Surgical Care Improvement Project (SCIP) Measures
St. Edward Mercy Medical Center is working to reduce
the risk of surgical site wound infections by providing prophylactic
antibiotics for certain selected surgical operations before the surgery and
by discontinuing prophylactic antibiotics within 24 hours after surgery.
There are also steps that you, as a patient, can take to
make sure the surgery is as safe as possible. For example, your doctor or
nurse can tell you how to wash with an antibiotic soap the day before surgery.
You can also give your doctor or nurse a list of all your medications, including
vitamins, herbal medicines, and over-the-counter medications. You should
also tell your doctor or nurse about any allergies and bad reactions to anesthesia.
For more information about steps you can take to make healthcare safer, click here.
Sometimes patients get an infection after surgery, even
if the hospital took steps to prevent it. Here are signs to look out for:
- The surgical wound is red, hot, and swollen.
- You have a fever of over 100 degrees after you go home.
- A smelly or yellow/green fluid is coming out of the wound.
- Your pain is increasing even though you are taking pain medication.
Call your doctor or local hospital immediately if you have
any of these signs.
Percentage of Surgery Patients
Who Received
Preventive Antibiotic(s) within One Hour Before Incision

July 2006 – June 2007
Why is this Important?
Antibiotics are medicines that prevent and treat infections. Research
shows that surgical patients who receive antibiotics within the hour
before their operation are less likely to acquire wound infections.
Receiving an antibiotic earlier, or after surgery begins, is not as
effective. This shows how often hospitals make sure surgery patients
receive antibiotics at the right time.
The Percent of Surgery Patients Who Received Preventative
Antibiotics for Surgical Patients

July 2006 – June 2007
Why is this Important?
This measure reports how often patients who had surgery were given the appropriate
medicine (antibiotic) that prevents infection which is know to be effective
for the type of surgery, based upon the recommendations of experts around
the country. Note: Not every surgery requires antibiotics and this measure
reports on those selected surgeries where evidence/experts have identified
that antibiotics would be helpful.
The Percent of Surgery
Patients Whose Preventive Antibiotic(s)
are Stopped Within 24 Hours After
Surgery
July 2006 – June 2007
Why is this Important?
Antibiotics are medicines that prevent and treat infections. While the
likelihood of infection after surgery can be reduced by giving patients
preventive antibiotics, taking these antibiotics for more than 24 hours
after routine surgery is usually not necessary and can increase the
risk of side effects such as stomach aches, serious types of diarrhea,
and antibiotic resistance
There are exceptions – for example, where the surgical site has
been contaminated (making the surgery not routine).Talk to your doctor
if you have questions about how long you should take antibiotics after
surgery.
The Percent of Surgery Patients With Recommended
Venous Thromboembolism Prophylaxis Ordered

July 2006 – June 2007
Why is this Important?
This measure reports how often patients having surgery had treatment prescribed
for the prevention of blood clots. The incidence of blood clots is lowest
when patients are treated to prevent them. Note: Not every surgery requires
treatment and this measure reports on those selected surgeries where
evidence/experts have identified that treatment to prevent blood clots
would be helpful.
The Percent of Surgery Patients Who Received Appropriate
Venous
Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24
Hours After Surgery

July 2006 – June 2007
Why is this Important?
This measure reports how often patients having surgery had treatment prescribed
for the prevention of blood clots. The incidence of blood clots is lowest when
patients are treated to prevent them. Note: Not every surgery requires treatment
and this measure reports on those selected surgeries where evidence/experts
have identified that treatment to prevent blood clots would be helpful.
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