Navigation Links
Reported surgical quality measures not associated with lower infection rates
Date:6/24/2010

A study by investigators at Case Western Reserve University School of Medicine published in this week's issue of JAMA found that public hospital comparison data reported by the U.S. Department of Health and Human Services does not accurately correlate with a patient's risk for surgical postoperative infection. The retrospective, cohort study of more than 400,000 patients from 398 hospitals nationwide examined the relationship between reported adherence to six infection prevention Surgical Care Improvement Project (SCIP) measures and the probability of patient postoperative infection.

"The SCIP has done an outstanding job of designing and identifying proper infection prevention measures, but there is still more work to be done," says Jonah J. Stulberg, MD, PhD, MPH, a recent graduate of Case Western Reserve University School of Medicine, and the lead author of the study. "Our analysis shows that using a multi-measure approach to prevention is associated with a lower probability of patient infection, and that is something I think everyone can appreciate."

Due to new Value-Based Purchasing (VBP) incentives under the recently passed Health Care Reform Act, Medicare reimbursement will be tied to hospitals' adherence to SCIP measures. Researchers found that using a composite infection prevention score, one that assesses more than two measures per patient visit, was more accurate in predicting the probability of a patient developing a postoperative infection. It predicted approximately a 15 percent decreased risk of postoperative infection.

Within the current system, Medicare reports performance only on individual SCIP measures. Dr. Stulberg, who will soon begin his residency in the Department of Surgery at University Hospitals Case Medical Center, and his co-authors recommend SCIP require multiple measures be performed and recorded at every single patient visit. They found this will result in a more accurate prediction of whether a patient will develop a postoperative infection.

"Our inability to demonstrate a statistically significant association between individual measures and clinical outcomes at the patient level suggests that the rates, as reported on the Hospital Compare website, do not necessarily infer quality differences between hospitals," explains Siran Koroukian, PhD, Associate Professor of Epidemiology and Biostatistics at Case Western Reserve University School of Medicine and senior author of the study. "However, the multi-measure model in our study better captures the culture of quality in hospitals."

The SCIP is a national quality partnership dedicated to reducing the rate of surgical complications. It is the first, and largest, movement to measure the quality of care delivered for surgical patients in the U.S. Comprised of 20 measures covering various discrete elements of patient care, the six measures examined in this study focus on infection prevention efforts, which include:

  • Patients who received antibiotics within one hour prior to surgery
  • Patients who received the appropriate antibiotic for their specific procedure
  • Patients whose antibiotics were discontinued within 24 hours after surgery
  • Cardiac surgery patients with a controlled postoperative blood glucose level
  • Surgery patients with appropriate surgical site hair removal
  • Colorectal surgery patients with immediate postoperative normothermia

Although SCIP prevention measures give a strong indication of postoperative infection complication rates, there are several factors independent of the measures which may play an important role in determining the rates. Other aspects influencing surgical patient outcomes include the skill and knowledge of the surgical team, a safe and clean working environment, and a general culture of quality surrounding patient care are likely to be at least as important to the assessment of hospital quality.


'/>"/>

Contact: Christina DeAngelis
christina.deangelis@case.edu
216-368-3635
Case Western Reserve University
Source:Eurekalert

Related medicine news :

1. Patient-reported outcomes study shows improvements in quality of life among patients after 1 year of treatment with TYSABRI
2. Rapid development of drug-resistant 2009 H1N1 influenza reported in 2 cases
3. Violence is part of the job say nurses as study shows only 1 in 6 incidents are reported
4. Mortality rates for pediatric rheumatology patients significantly lower than previously reported
5. The Washington Post Reported That Cyber Monday Website Traffic Rises 8%. Bostons Bella Sante Day Spas Cyber Monday Website Traffic Rises 76%.
6. Optimal surgical procedure for duodenal gastrointestinal stromal tumors
7. Spectrum Surgical Instruments Appoints President, Chief Operating Officer
8. GYN Oncologist Uses da Vinci Surgical Robot to Preserve Fertility
9. Spectrum Surgical Instruments Corp. Announces: Cleanables™ Instrument Cleaning Brushes
10. Jackson Surgical Assistants Expands Its National Presence by Merging with Two Atlanta Area Practices
11. Surgical procedure offers new option for pediatric patients with rare cancer in abdomen
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/9/2016)... ... February 09, 2016 , ... ... to expand access to affordable hearing aids , increase industry transparency, and ... in the United States. , “For the average consumer, the hearing aid industry ...
(Date:2/9/2016)... ... February 09, 2016 , ... ... sealing company , is proud to announce that many of their franchises have ... customer service. The hard surface restoration franchises received customer recognition through positive reviews ...
(Date:2/8/2016)... ... 08, 2016 , ... The Federal Laboratory Consortium for Technology ... site houses a wealth of federal resources that businesses can leverage to further ... transfer (T2). As a network of over 300 federal laboratories, the FLC’s mission ...
(Date:2/8/2016)... ... ... who has struggled to quit smoking, a man who has struggled with hair loss – ... his problems – and he did. Now Nabat, a serial entrepreneur featured as the October ... to the world and better people's lives. His own experience with nicotine addiction led to ...
(Date:2/8/2016)... ... 2016 , ... The Bell Agency, a full service insurance ... their ongoing community enrichment program. The current campaign fundraises for Angels & Doves, ... being accepted at: http://www.angelsanddoves.com/donate.html . , Angels & Doves was founded in ...
Breaking Medicine News(10 mins):
(Date:2/9/2016)... DUBLIN , Feb. 9, 2016  Jazz Pharmaceuticals ... will report its 2015 fourth quarter and full year ... close of the financial markets.  Company management will host ... 4:30 p.m. EST/9:30 p.m. GMT to discuss fourth quarter ... business and financial update and guidance for 2016 financial ...
(Date:2/9/2016)... February 9, 2016 Amarantus BioScience ... on developing products for Regenerative Medicine, Neurology and Orphan ... presenting company at Source Capital Group,s 2016 Disruptive Growth ... 2016 in New York City . ... 10, 2016 at 12:30 pm by Gerald E. ...
(Date:2/9/2016)... , Feb. 9, 2016 The new report "Global Blood Monitoring ... Acuity Business Research & Consulting group reveals that global market for ... million in 2014 and expected to grow to US$ 24,830.1 million ... North America , Europe ... , Middle-East and Africa ...
Breaking Medicine Technology: