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Surgical Care Improvement Project

Last Updated: 11/2011


The Surgical Care Improvement Project’s (SCIP) goal is to save lives by reducing the incidence of surgical complications by 25 percent by the year 2010. The Surgical Care Improvement Project (SCIP) targets areas where the incidence and cost of surgical complications are high.
 

These areas are: Surgical Site Infections (SSI), Cardiovascular complications (CV), Venous Thromboembolism (VTE) complications, Ventilator associated pneumonia . The SCIP project focuses on these four components and lists preventive measures that the team can take to reduce surgical patient morbidity and mortality. Although some surgical complications are unavoidable, surgical care can be improved through better adherence to evidence-based practice recommendations.


The Top Decile represents the top 10% of hospitals nationwide (highest scoring).
 

The links below are graphs for specific surgeries.

Cardiac Surgery Patients With Controlled 6 A.M. Postoperative Blood Glucose

Cardiac Surgery Patients With Controlled 6 A.M. Postoperative Blood Glucose


Cardiac Surgery Patients With Controlled 6 A.M. Postoperative Blood Glucose

April 2010 - March 2011

LGH

96%

State

96%

Top Decile

94%




Antibiotics Stopped Within 24 Hours

Surgical patients whose prophylactic antibiotics were stopped within 24 hours after surgery with no signs of infection prior to surgery.


Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End Time

April 2010 - March 2011

LGH

97%

State

96%

Top Decile

96%




Antibiotics Selection

Surgical patients who received prophylactic antibiotics consistent with current guidelines (specific to each type of surgical procedure).


Prophylactic Antibiotics Selection for Surgical Patients

April 2010 - March 2011

LGH

98%

State

98%

Top Decile

98%




Antibiotics Within One Hour

Surgical patients who received prophylactic antibiotics within one hour prior to surgical incision.


Prophylactic Antibiotics Within 1 Hour Prior to Surgical Incision

April 2010 - March 2011

LGH

96%

State

98%

Top Decile

97%




Patients on Beta-Blockers before Arrival Who Received Beta-Blockers during the Perioperative Period


Surgery Patients on Beta-Blockers Therapy Prior to Arrival Who Received a Beta-Blocker During the Perioperative Period

April 2010 - March 2011

LGH

92%

State

95%

Top Decile

95%




Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 hours Before or After Surgery


Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 hours Prior to Surgery to 24 Hours After Surgery

April 2010 - March 2011

LGH

92%

State

96%

Top Decile

94%




Surgery Patients with Appropriate Hair Removal


Surgery Patients with Appropriate Hair Removal

April 2010 - March 2011

LGH

99%

State

100%

Top Decile

100%




Surgery Patients with Perioperative Temperature Management


Surgery Patients with Perioperative Temperature Management

April 2010 - March 2011

LGH

100%

State

99%

Top Decile

99%




Patients with Recommended Venous Thromboembolism Prophylaxis Ordered


Surgery Patients with Recommended Venous Thromboembolism Prophylaxis Ordered

April 2010 - March 2011

LGH

94%

State

97%

Top Decile

95%




Urinary Catheter Removed 1 or 2 Days after Surgery


Urinary Catheter Removed Posoperative Day 1 or Day 2 with Day of Surgery being Day 0

April 2010 - March 2011

LGH

94%

State

95%

Top Decile

92%



Independent sources of information on healthcare provider quality:

 
 





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