• Surgical Care

  • Surgical site infections are common, often preventable, complications that can occur after surgery. Bacteria or germs, which are present in the parts of the body where surgery took place, cause these infections. Surgical site infections are a leading cause of hospital-acquired infections and often lead to longer hospital stays and increased health care costs.

    The Surgical Care Improvement Project (SCIP) is a national quality partnership of organizations dedicated to reducing the incidence of surgical complications and infections. SCIP has developed recommended surgical infection prevention measures and guidelines to improve surgical care and safety.   

    The graphs below show Wake Forest Baptist Medical Center’s performance in following best practices (evidence-based processes of care) to prevent surgical complications after the following procedures: colon surgery, hip replacement, knee replacement, abdominal and vaginal hysterectomy, cardiac surgery (including coronary artery bypass grafts) and vascular surgery.

    A column with N/A indicates one of the following: we did not have enough eligible patients to report on that measure; CMS held the data for one or more quarters; results were unavailable for the reporting period; no cases met the criteria for the measure; or results could not be calculated for the reporting period.

  • Antibiotic Given Within 1 Hour Prior to Surgery

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    Patients can develop wound infections after surgical procedures. A prophylactic, or preventative, antibiotic should be given to patients within one hour before surgery to reduce the risk of developing a postoperative infection. Timing is important, as taking the antibiotic earlier or later can reduce effectiveness. This chart shows the percent of surgical patients who received an antibiotic within one hour of surgery.

  • Right Kind of Antibiotic Treatment

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    Taking the proper antibiotic can help prevent the development of wound infections after surgery. It is critical for hospital staff to select the appropriate antibiotic for patients, as some antibiotics are more effective than others for particular types of surgery. This chart shows the percent of surgical patients who received the most effective antibiotic treatment to prevent infection.

  • Blood Clot Treatment Received

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    Surgical patients, especially those who are immobile for long periods of time, are at risk for developing blood clots in the veins of the legs, thighs or pelvis. Blood clots can interfere with blood flow, causing swelling, pain and sometimes death. Treatments like blood-thinning medications or tight-fitting stockings can help prevent the formation of blood clots and should be administered at the right time for the best results. This chart shows the percent of surgical patients who received blood clot treatments within 24 hours before or after surgery.

  • Antibiotics Stopped Within 24 Hours after Surgery

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    Patients often take antibiotics before surgery to help prevent infection. However, continuing these antibiotics for more than 24 hours after surgery, in the absence of other indications, can increase the risk of side effects like diarrhea, stomach aches and the development of resistant bacteria. This chart shows the percent of surgical patients who stopped taking preventative antibiotics 24 hours after surgery ended.

  • Urinary Catheter Removed

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    Surgical patients may have a urinary catheter, a thin tube inserted into the bladder, to drain their urine. While catheters help patients who are immobile or have incontinence problems, they should not be left in place too long, as they increase a patient’s risk for developing catheter-associated urinary tract infections. This chart shows the percent of surgical patients who had their urinary catheter removed on the first or second day after surgery to help prevent infection.

  • Beta-Blocker Therapy

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    Beta-blockers are medications that treat high blood pressure, angina (chest pain) and abnormal heart rhythm. While it is often standard procedure to stop taking medications before surgery, patients on beta-blocker therapy should continue to take these medicines before surgery to reduce the chance of a heart attack or other heart problems. This chart shows the percent of surgical patients who remained on beta-blockers right before and after surgery.

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