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

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.


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

Page: 1 2

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