Measure Information Form

Size: px
Start display at page:

Download "Measure Information Form"

Transcription

1 Release Notes: Measure Information Form Version 2.0 **NQF-ENDORSED VOUNTRY CONSENSUS STNDRDS FOR HOSPIT CRE** Measure Information Form Measure Set: Surgical Care Improvement Project (SCIP) Set Measure ID#: SCIP- Set Measure ID # 1a 1b 1c 1d 1e 1f 1g 1h Performance Measure Name Prophylactic ntibiotic Received Within One Hour Prior to Surgical Incision - Overall Rate Prophylactic ntibiotic Received Within One Hour Prior to Surgical Incision - CG Prophylactic ntibiotic Received Within One Hour Prior to Surgical Incision Other Cardiac Surgery Prophylactic ntibiotic Received Within One Hour Prior to Surgical Incision - Hip rthroplasty Prophylactic ntibiotic Received Within One Hour Prior to Surgical Incision - Knee rthroplasty Prophylactic ntibiotic Received Within One Hour Prior to Surgical Incision - Colon Surgery Prophylactic ntibiotic Received Within One Hour Prior to Surgical Incision - Hysterectomy Prophylactic ntibiotic Received Within One Hour Prior to Surgical Incision - Vascular Surgery Performance Measure Name: Prophylactic ntibiotic Received Within One Hour Prior to Surgical Incision* Description: Surgical patients who received prophylactic antibiotics within one hour prior to surgical incision. *Patients who received vancomycin or a fluoroquinolone for prophylactic antibiotics should have the antibiotics administered within two hours prior to surgical incision. Due to the longer infusion time required for vancomycin or a fluoroquinolone, it is acceptable to start these antibiotics within two hours prior to incision time. Rationale: goal of prophylaxis with antibiotics is to establish bactericidal tissue and serum levels at the time of skin incision. Studies performed in the 1960 s and 1970 s demonstrated that a common reason for failure of prophylaxis was delay of antibiotic administration until after the operation. In a study of 2,847 surgery patients at DS Hospital in Salt ake City, it was found that the lowest incidence of post-operative infection was associated with antibiotic Specifications Manual for National SCIP-Inf 1-1

2 administration during the one hour prior to surgery. The risk of infection increased progressively with greater time intervals between administration and skin incision. This relationship was observed whether antibiotics preceded or followed skin incision (Classen 1993). Opportunities to improve care have been demonstrated and timely administration has been recommended. For example, at DS Hospital, administration of the first antibiotic dose on call to the operating room was frequently associated with timing errors. ltering the system there resulted in an increase in appropriate timing from 40% of cases in 1985 to 99% of cases in Type of Measure: Process Improvement Noted s: n increase in the rate Numerator Statement: Number of surgical patients who received prophylactic antibiotics within one hour prior to surgical incision (two hours if receiving vancomycin, in ppendix C, Table 3.8, or a fluoroquinolone, in ppendix C, Table 3.10) Included Populations: Not pplicable Excluded Populations: None Data Elements: ntibiotic dministration Date ntibiotic dministration Time Surgery Start Date Surgical Incision Time Denominator Statement: ll selected surgical patients with no evidence of prior infection Included Populations: n ICD-9-CM Principal Procedure Code or ICD-9-CM Other Procedure Codes of selected surgeries (refer to ppendix, Table 5.10 for ICD-9-CM codes) ND n ICD-9-CM Principal Procedure Code or ICD-9-CM Other Procedure Codes of selected surgeries (refer to ppendix, Table for ICD-9-CM codes) Excluded Populations: Patients who had a principal or admission diagnosis suggestive of preoperative infectious diseases (refer to ppendix, Table 5.09 for ICD-9-CM codes) Patients who were receiving antibiotics within 24 hours prior to arrival (except colon surgery patients taking oral prophylactic antibiotics) Patients who were receiving antibiotics more than 24 hours prior to surgery (except colon surgery patients taking oral prophylactic antibiotics) Specifications Manual for National SCIP-Inf 1-2

