Surgical Care Improvement Project (SCIP) Measures

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

(Benchmark data collected from 4/1/2012 to 3/31/2013)

Mary Greeley
100%

Iowa Hospitals
97%

U.S. Hospitals
97%

What It Is and Why It Is Important

  • It is often standard procedure to stop patients' usual medications for a while before and after their surgery. But if patients who have been taking beta blockers suddenly stop taking them, they can have heart problems such as a fast heartbeat. For these patients, staying on beta blockers before and after surgery makes it less likely that they will have heart problems.

Higher percentages are better.


Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision

(Benchmark data collected from 4/1/2012 to 3/31/2013)

Mary Greeley
99%

Iowa Hospitals
98%

U.S. Hospitals
97%

What It Is and Why It Is Important

  • Surgical wound infections can be prevented. Medical research shows that surgery patients who get antibiotics within the hour before their surgery are less likely to get wound infections.
  • Getting an antibiotic earlier, or after surgery begins, is not as effective. Hospital staff should make sure surgery patients get antibiotics at the right time.

Higher percentages are better.


Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery

(Benchmark data collected from 4/1/2012 to 3/31/2013)

Mary Greeley
100%

Iowa Hospitals
98%

U.S. Hospitals
99%

What It Is and Why It Is Important

  • Hospitals can prevent surgical wound infections. Medical research has shown that certain antibiotics work better to prevent wound infections for certain types of surgery.
  • Hospital staff should make sure patients get the antibiotic that works best for their type of surgery.

Higher percentages are better.


Surgery Patients Whose Preventive Antibiotics were Stopped at the Right Time (Within 24 Hours After Surgery)

(Benchmark data collected from 4/1/2012 to 3/31/2013)

Mary Greeley
100%

Iowa Hospitals
97%

U.S. Hospitals
98%

What It Is and Why It Is Important

  • Antibiotics are often given to patients before surgery to prevent infection.
  • Taking these antibiotics for more than 24 hours after routine surgery is usually not necessary. Continuing the medication longer than necessary can increase the risk of side effects such as stomach aches and serious types of diarrhea. Also, when antibiotics are used for too long, patients can develop resistance to them and the antibiotics won't work as well.

Higher percentages are better.


Patients Who got Treatment at the Right Time (Within 24 Hours Before or After Their Surgery) to Help Prevent Blood Clots After Certain Types of Surgery

(Benchmark data collected from 4/1/2012 to 3/31/2013)

Mary Greeley
100%

Iowa Hospitals
98%

U.S. Hospitals
98%

What It Is and Why It Is Important

  • Many factors influence a surgery patient's risk of developing a blood clot, including the type of surgery. When patients stay still for a long time after some types of surgery, they are more likely to develop a blood clot in the veins of the legs, thighs, or pelvis. A blood clot slows down the flow of blood, causing swelling, redness, and pain. A blood clot can also break off and travel to other parts of the body. If the blood clot gets into the lung, it is a serious problem that can sometimes cause death.
  • Treatments to help prevent blood clots from forming after surgery include blood-thinning medications, elastic support stockings, or mechanical air stockings that help with blood flow in the legs. These treatments need to be started at the right time, which is typically during the period that begins 24 hours before surgery and ends 24 hours after surgery.

Higher percentages are better.


Patients having Surgery Who were Actively Warmed in the Operating Room or Whose Body Temperature was Near Normal by the End of Surgery

(Benchmark data collected from 4/1/2012 to 3/31/2013)

Mary Greeley
100%

Iowa Hospitals
100%

U.S. Hospitals
100%

What It Is and Why It Is Important

  • 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.
  • This measure shows the percent of patients whose body temperature was normal or near normal during the time period 15 minutes before the end of surgery to 30 minutes after anesthesia ended.

Higher percentages are better.


Surgery Patients Whose Urinary Catheters were Removed on the First or Second Day after Surgery

(Benchmark data collected from 4/1/2012 to 3/31/2013)

Mary Greeley
99%

Iowa Hospitals
97%

U.S. Hospitals
97%

What It Is and Why It Is Important

  • Sometimes surgical patients need to have a urinary catheter, or thin tube, inserted into their bladder to help drain the urine. Catheters are usually attached to a bag that collects the urine.
  • Surgery patients can develop infections when urinary catheters are left in place too long after surgery. Infections are dangerous for patients, cause longer hospital stays, and increase costs.
  • This measure shows the percent of surgery patients whose urinary catheters were removed on the first or second day after surgery. Research shows that most surgery patients should have their urinary catheters removed within 2 days after surgery to help prevent infection.

Higher percentages are better.


Outpatients Having Surgery who got an Antibiotic at the Right Time - Within One Hour Before Surgery

(Benchmark data collected from 4/1/2012 to 3/31/2013)

Mary Greeley
99%

Iowa Hospitals
98%

U.S. Hospitals
97%

What It Is and Why It Is Important

  • Hospitals can prevent surgical wound infections. Medical research shows that surgery patients who get antibiotics within the hour before their surgery are less likely to get wound infections.
  • The timing is important: getting an antibiotic earlier, or after surgery begins, is not as effective. Hospital staff should make sure patients get antibiotics at the right time.

Higher percentages are better.


Outpatients having Surgery Who got the Right Kind of Antibiotic

(Benchmark data collected from 4/1/2012 to 3/31/2013)

Mary Greeley
98%

Iowa Hospitals
98%

U.S. Hospitals
97%

What It Is and Why It Is Important

  • Hospitals can prevent surgical wound infections. Medical research has shown that certain antibiotics work better to prevent wound infections for certain types of surgery.
  • Hospital staff should make sure patients get the antibiotic that works best for their type of surgery.

Higher percentages are better.

Patient Privacy | Net Learning for Employees | MGMC PACS for Physicians
Emergency Preparedness

1111 Duff Avenue Ames, IA 50010 - 515-239-2011 - yourhealth.mgmc@mgmc.com

©2014 Mary Greeley Medical Center - All rights reserved.