Upload
jerold
View
28
Download
0
Tags:
Embed Size (px)
DESCRIPTION
Perioperative Enterprise Committee Surgical Site Infection Report. October 15, 2009. Pod 1. C-Section Hysterectomy. Cesarean Section SSIs. 2.4%. 2.64%. Abdominal Hysterectomy SSIs. 4.5%. 4.37%. Vaginal Hysterectomy SSIs. 0%. 1.3%. Pod 3. Colorectal Surgery. - PowerPoint PPT Presentation
Citation preview
Perioperative Enterprise CommitteeSurgical Site Infection Report
October 15, 2009
ProcedureRate Q3
2009Rate Q3
2008% Change from 1 yr
CDC Benchmark
O/E Inf Rate*
Cardiac
Cardiac surgery (non-CABG) 0.6 1.2 -100% 1.71 0.4
Coronary bypass w/chest and donor incision 4.3 1.8 139% 4.88 0.8
Coronary bypass graft with chest incision 0 0.6 -100% 2.88 0
Cardiac surgery (pediatric, primary closure) 2.3 1.3 77% 1.71 1.34
Colorectal
Elective Colon 8.4 12.5 -32.8% 10.8 0.7
Elective Rectal 21.2 22.2 -4% 20 1.06
EGS Colon 15.6 21.5 -27.4 10.8 1.4
EGS Rectal 0 0 0% 15 0
Craniotomy 2.7 7.5 -64% 4.68 0.6
ProcedureRate Q3
2009Rate Q3
2008% Change from 1 yr
CDC Benchmark
O/E Infection
Rate*
Total Hip 4.9 3.4 44% 2.97 1.65
Total Knee 0 1.0 -100% 1.82 0
Vascular AAA Repair 0 0 0% 5.2 0
CEA 6.7 0 100% 0.42 16
Peripheral Bypass 9.1 0 100% 6.7 7.3
OB/GYN Hyst - Vaginal 0 0 -100% 1.26 0
Hyst - Abdominal 4.9 2.4 104% 4.37 1.12
C-sections 2.4 7.4 -67% 2.64 0.9
Pediatric VP shunts 4.7 6.7 -30% 5.16 0.9
Pod 1C-Section
Hysterectomy
Cesarean Section SSIs
2.4%
2.64%
Abdominal Hysterectomy SSIs
4.37%
4.5%
Vaginal Hysterectomy SSIs
1.3%
0%
Pod 3Colorectal Surgery
Elective Colon Surgery SSIs
10.86%
8.4%
20% 21.2%
Elective Rectal Surgery SSIs
Pod 4Ambulatory Services
Outbreak in Thyroidectomy Cases 5 cases from 2 surgeons within a 3 month
time frame No common pathogens IC Team needs to observe
Sterilization in the Dental Clinic Non-standard practices observed in the
Dental/Orthodontic clinics at VAV One person was the local expert Non-standard practices when this person was out
Standardized to off site sterilization Labeling instruments Be able to inspect and repair Standard treatment for all persons
Pod 6Orthopedic Surgery
Total Hip Arthroplasty SSIs
2.97%
4.9%
Hip Infection Details One infection occurring in July
1 infection deep ( 6+ hr surgery, EBL 1300-1500cc, with 5 units PRBCs/FFP intraop. Multiple procs– ORIF then THA.
ABX and timing appropriate Three infections for August
1 SIP 2 DIP
Total Knee Arthroplasty SSIs
1.82%
Pod 7EGS - Colorectal
EGS Colon Surgery SSIs
10.86%
15.6%
15%
0%
EGS Rectal Surgery SSIs
Pod 8Neurosurgery
Craniotomy SSI
4.68%
2.7%
Pod 9Vascular Surgery
Abdominal Aortic Aneurysm SSI
5.2%
0%
Carotid Endarterectomy SSI
0.42%
1/15=6.7%
Peripheral Vascular Bypass SSI
6.7%
25%
Pod 10Cardiac Surgery
Adult CABG (Procedures w/ Sternotomy + Donor Site) SSIs
4.88% 4.3%
Adult CABG (Sternotomy-Only Procedures) SSIs
2.88% 0%
Adult Cardiac (non-CABG) SSIs
1.71%
0%
State Mandatory Reporting Delayed due to H1N1 TDOH will publish hospital infection rates for the
public to view CLABSI rates for each ICU will be published by
unit per facility (excluding BICU and Trauma) Cardiac SSI rates will be published as an aggregate
for the state (Coronary bypass grafts) Will likely be a SIR for 2008 Tennessee regions may be separate
Vanderbilt Cardiac SIR (CBGB)
0
1
2
3
4
5
6
J F M A M J J A S O N D
CBGB SIR CDC Benchmark
VCH ORsPediatric Cardiac
Pediatric V Shunt
Pediatric Cardiac SSIs
1.71%
2.3%
Pediatric VP Shunt SSI
5.16% 2.3%