3 Colon surgery patients who received oral prophylactic antibiotics only, as defined in the Data Dictionary for the data element Oral ntibiotics, and who received no antibiotics during stay Patients who are less than 18 years of age Patients with physician documented infection prior to surgical procedure of interest Patients who had other procedures requiring general or spinal anesthesia that occurred within 3 days (4 days for CG and Other Cardiac Surgery) prior to or after the procedure of interest (during separate surgical episodes) during this hospital stay Patients whose procedure of interest occurred prior to date of admission Data Elements: dmission Date dmission Diagnosis of ntibiotic Name ntibiotic dministration Route ntibiotics During Stay ntibiotics Prior to rrival irthdate Early ntibiotics ICD-9-CM Other Procedure Codes ICD-9-CM Principal Diagnosis Code ICD-9-CM Principal Procedure Code Prior to nesthesia Oral ntibiotics Other Surgeries Surgery Performed During Stay Risk djustment: No Data Collection pproach: Retrospective data sources for required data elements include administrative data and medical records. Data ccuracy: bstracted antibiotics are those administered from the time of arrival through the first 48 hours (72 hours for CG and Other Cardiac Surgery) after the surgery end time. Refer to ppendix C, Table 2.1 which contains a complete listing of antibiotics. Measure nalysis Suggestions: Consideration may be given to relating this measure to SCIP- Inf-2 and to 3 in order to evaluate which aspects of antibiotic prophylaxis (i.e., timing, selection) would most benefit from an improvement effort. The process-owners for timing of administration of antibiotics, as assessed in this measure, may include clinicians and support staff on the nursing unit as well as in the presurgical holding area, as well as in the operating room itself. Opportunities may exist in any of these arenas which, when addressed jointly, can generate true process improvement. Specifications Manual for National SCIP-Inf 1-3

4 Sampling: Yes, for additional information see the Sampling Section. Data Reported s: Overall aggregate rate for all surgeries and stratified rates by data element, generated from count data reported as a proportion Selected References: ratzler DW, Houck PM, for the Surgical Prevention Guidelines Writers Group. ntimicrobial prophylaxis for surgery: n advisory statement from the National Surgical Prevention Project. CID. 2004:38(15 July): Mangram J, Horan TC, Pearson M, et al. Guidelines for prevention of surgical site infection, Infect Control Hosp Epidemiol. 1999;20: Silver, Eichorn, Kral J, et al. Timeliness and use of antibiotic prophylaxis in selected inpatient surgical procedures. m J Surg. 1996;171: arsen R, Evans RS, urke JP, et al. Improved perioperative antibiotic use and reduced surgical wound infections through use of computer decision analysis. Infect Control Hosp Epidemiol. 1989;10: Finkelstein R, Reinhertz G, Embom. Surveillance of the use of antibiotic prophylaxis in surgery. Isr J Med Sci. 1996;32: Matuschka PR, Cheadle WG, urke JD, et al. new standard of care: administration of preoperative antibiotics in the operating room. m Surg. 1997;63: Gorecki P, Schein M, Rucinski JC, et al. ntibiotic administration in patients undergoing common surgical procedures in a community teaching hospital: the chaos continues. World J Surg. 1999;23: ernard HR, Cole WR. The prophylaxis of surgical infections: the effect of prophylactic antimicrobial drugs on the incidence of infection following potentially contaminated operations. Surgery. 1964;56: Polk HC, opez-mayor JF. Postoperative wound infection: a prospective study of determinant factors and prevention. Surgery. 1969;66: Stone HH, Hooper C, Kolb D, et al. ntibiotic prophylaxis in gastric, biliary, and colonic surgery. nn Surg. 1976;184: Specifications Manual for National SCIP-Inf 1-4

