Surgical Care for Inpatients


Definition of Surgical Care Improvement Project

The Surgical Care Improvement Project is designed to prevent the risk of wound infection after surgery. It can be reduced when hospital care providers administer the correct medicines at the right times during the day of their procedure.


Core Measures for Surgical Care Improvement Project

Core Measures indicate how many patients at Southeast Georgia Health System receive treatments commonly regarded as effective in preventing infections after surgery. We compare our scores to other facilities at the national and state level.
 

Surgical Care Improvement Project Indicators Camden average (01/13-12/13) Brunswick average
(01/13-12/13)
Georgia average*
(07/12-06/13)
US
average* (07/12-06/13)
Number of records reviewed for these indicators during time period 113 434 NA NA
Antibiotic given one hour before incision 100% 99.6% 99.0% 99.0%
Antibiotic selection 97.7% 99.2% 99.0% 99.0%
Antibiotic stopped within 24 hrs after surgery 100% 100% 98.0% 98.0%
Appropriate hair removal 100% 100% NA NA
Perioperative beta- blocker received 100%
(19 cases)
100%
(94 cases)
97.0% 97.0%
Deep Vein Thrombosis prevention treatment ordered-no longer tracked as of Jan 2013 NA NA NA NA
Deep Vein Thrombosis prevention treatment received within 24 hrs before or after surgery 100% 99.7% 98.0% 98.0%
Urinary catheter removed by post operative day two 100% 100% 96.0% 97.0%
Perioperative temperature management 100% 100% 100% 100%

* Georgia and US average percentages are delayed 6-7 months

Antibiotic Given One Hour Before Incision-This represents the percentage of surgical patients who received antibiotic drugs one hour before the first surgical incision. Antibiotics help prevent wound infections after surgery. When patients receive antibiotics more than one hour before surgery, or after surgery begins, the drugs are not as effective.

Antibiotic Selection-This is the percentage of patients who received appropriate antibiotic drugs before and after surgery. Specific antibiotics are used to treat or prevent various infections. The surgeon must determine which antibiotics are most appropriate for each patient's surgery.

Antibiotics Stopped within 24 Hours-This is the percentage of patients who stopped receiving preventive antibiotics within 24 to 48 hours after surgery. Preventive antibiotics should begin within one hour before surgery. If there is no infection after surgery, the antibiotics can be stopped within one day, or two days for heart surgeries. Taking antibiotics when they are not needed can lead to harmful side effects or antibiotic-resistant bacteria.

Appropriate Hair Removal-This is the percentage of patients who had hair removed to prepare for surgery using one of the safer methods (electric clippers or hair removal cream) available. These hair removal methods reduce the risk of a surgical site infection when compared to hair removed with a razor.

Perioperative Beta Blocker Received-This is the percentage of patients who were on home medication of beta blocker and received their medicine within 24 hours before surgery. Patients who regularly take a beta blocker drug at home should take their beta blocker within 24 hours of their surgery. Beta blockers lower blood pressure by slowing the heart rate and opening blood vessels throughout the body.

Venous Thromboembolism (VTE) Prophylaxis Ordered-This refers to the number of patients for whom treatment to prevent venous thromboembolism was ordered. Venous thromboembolism occurs when a blood clot forms in the deep veins in the legs, travels to another part of the body, and blocks blood flow to vital organs such as the lungs. Treatment to prevent the formation of blood clots should be ordered for patients who do not have other clotting disorders.

Urinary Catheter Removed by Post Operative Day Two-This refers to the number of patients whose urinary catheter was placed in the operating room and removed by the end of post operative day two. The longer a catheter is in place, the greater the risk of the patient getting an urinary tract infection.

Perioperative Temperature Management-This refers to the number of patients who had surgery and had a temperature of greater than or equal to 96.8F right before surgery started or right after surgery stopped. Hypothermia (low body temperature) is associated with an increased risk of surgical site infection, greater chance of the need for blood products administration and myocardial infarction (heart attack).