Surgical Care Improvement Process (SCIP)
There are 7 measures known as the "standards of care" for patients who have undergone surgical procedures. We measure these indicators for heart surgery, hip and knee surgery, colon surgery, and hysterectomy. The goal for all medical facilities is to provide all of these measures to 100% of eligible/appropriate patients. The graph represents Maimonides compliance with these measures.Maimonides has improved the delivery of all recommended services to patients with who have undergone surgery.
The improvement opportunities we are focusing on at present are:
- Assuring that appropriate antibiotics are selected, administered within one hour prior to surgery, and are discontinued within 24 hours of surgery. Adherence to these guidelines has been proven to reduce surgical infections.
- Assure that patients receive treatment to prevent blood clots from forming. Patients undergoing certain types of surgery have a higher risk of forming blood clots in the veins post surgery.
CORE MEASURES: Surgical Care Improvement Project (SCIP)
Prophylactic antibiotic received within 1 hour prior to surgery.
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
Some antibiotics work better than others to prevent wound infections for certain types of surgery. This measure shows how often hospital staff make sure patients get the right kind of preventive antibiotic medication for their surgery.
Prophylactic antibiotics discontinued within 24 hours of surgery
Taking preventive antibiotics for more than 24 hours after routine surgery is usually not necessary. This measure shows how often hospitals stopped giving antibiotics to surgery patients when they were no longer needed to prevent surgical infection.
Cardiac Surgery patients with controlled 6:00AM post-operative blood glucose
Any patient who has high blood sugar after heart surgery has a greater chance of getting an infection. This measure indicates how often the blood sugar of heart surgery patients is kept under control in the days following their surgery.
Surgery patients with appropriate hair removal
For patients who need to have hair removed in preparation for surgery, this measure tells how often a safer method was used (electric clippers or hair removal cream).
Surgery patients with recommended VTE prophylaxis ordered
Certain types of surgery can increase patients' risk of having blood clots after surgery. For these types of surgery, this measure tells how often treatment to help prevent blood clots was ordered by the doctor.
Surgery patients who received appropriate VTE prophylaxis within 24 hours prior to surgery to 24 hours after surgery
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 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
Making sure that certain prescription drugs are continued in the time before, during, and just after surgery can reduce the risk of cardiac problems associated with surgery. This includes drugs used to control heart rhythms and blood pressure.
Surgery patients whose urinary catheters were removed on the first or second day after surgery
Removing catheters that are used to drain the bladder in a timely manner after surgery reduces the risk of infection.