| Prophylactic Antibiotic Received within 1 Hour Prior to Surgical Incision |
Technical
Skin integrity provides a natural body defense against infection from harmful microorganisms. Surgical incisions breech these normal barriers thereby increasing the potential for microbes to invade the body. Prophylactic means to defend against or prevent infection. The goal of prophylaxis with antibiotics is to establish bactericidal tissue and serum levels at the time of skin incision. The evidence-base for surgical care continues to grow and has demonstrated reduced morbidity, mortality and decreased length of stay for patients receiving appropriate surgical care including antibiotic administer one hour prior to surgical incision. |
| Area/Measure | Avera Facility HQID Ranking | HQID Median | HQA Median/ Average |
42 patients discharged; 42 patients received prophylactic antibiotic withing 1 hour prior to surgical incision | 100% | 97.65% | NA |
| |
| Prophylactic Antibiotic Selection for Surgical Patients |
Technical
The goal of prophylactic antibiotics with surgery is the use of antibiotics that are safe, cost-effective and provide a spectrum of action for the most probable intraoperative contaminants. The antibiotic selection regimens are specific for the seven SIP surgery types and include alternative regimens for patient allergies to beta-lactam antibiotics. |
Area/Measure | Avera Facility HQID Ranking | HQID Median | HQA Median/ Average |
42 patients discharged; 40 patients received prophylactic antibiotic selection | 95.24% | 98.73% | NA |
| |
| Prophylactic Antibiotics Discontinued within 24 hours After Surgery |
Technical
The goal of prophylactic antibiotics with surgery is to establish bactericidal tissue and serum levels at the time of skin incision and during the surgery. The continued administration of prophylactic antibiotics for more than a few hours after the surgical incision is closed offers no additional benefit to the surgical patient. Further, having no additional benefit, the discontinuation may reduce the risks associated with opportunistic infections such as C-difficile or the development of antimicrobial resistant pathogens. |
| Area/Measure | Avera Facility HQID Ranking | HQID Median | HQA Median/ Average |
39 patients discharged; 39 patients received prophylactic antibiotic discontinuation within 24 hours after surgery | 100% | 95.61% | NA |
| |
Recommended VTE Prophylaxis Ordered |
Technical
Venous thrombosis is a condition where a blood clot (thrombosis) forms in a vein. Venous clots may restrict blood flow and lead to swelling and pain. These clots occur more commonly in the lower extremities and pelvis and when these occur in "deep" veins the condition is referred to as "DVT" (deep vein thrombosis). |
| Area/Measure | Avera Facility HQID Ranking | HQID Median | HQA Median/ Average |
16 patients discharged; 16 patients received prophylactic ordered | 100% | 95.56% | NA |
| |
| Received VTE Prophylaxis within 24 Hours Prior-24 Hours After Surgery End |
Technical
Due to the inherent variability related to the initiation of prophylaxis for surgical procedures, 24 hours prior to surgery to 24 hours post surgery was recommended by consensus of the Surgical Care Improvement Project (SCIP) Technical Expert Panel in order to establish a timeframe that would encompass most procedures. |
Area/Measure | Avera Facility HQID Ranking | HQID Median | HQA Median/ Average |
16 patients discharged; 16 patients received prophylactic ordered within 24 hours - 24 hours after surgery end
| 100% | 93.75% | NA |
| |
| Surgical Patients with Appropriate Hair Removal |
Technical Surgery patients with surgical site hair removal with clippers or depilatory or with no surgical site hair removal. |
| Area/Measure | Avera Facility HQID Ranking | HQID Median | HQA Median/ Average |
61 patients discharged; 61 patients received appropriate hair removal | 100% | 100% | NA |
