University Press:
    02 January 2015, pp. 306-309
    Print publication:
    December 1974
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