Surgery Quality Measures at Strong Memorial Hospital

Surgical Care Improvement Project

Prophylactic Antibiotic Received Within 1 Hour Prior to Surgical Incision, 2013-2014

Surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection. Getting an antibiotic within one hour before surgery reduces the risk of wound infections. This measure shows how often hospital staff make sure surgery patients get antibiotics at the right time.

Prophylactic Antibiotic Selection for Surgical Patients, 2013-2014

Surgery patients who were given the right kind of antibiotic to help prevent infection. Some antibiotics work better than others to prevent would infections for certain types of surgery. This measure shows how often hospital staff make sure patients get the right kind of preventative antibiotic medication for their surgery.

Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End Time, 2013-2014

Surgery patients whose preventative antibiotics were stopped at the right time (within 24 hours after surgery). Taking preventative antibiotics for more than 24 hours after routine surgery is usually not necessary. This measure shows how often hospital stopped giving antibiotics to surgery patients when they were no longer needed to prevent surgical infection.

Cardiac Surgery Patients with Controlled 6 a.m. Postoperative Blood Glucose, 2013-2014

Cardiac surgery patients with controlled 6 A.M. blood glucose (ó 200 mg/dL) on postoperative day one (POD1) and postoperative day two (POD 2) with Surgery End Date being postoperative day zero (POD 0). CABG patients with uncontrolled blood glucose have significantly higher infection rates. Deep wound infections in diabetic cardiac surgery patients were reduced by controlling mean blood glucose levels below 200mg/dL.

Inpatients whose urinary catheters were removed within 2 days after surgery to reduce the risk of infections, 2013-2014

Shows the percent of surgery patients whose urinary catheters were removed on the first or second day after surgery. The longer a urinary catheter stays in place, the greater the risk for Catheter-Acquired Urinary Tract Infection (CAUTI).

Surgery Patients on Beta-Blocker Therapy Prior to Admission Who Received a Beta-Blocker During Perioperative Period, 2013-2014

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery. Beta Blockers cause vasodilation and reduce peripheral vascular resistance Beta Blockers have been shown to significantly reduce morbidity and mortality in AMI patients.

Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery, 2013-2014

Surgery patients who received appropriate venous thromboembolism (VTE) prophylaxis within 24 Hours prior to Surgical Incision Time to 24 Hours after Surgery End Time. This measure tells how often patients having certain types of surgery received treatment to prevent blood clots in the period from 24 hours before surgery to 24 hours after surgery.

Surgery Patients with Perioperative Temperature Management, 2013-2014

Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal by the end of surgery. Hospitals can prevent surgical wound infections and other complications by keeping the patient's body temperature near normal during surgery. Medical research has shown that patients whose body temperatures drop during surgery have a greater risk of infection and their wounds may not heal as quickly. Hospital staff should make sure that patients are actively warmed during and immediately after surgery to prevent drops in body temperature.