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Quality and Core Measure Updates:
Surgical Care Improvement Project
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NMC Quality & Core Measure Updates
Monthly Updates:
Quarterly Updates:
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Surgical infections remain a common complication of surgery. Surgical site infections account for approximately 40% of all hospital associated infections among surgical patients in the USA and 3% of all post operative patients will develop infections. Using preventative measures, such as appropriate antibiotics before, during and up to 24 hours after surgery, clipping the operative site versus shaving, and keeping the patient warm during the perioperative period have all been shown to reduce the likelihood of infection as a complication.
About the data below:
Below you will find 4 graphs reporting on NMC's performance in the Core Measures relating to our Surgical Care Improvement Project. Above each graph (or sections of graphs), you'll also find helpful definitions and information that can help you understand the data presented. In the upper right-hand corner of each, you will notice a colored block-- this is our "stop-light" system for a quick glance at how we are doing: Green = Meeting Identified Goal of 100% Compliance for Most Current Month; Red = Not Meeting Identified Goal of 100% for Most Current Month; No Color Indicates No Data for the Current Month (it is not unusual for a small hospital to have "no data" on a particular indicator due to the small number of cases seen at the facility).
Surgical Care Improvement Project Appropriate Care Measures:
Data current through July 2008
PROPHYLACTIC ANTIBIOTIC RECEIVED WITHIN ONE HOUR PRIOR TO SURGERY
* a higher score is better
What this means:
This is a measure that shows the percentage of surgical patients that received prophylactic antibiotics within 1 hour prior to surgical incision.
Why this is important:
Scientific studies show that patients who receive prophylactic antibiotics within 1 hour of surgery incision time can have reduced numbers of post operative infections.
PROPHYLACTIC ANTIBIOTIC SELECTION FOR SURGICAL PATIENTS
* a higher score is better
What this means:
This is a measure that shows the percentage of surgical patients that received the appropriate prophylactic antibiotic for their specific surgical procedure.
Why this important:
The goal of administering prophylactic antibiotics for surgical patients is to use a drug that is safe, cost effective and appropriate for the specific surgical procedure.
PROPHYLACTIC ANTIBIOTICS DISCONTINUED WITHIN 24 HOURS OF SURGERY END TIME
* a higher score is better.
What this means:
This is a measure that shows the percentage of surgical patients that had their prophylactic antibiotics discontinued within 24 hours of surgery end time.
Why this is important:
Scientific studies show that the administration of prophylactic antibiotics for more than a few hours after the surgical incision is closed offers no additional benefit to the surgical patient. Prolonged administration can result in resistant strain bacteria.
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