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Surgical Care

Surgical Care

Surgical Care

The graphs below display how well St. Mary's performs when compared against all other hospitals in the United States in key quality measures related to surgical care for following surgery types:

  • Heart Bypass Surgery
  • Heart Valve Surgery
  • Hip Replacement
  • Knee Replacement
  • Colon Surgery
  • Hysterectomy
  • Vascular Surgery

 

Why is timing of the antibiotic within 1 hour of surgical incision important?

Multiple studies have shown that delivering preventative antibiotics to a patient within the one hour just prior to surgical incison results in the lowest rates of surgical site infection.  Some antibiotics should be administered more slowly and 2 hours are allowed.  - Source: The Joint Commission 

This quality mesure is the percentage of surgery patients whose preventative surgical antibiotic was started within 60 minutes of of the time of incision.

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Why is it important to give the right antibiotic for each specific type of surgery?

The goal is to give a preventative antibiotic that will offer the best protection from the type of bacteria that one is most likely to encounter for that specific type of surgery.  - Source: The Joint Commission 

This quality measure is the percentage of surgical patients who received preventative antibiotics recommended for that surgery type.

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Why is it important to stop giving preventative antibiotics within 24 hours after the surgery is over?

The goal of preventative antibiotics is to provide benefit to the patient with as little risk as possible.  Studies have shown that continuing to give preventative antibiotics past 24 hours after the end of surgery offers no additional benefit to the patient and may in fact be harmful.  - Source: The Joint Commission 

This quality measure is the percentage of surgery patients whose preventative antibiotics were stopped with 24 hours after the end of surgery*

*Note: for heart bypass surgery and heart valve surgery antibiotics should be stopped within 48 hours.

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Why is it important to maintain control of blood glucose in heart surgery patients?

Multiple studies have shown that cardiac surgery patients, whose blood sugar levels are not well controlled, have a significantly higher chance of developing a surgical site infection.  - Source: The Joint Commission

This quality measure is the percentage of heart surgery patients whose blood suger result, on both first and 2nd morning after the day of surgery, were less than or equal to 200 mg/dL.

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Why is it important that any hair from the surgical site be removed with clippers only?

When hair is removed from the surgical site with a razor, instead of clippers, this can damage the hair follicles and cause skin abrasions that can later become infected and increase the likelhood of getting a surgical site infection.  - Source: The Joint Commission

This quality measure is the percentage of surgical patients who had appropriate surgical site hair removal.

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Why is it important that the urinary catheter be removed as soon as possible after the surgery is over?

There is a much greater chance of getting a urinary catheter infection if the urinary catheter is left in beyond 2 days.  - Source: The Joint Commission

This quality measure is the percentage of surgery patients whose urinary catheter was removed on either the first or second day after the day of surgery.

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Why is it important to take my normally prescribed beta blocker before my surgery?

For patients who are normally on a beta blocker at home, The American Heart Association recommends continued beta blocker therapy during the perioperative period.  (Within 24 hours of the start of sugery) - Source: The Joint Commission

This quality measure is the percentage of surgical patients, normally on a beta blocker at home, who received a dose within 24 hours prior to the start of surgery up through the time they leave the recovery area.

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If I am having surgery, why is it important to receive prevention methods against the development of blood clots and why is the timing important?

Development of blood clots after surgery (also know as Venous Thromboembolism or VTE), is one of the most common complications following surgery.

Studies have demonstrated surgery is associated with over a twenty-fold increase in the odds of developing VTE.  Different surgery types require different VTE prevention methods.  - Source: The Joint Commission

This quality measure is the percentage of surgery patients who had correctly ordered VTE prevention methods administered with the proper timing (Within 24 hours of the surgery).

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