5 SCIP-: Prophylactic ntibiotic Received Within One Hour Prior to Surgical Incision Numerator: Number of surgical patients who received prophylactic antibiotics within one hour prior to surgical incision (two hours if receiving vancomycin or fluoroquinolone ). Denominator: ll selected surgical patients with no evidence of prior infection. ll Missing / Start ICD-9-CM Principal or Other Procedure Code t least one on Table 5.10 dmission Date Valid irthdate Valid Patient ge(in years) = dmission Date - irthdate Note: If two procedures of interest are performed during the same operative time frame, choose the surgery listed as the principal procedure as the surgical procedure of interest for the specific episode of care. ll Missing or None on Table 5.10 Variable Key: Patient ge ntibiotic Days I ntibiotic Timing I Surgery Days Surgery Match Stratification Table: Set# Stratified y * Procedure Of (llowable Value) SCIP-Inf1a Overall Rate ** SCIP-Inf1b CG Table 5.01 SCIP-Inf1c Other Cardiac Surgery Table 5.02 SCIP-Inf1d Hip rthroplasty Table 5.04 SCIP-Inf1e Knee rthroplasty Table 5.05 SCIP-Inf1f Colon Surgery Table 5.03 SCIP-Inf1g Hysterectomy Table 5.06 Or 5.07 SCIP-Inf1h Vascular Surgery Table 5.08 * This refers to the data element '. Each case will be stratified according to the procedure code for that, after the Category ssignments are completed and overall rate is calculated. ** No allowable value exists for the overall rate. It Includes all procedures on Tables 5.01 to age < 0 days (negative value) Patient ge age > or = 0 days and < 18 years Note: The algorithm to calculate age must use the month and day portion of admission date and birthdate to yield the most accurate age. age >= 18 years Initial population common to all SCIP measures ICD-9-CM Principal or Other Procedure Code None on Table 5.01 or 5.02 or 5.03 or 5.04 or 5.05 or 5.06 or 5.07 or 5.08 t least one on Table 5.01 or 5.02 or 5.03 or 5.04 or 5.05 or 5.06 or 5.07 or 5.08 Missing / or None on Tables On Table 5.01 or 5.02 or 5.03 or 5.04 or 5.05 or 5.06 or 5.07 or 5.08 Surgery Match = Set Surgery Match = Yes if equals the ICD-9-CM Principal or Other Procedure Code as determined to be on any of Tables 5.01 to 5.08 from the previous steps. Else set Surgery Match to No o Surgery Match =Yes H Specifications Manual for National SCIP-Inf 1-5

6 H ICD-9-CM Principal Diagnosis Code On Table 5.09 Not on Table 5.09 Surgery Start Date Valid Surgery Days (in days) = Surgery Start Date dmission Date Surgery Days < 0 0 dmission Diagnosis of Surgery Performed During Stay Prior to nesthesia ntibiotics Prior To rrival Procedure Of Not on Table 5.03 Missing / Oral ntibiotics =Y Missing / ntibiotics During Stay D Missing / ntibiotics During Stay =Y Missing / Early ntibiotics =Y Procedure Of =Not on Table 5.03 I Specifications Manual for National SCIP-Inf 1-6

7 I Missing / for all antibiotic doses ntibiotic Name On Table 2.1 Note: Only proceed with antibiotic doses with valid name. Check against the list of antibiotics on Table 2.1 in ppendix C. for all antibiotic doses ntibiotic dministration Date Valid for at least one dose of an antibiotic Note: Proceed only with antibiotic doses that have valid dates. ntibiotic Days I = Surgery Start Date - ntibiotic dministration Date (in days) ntibiotic Days I > 1 for at least one antibiotic dose Procedure Of Not on Table for all antibiotic doses ntibiotic Days I < 0 for all antibiotic doses Missing / K Oral ntibiotics 0 for any antibiotic dose =Y Missing / Surgical Incision Time Valid Missing / for all antibiotic doses ntibiotic dministration Time Note: Proceed only with antibiotic doses that have valid times. Valid for at least one dose of antibiotic ntibiotic Timing I = Surgery Start Date and Surgical Incision Time - ntibiotic dministration Date and Time (in minutes) J Specifications Manual for National SCIP-Inf 1-7

8 J ntibiotic Timing I >1440 minutes for any antibiotic dose Procedure Of Not on Table minutes for all antibiotic doses Missing/ Oral ntibiotics Other Surgeries ntibiotic Timing I 0 minutes and 60 minutes for at least one antibiotic dose < 0 minutes or > 60 minutes for all antibiotic doses ntibiotic Name Not on Table 3.8 or Table 3.10 for any dose On Table 3.8 or Table 3.10 for at least one dose ntibiotic Timing I > 60 minutes and 120 minutes for at least one antibiotic dose on Table 3.8 or Table 3.10 For Overall Rate (SCIP-a) E In Numerator Population < 0 minutes or > 120 minutes for all antibiotic doses K Specifications Manual for National SCIP-Inf 1-8

