Surgical Care Improvement / Surgical Infection Prevention: Genesis Medical Center Hospitals
Surgical Site infections can occur with any surgical procedure. Most of these infections occur at the time of incision when the patient’s own skin bacteria enter the incision. These quality measures show some of the recommended practices known to reduce the risk of developing a surgical site infection. These tables and graphs include six months of data beyond what is available on the CMS Hospital Compare Web site.
A Surgical Care Improvement Team has been formed to ensure that recommended practices have been implemented. We have held education sessions for our clinical staff on methods to reduce the risk of developing post-operative surgical site infections. We have been recognized by the Iowa Healthcare Collaborative as a leader in surgical infection prevention activities.
| Performance Key |
| within the top 10% in nation |
at or better than national average |
below national average |
NA = Data is not applicable |
| Number of Surgical Care Patients |
# |
# |
# |
|
# |
# |
 |
| July '06 - June '07 (12 Months) |
3180 |
0 |
760 |
|
NA |
NA |
|
| July '07 - December '07 (6 Months) |
1482 |
0 |
371 |
|
NA |
NA |
|
Percent of Surgical Patients Receiving Preventative Antibiotic(s) One Hour before Incision
(View graphs here) |
% |
% |
% |
|
% |
% |
|
| July '06 - June '07 |
94 |
NA |
94 |
|
82 |
96 |
|
| July '07 - December '07 |
98 |
NA |
96 |
|
NA |
NA |
|
Percent of Surgical Patients Receiving Appropriate Preventative Antibiotic(s) for Their Surgery
(View graphs here) |
% |
% |
% |
|
% |
% |
|
| July '06 - June '07 |
95 |
NA |
98 |
|
90 |
99 |
|
| July '07 - December '07 |
95 |
NA |
99 |
|
NA |
NA |
|
Percent of Surgical Patients with Discontinued Antibiotic(s) within 24 Hours After Surgery
(View graphs here) |
% |
% |
% |
|
% |
% |
|
| April '06 - March '07 |
89 |
NA |
77 |
|
78 |
96 |
|
| July '07 - December '07 |
87 |
NA |
88 |
|
NA |
NA |
|
| Percent of Surgical Patients Receiving Treatment to Prevent Blood Clots within 24 Hours Before or After Selected Surgeries (View graphs here) |
% |
% |
% |
|
% |
% |
|
| July '06 - June '07 |
80 |
NA |
95 |
|
75 |
95 |
|
| April '07 - September '07 |
80 |
NA |
88 |
|
NA |
NA |
|
| Percent of Surgical Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) for Certain Type of Surgeries (View graphs here) |
% |
% |
% |
|
% |
% |
|
| July '06 - June '07 |
89 |
NA |
97 |
|
79 |
97 |
|
| July '07 - December '07 |
87 |
NA |
94 |
|
NA |
NA |
|
View Surgical Care Improvement Glossary