Surgical Care Improvement

The Surgical Care Improvement Project (SCIP) lists specific treatment guidelines and preventative meaures that, if followed, can lead to a significant reduction in surgical complications and patient morbidity. The chart below lists these guidelines and compares UMMC's performance in these key measures with national averages. For more information, click on any of the underlined measures below.

Safe and Effective Care National UMMC UMMC UMMC UMMC
  Jul.-Sep. 2012 Oct.-Dec. 2012 Jan.-Mar. 2013 Apr.-Jun. 2013
Preventative Antibiotic Received Within 1 Hour Prior to Surgical Procedure
Percent of surgery patients who were given an antibiotic within one hour of surgery to help prevent infection.
98% 97.6% 96.1% 99% 99.6%
Preventative Antibiotics Selection for Surgical Incision
Percent of surgery patients who were given the proper antibiotic to help prevent infection.
98.6% 98.8% 98.6% 98.1% 98.5%
Preventative Antibiotics Discontinued Within 24 Hours After Surgery
Percent of surgery patients whose preventive antibiotics were stopped within 24 hours after surgery was completed.
97.1% 94.2% 93.3% 96.5% 99.1%
Cardiac Surgery Patients with Controlled Postoperative Serum Glucose
Percent of all heart surgery patients whose blood sugar (blood glucose) was kept under control in the days following surgery.
96.2% 93.4% 94.3% 96% 92.3%
Surgery Patients with Appropriate Hair Removal
Percent of surgery patients who, if necessary, had hair removed using a safe method (i.e. electric clippers or hair removal cream ”“ not a razor).
99.8% 100% 100% 99.7% 100%
Surgery Patients Previously Prescribed Beta-Blocker Therapy Who Received a Beta-Blocker During the Peri-Operative Period
Percent of surgery patients who were taking beta-blockers before coming to the hospital and who were kept on beta-blockers during the period before and after surgery.
96.1% 94.5% 97.9% 92.9% 98.6%
Surgery Patients Who Received Appropriate Venous Thrombo-Embolism Prophylaxis
Percent of surgery patients who received treatment (within 24 hours before or after their surgery) to help prevent blood clots.
97.1% 96.7% 94.5% 95.3% 95.5%
Surgery Patient's Urinary Catheter is Removed 1-2 Days Following Surgery
Percent of surgery patients who had their urinary catheter removed 1-2 days following surgery to prevent a UTI.
95.5% 98.1% 97.1% 98.9% 99.1%
Surgery Patients with Peri-Operative Temperature Management
Percent of patients who received perioperative temperature management to reduce risk of unplanned perioperative hypothermia.
99.7% 99.7% 99.8% 100% 99.5%

Source: The Joint Commission

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This page was last updated: September 17, 2013

         
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