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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

graph
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

scip 2
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

graph
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

scip4 vte1
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

scip5 vte 2
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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Sisters of Mercy Health System