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Performance

Balanced Scorecard

Patient Satisfaction & Patient Safety

Overall Care Received
Would You Recommend for Stay
Hospital Standardized Mortality Ratio
MRSA Rate
MRSA Bacteraemia
Clostridium difficile Rate
VRE Rate
VRE Bacteraemia
Ventilator Associated Pneumonia (VAP)
Central Line Infections (CLI)
Surgical Site Infection (SSI) Prevention
Hand Hygiene Compliance


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Surgical Site Infection (SSI) Prevention

 
Percentage of Patients with Antibiotic Administration within the Appropriate Time Prior to Surgery
 
Hip Surgery
Knee Surgery

Mar - 09

93%
100%

 Apr 09 - Jun 09

 89%

 98%

Jul 09 - Sept 09

 94.1%

 98%

 Oct 09 - Dec 09    

 82.9%

 93.8%

Jan 10 - Mar 10    

92.9%

93.2%

Apr 10 - Jun 10

92.3%

98.4%

 

The rate is determined by the number of hip and knee joint replacements who received antibiotics within the first 60 or 120 minutes of skin incision divided by the total number of patients who had primary hip/knee total joint replacement surgical procedures during the reporting period x 100.

 

Surgical site infections (SSI) occur when harmful germs enter a person’s body through the surgical site (a cut the surgeon makes in the skin to perform an operation).  Infections happen because there are germs everywhere – on the skin, in the air, and on things individuals touch.  Most infections are caused by germs found on and in the patient’s body.

One of the ways to prevent surgical site infections is by giving patients antibiotics 0 – 60 minutes (for usual antibiotics) or 0 – 120 minutes (for the antibiotic vancomycin) before they go to surgery.

The SSI prevention indicator will report the percentage of time the healthcare providers gave patients antibiotics within the appropriate time period before surgery.  This applies only to patients ages 18 years or older who are about to undergo primary hip or knee joint replacement surgery, including total, partial or hemi arthroplasty.  If a patient has had a revision or “re-do”, this will not be included in the data.

The goal of the indicator is to ensure one of the most important steps in preventing SSIs is being used.

The first reporting period covers March 2009 only.  Future reporting periods will include data from the 3 months prior to the reporting month.

Chatham-Kent Health Alliance is committed to patient safety and providing safe, quality and patient centered care.

For more information about Surgical Site Infection Prevention, please visit OHA Website

For more information on Surgical Site Infection Prevention in Ontario hospitals, visit www.ontario.ca/patientsafety