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The Surgical Care measures focus on evidence-based care for reducing postoperative complications. For specific surgeries, practices to prevent surgical site infections, adverse cardiac events, and the development of a deep vein thrombosis, a blood clot to the leg, are implemented. Order sets incorporating these guidelines have been developed to ensure continued improvement in these areas.
To prevent surgical site infections, the Surgical Care measures include the timing and selection of antibiotic administration and the appropriate hair removal method. They also include measures related to body temperature and glucose control for certain procedures.
The appropriate administration of a beta-blocker, for those patients on this medication at admission, is recommended to prevent adverse cardiac events. In addition, measures to prevent deep vein thrombosis are implemented.
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INTEGRIS Baptist Regional Health Center |
United States top 10% |
United States Average |
Oklahoma Average |
Joint Commission National |
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(October - December 2007) |
(Oct 2006 - Sept 2007) |
(July 2006 - June 2007) |
(July 2006 - June 2007) |
(October - December 2007) |
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| Prophylactic Antibiotic Within One Hour Before Incision |
92.1% |
97% |
82% |
79% |
89.8% |
| Appropriate Antibiotic Selection |
97.3% |
99% |
90% |
87% |
94.7% |
| Prophylactic Antibiotics Stopped Within 24 Hours After Surgery |
89.2% |
96% |
78% |
83% |
86.2% |
| Cardiac Surgery Patients with Controlled Postop Serum Glucose |
No Patients
Fit Criteria |
Not Reported |
Not Reported |
Not Reported |
85.6% |
| Appropriate Hair Removal |
97.4% |
Not Reported |
Not Reported |
Not Reported |
94.8% |
| Colorectal Surgery Patients with Postop Normothermia |
75.0% |
Not Reported |
Not Reported |
Not Reported |
81.5% |
| Appropriate Beta Blocker Administration |
86.4% |
Not Reported |
Not Reported |
Not Reported |
88.8% |
| Recommended Venous Thromboembolism Prophylaxis Ordered |
93.6% |
97% |
79%* |
70%* |
86.9% |
| Appropriate Venous Thromboembolism Prophylaxis Received |
89.4% |
95% |
75%* |
68%* |
82.9% |
* January - June 2007 |
Click on the bars in the table below for trend data and
more explanation about each measure.
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| A - |
Prophylactic Antibiotic Within One Hour Before Incision |
| B - |
Appropriate Antibiotic Selection |
| C - |
Prophylactic Antibiotics Stopped Within 24 Hours After Surgery |
| D - |
Cardiac Surgery Patients with Controlled Postop Serum Glucose |
| E - |
Appropriate Hair Removal |
| F - |
Colorectal Surgery Patients with Postop Normothermia |
| G - |
Appropriate Beta Blocker Administration |
| H - |
Recommended Venous Thromboembolism Prophylaxis Ordered |
| I - |
Appropriate Venous Thromboembolism Prophylaxis Received |
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