Evaluation of Surgical Care Improvement Project Performance Measures and Surgical Site Infections

2.50
Hdl Handle:
http://hdl.handle.net/10755/160000
Type:
Presentation
Title:
Evaluation of Surgical Care Improvement Project Performance Measures and Surgical Site Infections
Abstract:
Evaluation of Surgical Care Improvement Project Performance Measures and Surgical Site Infections
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2007
Author:Talsma, AkkeNeel, PhD, RN
P.I. Institution Name:University of Michigan
Contact Address:School of Nursing, 400 North Ingalls, Rm. 4154, Ann Arbor, MI, 48103, USA
Co-Authors:L. Sturm, M. Chung, V. Bahl, M. O'Reilly, R. Burney, and D.A. Campbell, Office of Clinical Affairs, University of Michigan Hospital, Ann Arbor, MI
The purpose of the study was to examine whether the performance of the Surgical Care Improvement Project (SCIP) measures was associated with surgical site infections (SSI). The SCIP is a national quality partnership and is focused on improving surgical care by significantly reducing surgical complications. This evaluation study included all SCIP specified surgical colon cases between July 2003 and December 2005 (www.medqic.org). SCIP measure data elements were obtained from medical records. Intra-operative data elements were obtained via the anesthesiology CIS and entered into a JCAHO approved proprietary reporting tool to produce the SCIP rates. Infection control specialists reviewed all colon cases to determine whether a SSI was present. The SIP colon cases included n=455 cases and 48.3% of the cases were females. The average age was 57 years and the average length of stay (ALOS) was 10 days. The performance for the SCIP measures was 89% for providing prophylactic antibiotics within 1 hr of incision (r .089, ns), 73% for prophylactic antibiotic selections (r = 0.022, ns), and 78% for timely discontinuation of antibiotics (r -.019, ns). Post-operative body temperature above 36C was 60% (r 0.042, ns). The correlation between SSI rate and the SCIP performance measures was not significant for this SCIP colon population. The SCIP measures are based on research findings following well-designed studies and projects. The population included in the SCIP measures is narrowly defined and bound by specific in- and exclusion criteria. However, results based on a well-controlled study may not be reproducible in a general practice setting. The limitations of this evaluation are: 1) The data were obtained from electronic and medical records, any errors contained in the data could not be verified with a second data source. 2) Many hospital systems, processes and OR operations may influence the development of a SSI, despite performance on the SCIP measures. Though extensive hospital and nursing resources are directed toward implementation activities benefiting SCIP measures, hospitals need to be cognizant that despite 'doing the right thing right", the outcomes may not reflect the good performance on SCIP measures.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEvaluation of Surgical Care Improvement Project Performance Measures and Surgical Site Infectionsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160000-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Evaluation of Surgical Care Improvement Project Performance Measures and Surgical Site Infections</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Talsma, AkkeNeel, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Michigan</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 400 North Ingalls, Rm. 4154, Ann Arbor, MI, 48103, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">antalsma@umich.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">L. Sturm, M. Chung, V. Bahl, M. O'Reilly, R. Burney, and D.A. Campbell, Office of Clinical Affairs, University of Michigan Hospital, Ann Arbor, MI</td></tr><tr><td colspan="2" class="item-abstract">The purpose of the study was to examine whether the performance of the Surgical Care Improvement Project (SCIP) measures was associated with surgical site infections (SSI). The SCIP is a national quality partnership and is focused on improving surgical care by significantly reducing surgical complications. This evaluation study included all SCIP specified surgical colon cases between July 2003 and December 2005 (www.medqic.org). SCIP measure data elements were obtained from medical records. Intra-operative data elements were obtained via the anesthesiology CIS and entered into a JCAHO approved proprietary reporting tool to produce the SCIP rates. Infection control specialists reviewed all colon cases to determine whether a SSI was present. The SIP colon cases included n=455 cases and 48.3% of the cases were females. The average age was 57 years and the average length of stay (ALOS) was 10 days. The performance for the SCIP measures was 89% for providing prophylactic antibiotics within 1 hr of incision (r .089, ns), 73% for prophylactic antibiotic selections (r = 0.022, ns), and 78% for timely discontinuation of antibiotics (r -.019, ns). Post-operative body temperature above 36C was 60% (r 0.042, ns). The correlation between SSI rate and the SCIP performance measures was not significant for this SCIP colon population. The SCIP measures are based on research findings following well-designed studies and projects. The population included in the SCIP measures is narrowly defined and bound by specific in- and exclusion criteria. However, results based on a well-controlled study may not be reproducible in a general practice setting. The limitations of this evaluation are: 1) The data were obtained from electronic and medical records, any errors contained in the data could not be verified with a second data source. 2) Many hospital systems, processes and OR operations may influence the development of a SSI, despite performance on the SCIP measures. Though extensive hospital and nursing resources are directed toward implementation activities benefiting SCIP measures, hospitals need to be cognizant that despite 'doing the right thing right&quot;, the outcomes may not reflect the good performance on SCIP measures.</td></tr></table>en_GB
dc.date.available2011-10-26T22:31:56Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:31:56Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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