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Surgical Infection Prevention Measures SIP

SIP Data Reporting. . The data is reported at the procedural and statewide levels for the following types of surgery:Coronary Artery Bypass (CABG)Cardiac SurgeryHip ArthroplastyKnee ArthroplastyColon SurgeryHysterectomyVascular SurgeryTotal Exclusions include:HospitalsState-Operated Hospi

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Surgical Infection Prevention Measures SIP

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    1. Surgical Infection Prevention Measures (SIP) This is a measure of how surgical care is managed by hospitals and physicians are constantly looking at new ways to prevent and reduce infections for their patients. While there are multiple practices adopted by hospitals to prevent and reduce infections, there are three measures that have been adopted at the national level by Centers for Medicare and Medicaid Services, the Centers for Disease Control and Prevention and the Hospital Quality Alliance* that relate to the use of antibiotics to reduce surgical infections. These measures are : Giving the Recommended Drug Giving the Drug at the Right Time Stopping the Drug at the Right Time How can patients use this information? What can I do to reduce my chances of developing an infection?

    2. SIP Data Reporting

    3. Giving the Recommended Drug This measure reflects the percentage of patients receiving the most appropriate antibiotic before surgery. An antibiotic is a medication/drug that kills bacteria that can cause infection. Surgeons should select an antibiotic based on scientific research showing which drug will best reduce the chances of developing a surgical infection. Not all patients will receive an antibiotic before surgery because some operative procedures might not require the use of antibiotics before surgery.

    4. Giving the Drug at the Right Time This measure reflects the percentage of patients receiving antibiotics at the right time before the surgical incision. Research has shown that antibiotics are most effective in reducing risk of infection when given as close to the beginning of the surgery as possible, no earlier than 1 hour before the surgical incision.

    5. Stopping the Drug at the Right Time This measure reflects the percentage of patients where the drug was discontinued at the right time. Research has shown that antibiotics are only needed for a short time after surgery to reduce the risk of infection. Continuing “preventive” antibiotics for longer than necessary could increase costs and risk of complications.

    6. % of Patients Receiving Recommended Drug*

    7. How do I use these measures? Before surgery, patients – or family members on the patient’s behalf – should talk with the surgeon and ask these questions… Will an antibiotic be necessary at the time of my surgery? In most cases, a preventive antibiotic has proven to be scientifically appropriate. If your surgeon tells you that an antibiotic is not needed, you can ask for an explanation so that you can understand the decisions made regarding your care. Will the antibiotic be administered immediately before the incision is made? Studies indicate that the antibiotic is MOST beneficial when it is given immediately prior to the beginning of surgery – it should most definitely be given within 1 hour of the incision. You can ask the surgeon to ensure that the antibiotic is given before the beginning of the procedure. Do you prescribe antibiotics following the procedure? Studies have shown that antibiotics given following the surgery do not offer a benefit for preventing surgical infection and, therefore, should not be given for more than 24 hours after the operation. The surgeon may find it necessary to use antibiotics after surgery for various reasons, such as to treat symptoms of infection. You can feel free to ask your surgeon to explain the purpose for all medications, including antibiotics. Are there other things that patients can do to lower risk of infection following surgery? National Patient Safety Foundation AHCA’s brochure on Patient Safety JCAHO’s speak-up campaign CDC 12 Step Prevention of Hospital Infections

    8. What can I do to reduce my chances of developing an infection? Wash your hands carefully, especially after going to the bathroom. Remind your doctors and nurses about washing their hands before working on you. If you have an intravenous catheter or a dressing on a wound, keep the skin around the dressing clean and dry. Tell your nurse promptly if the dressing is loose or gets wet. If you have any type of catheter or drainage tube, let your nurse know immediately if it becomes loose or dislodged. Ask your friends and family not to visit if they are feeling ill.

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