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Montrose Memorial Hospital Quality & Core Measures

 

Surgical Site Infection Prevention

 

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 MMH's performance in the Core Measures relating to Surgical Site Infection Prevention. 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 octagon-- this is our "stop-sign" system for a quick glance at how we are doing: Green = Meeting Identified Goal of Compliance for Most Current Month; Red = Not Meeting Identified Goal 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 June 2007

 

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 START WITHIN 1 HOUR HIP SURGERY: A higher score is better.

What this means:
This is a measure that shows the percentage of hip surgery 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 START WITHIN 1 HOUR KNEE SURGERY: A higher score is better.

What this means:
This is a measure that shows the percentage of knee surgery 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 START WITHIN 1 HOUR COLON SURGERY: A higher score is better.

What this means:
This is a measure that shows the percentage of colon surgery 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 START WITHIN 1 HOUR HYSTERECTOMY SURGERY: A higher score is better.

What this means:
This is a measure that shows the percentage of hysterectomy surgery 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 START WITHIN 1 HOUR VASCULAR SURGERY: A higher score is better.

What this means:
This is a measure that shows the percentage of vascular surgery 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 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.

 

PROPHYLACTIC ANTIBIOTICS DISCONTINUED WITHIN 24 HOURS

OF HIP SURGERY END TIME: a higher score is better.

 

What this means:
This is a measure that shows the percentage of hip surgery 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.

 

PROPHYLACTIC ANTIBIOTICS DISCONTINUED WITHIN 24 HOURS

OF KNEE SURGERY END TIME: a higher score is better.

 

What this means:
This is a measure that shows the percentage of knee surgery 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.

 

PROPHYLACTIC ANTIBIOTICS DISCONTINUED WITHIN 24 HOURS

OF COLON SURGERY END TIME: a higher score is better.

 

What this means:
This is a measure that shows the percentage of colon surgery 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.

 

PROPHYLACTIC ANTIBIOTICS DISCONTINUED WITHIN 24 HOURS

OF HYSTERECTOMY SURGERY END TIME: a higher score is better.

 

What this means:
This is a measure that shows the percentage of hysterectomy surgery 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.

 

PROPHYLACTIC ANTIBIOTICS DISCONTINUED WITHIN 24 HOURS

OF VASCULAR SURGERY END TIME: a higher score is better.

 

What this means:
This is a measure that shows the percentage of vascular surgery 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.

 

Montrose Memorial Hospital

800 South Third Street

Montrose, CO  81401

(970) 249-2211  (970) 240-7350  Fax

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