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Clinical Quality Measures

Surgical Infection Prevention

Surgeon

In an operating room, there are open wounds, surgical instruments, intravenous fluids and blood transfusions. This makes it a key area to focus on preventing infections. St. Anthony’s has five quality teams working to prevent infections and other surgical complications by complying with recommended guidelines, including giving the right antibiotic at the right time.

Clinical Outcomes

The information below shows how often St. Anthony's provided recommended treatment for people who have certain types of surgery.

Surgical infection prevention provides treatments that are shown to help prevent a post-operative infection at the incision site.

St. Anthony's "easy view" key

Above average
Near average
Below average

Percent of Patients: St.
Anthony's
National
Average
Who received preventative antibiotics one hour before incision.

Why is it important?

Getting an antibiotic within one hour before surgery reduces the risk of wound infections. Hospitals should check to make sure surgery patients get antibiotics at the right time.
92% 82%
Who received appropriate preventative antibiotic(s) for their surgery.

Why is it important?

Certain antibiotics are recommended to help prevent wound infection for particular types of surgery. This measure looks at how often hospital surgical patients get the appropriate antibiotic in order to prevent a surgical wound infection.
91% 90%
Who received treatment to prevent blood clots within 24 hours before or after selected surgeries to prevent blood clots.

Why is it important?

Treatment(s) to prevent blood clots must be given at the right time to prevent blood clots forming after selected surgeries.

Venous thrombosis is a condition in which a blood clot (thrombus) forms in a vein. This clot can limit blood flow, causing swelling, redness and pain. Most commonly, clots occur in the legs, thighs, or pelvis.

If a part or all of the clot breaks off from where it was formed, it can travel through the veins. The part that breaks off is called an embolus. If the embolus lodges in the lung, it is called a pulmonary embolism, a serious condition that can cause death.

A number of factors can increase a patient’s risk of developing blood clots, but doctors can order preventive treatments called prophylaxis to reduce the risk. Prophylaxis may include blood thinning medications, elastic support stockings, or mechanical air stockings that promote circulation in the legs.

Higher percentages are better.
90% 75%
Whose doctors ordered treatments to prevent blood clots for certain types of surgeries.

Why is it important?

Certain types of surgery can increase the risk of blood clots forming in the veins. This is because patients don’t move much during and, usually, after some surgeries.

Venous thrombosis is a condition in which a blood clot (thrombus) forms in a vein. This clot can limit blood flow, causing swelling, redness and pain. Most commonly, clots occur in the legs, thighs, or pelvis.

If a part or all of the clot breaks off from where it was formed, it can travel through the veins. The part that breaks off is called an embolus. If the embolus lodges in the lung, it is called a pulmonary embolism, a serious condition that can cause death.

A number of factors can increase a patient’s risk of developing blood clots, but doctors can order preventive treatments called prophylaxis to reduce the risk. Prophylaxis may include blood thinning medications, elastic support stockings, or mechanical air stockings that promote circulation in the legs.

Higher percentages are better.
93% 79%
Whose preventative antibiotics are stopped within 24 hours after surgery.

Why is it important?

It is important for hospitals to stop giving preventive antibiotics within 24 hours after surgery to avoid side effects and other problems associated with antibiotic use. For certain surgeries, however, antibiotics may be needed for a longer time.
78% 78%

Source: Centers for Medicare and Medicaid Services (CMS) data report 7/2006-6/2007

Reviewed: 7/31/2008


State of Missouri Hospital Comparisons - Infection Reports

Lower than Average
Near Average
Higher than Average

Infection Report:
St.
Anthony's
Missouri
Hospitals
Surgical Site Infection - Coronary Artery Bypass Graft
Average
Average
Surgical Site Infection - Hip Repair
Average
Average
Central Line-Associated Bloodstream (CLAB) Infection - Medical ICUs
Lower
Lower
Central Line-Associated Bloodstream (CLAB) Infection - Surgical ICUs Average Average
Abdominal Hysterectomy Average Average

Source: Missouri Department of Health and Senior Services data report 2007

Updated: 7/31/2008


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