Quality Data – Surgical Care

What is a Surgical Care
Surgical Care is an initiative to decrease the number infections and other complications associated with surgery. The risk of wound infection and other complications after surgery can be reduced by providing the right medicines at the right time on the day of surgery and after surgery.

How is Care Measured?
When someone has Surgery, timely, clear-cut treatment is critical. Evidence has shown that patients who received specific treatments and medications at certain times experienced the best outcomes. These treatments include:

  • Antibiotic given 1 hour before incision
  • Appropriate antibiotic selection
  • Antibiotic discontinued within 24 hours after surgery/48hrs after Coronary Artery Bypass Graft surgery (CABG)
  • Treatment to prevent blood clots after surgery is ordered in good time
  • Patient receives treatment to prevent blood clots perioperatively
  • Cardiac Surgery patients receive controlled 6 A.M. perioperative blood glucose
  • Surgery Patients needing hair removal get it done appropriately
  • Beta Blocker prior to admission or during surgery
  • Urinary catheter is removed on day 1 or day 2 post operatively.

Brief Explanation:

  • Getting an antibiotic within one hour before surgery reduces the risk of wound infections. Hospitals should check to make sure surgery patients get antibiotics at the right time
  • Certain antibiotics are recommended to help prevent wound infection for particular types of surgery
  • It is important for hospitals to stop giving preventative antibiotics within 24 hours after surgery to avoid side effects and other problems associated with antibiotic use. For certain surgeries, however, antibiotics may be needed for a longer time
  • It is important to receive the appropriate VTE treatment. Certain VTE treatments are recommended for particular types of surgery
  • Timely Ordering of VTE prophylaxis reduces the risk of blood clots.
  • Any patient who has high blood sugar after surgery has a greater chance of getting an infection
  • The risk of catheter associated Urinary Tract Infections increases with increasing duration of an indwelling urinary catheter
  • Studies show that shaving causes multiple skin abrasions that may later become infected
  • Beta blockers have been shown to reduce the risk of cardiovascular complications in a variety of medical conditions

Surgical Care Improvement Project (SCIP) 4th Quarter 2013

Percent of surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection

HaysMed – 94%

Kansas Avg. – 97%

National Avg. – 97%

Percent of surgery patients who were given the right kind of antibiotic to help prevent infection

HaysMed – 99%

Kansas Avg. – 99%

National Avg. – 98%

Percent of surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

HaysMed – 94%

Kansas Avg. – 97%

National Avg. – 97%

Percent of surgery patients needing hair removed from the surgical area before surgery, who had hair removed using a safer method (electric clippers or hair removal cream – not a razor)

HaysMed – 100%

Kansas Avg. – 100%

National Avg. – 100%

Percent of surgery patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries

HaysMed – 99%

Kansas Avg. – 98%

National Avg. – 98%

Percent of surgery patients who got their urinary catheter removed on Post-op day 1 or 2n (new measure)

HaysMed – 97%

Kansas Avg. – 95%

National Avg. – 96%

Percent of patients that were on a beta-blocker prior to surgery who received a beta blocker during the perioperative period (new measure)

HaysMed – 100%

Kansas Avg. – 97%

National Avg. – 97%

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