9 K Not on Table 5.03 D Data Missing or Measure Population For Overall Rate (SCIP-a) Missing / for all ntibiotic doses D ntibiotic dministration Route = 1 for all antibiotic doses ntibiotic Name Not on Table 3.3 for any dose On Table 3.3 for at least one dose D = 2-5, 7-10 for any antibiotic dose OR = 1 for some doses and missing/invalid for all others ntibiotic Name Not on Table 3.4 for any dose D On Table 3.4 for at least one dose Not In Measure Population For Overall Rate (SCIP-a) For Overall Rate (SCIP-a) Measure Population DIn STOP HERE FOR CMS. CONTINUE FOR JCHO. Specifications Manual for National SCIP-Inf 1-9

10 For all Stratified Measures (b-h) K Not In Measure Population Note: Initialize the Measure Category ssignment for each strata measure (b-g) = ''. Do not change the Measure Category ssignment that was already calculated for the overall rate (SCIP-a). The rest of the algorithm will reset the appropriate Measure Category ssignment to be equal to the overall rate's (SCIP-a) Measure Category ssignment Overall Rate Category ssignment = or or C Set the Measure Category ssignment for the strata measures (SCIP-b through SCIP-h) = '' Z = D or E SCIP-b On Table 5.01 Set the Measure Category ssignment for measure SCIP-b = the Measure Category ssignment for measure SCIP-a Z On Table 5.02 or 5.03 or 5.04 or 5.05 or 5.06 or 5.07 or 5.08 SCIP -c On Table 5.02 Set the Measure Category ssignment for SCIP-c = the Measure Category ssignment for measure SCIP-a Z or 5.04 or 5.05 or 5.06 or 5.07 or 5.08 SCIP -d On Table 5.04 Set the Measure Category ssignment for measure SCIP-d = the Measure Category ssignment for measure SCIP- a Z or 5.05 or 5.06 or 5.07 or 5.08 Specifications Manual for National SCIP-Inf 1-10

11 SCIP-e On Table 5.05 Set the Measure Category ssignment for measure SCIP-e = the Measure Category ssignment for measure SCIP-a or 5.06 or 5.07 or 5.08 SCIP-f Set the Measure Category ssignment for measure SCIP-f = the Measure Category ssignment for measure SCIP-a On Table 5.06 or 5.07 or 5.08 SCIP-g On Table 5.06 or 5.07 Set the Measure Category ssignment for measure SCIP-g = the Measure Category ssignment for measure SCIP-a On Table 5.08 SCIP-h Set the Measure Category ssignment for measure SCIP-h = the Measure Category ssignment for measure SCIP-a Z Stop Specifications Manual for National SCIP-Inf 1-11

NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE. Measure Information Form Collected For: CMS Voluntary Only

NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE. Measure Information Form Collected For: CMS Voluntary Only Last Updated: Version 4.4a NQF-ENORSE VOLUNTARY CONSENSUS STANARS FOR HOSPITAL CARE Measure Information Form Collected For: CMS Voluntary Only Measure Set: Surgical Care Improvement Project (SCIP) Set

More information

Measure Information Form

Measure Information Form Release Notes: Measure Information Form Version 2.0 **NQF-NDORSD VOUNTRY CONSNSUS STNDRDS FOR HOSPIT CR** Measure Information Form Measure Set: Surgical Care Improvement Project (SCIP) Set Measure ID #:

More information

Measure Information Form

Measure Information Form Release Notes: Measure Information Form Version 2.0 **NQF-NDORSD VOLUNTRY CONSNSUS STNDRDS FOR HOSPITL CR** Measure Information Form Measure Set: Surgical Care Improvement Project (SCIP) Set Measure ID

More information

National Hospital Quality Measures Measure Definitions

National Hospital Quality Measures Measure Definitions National Hospital Quality Measures Measure efinitions Excerpts from the Specifications Manual for National Hospital Quality Measures for Surgical Care Improvement Project Measure Set Applicable to Cases

More information

Measure Information Form

Measure Information Form Release Notes: Measure Information Form Version 2.4 **NQF-NORS VOLUNTARY CONSNSUS STANARS FOR HOSPITAL CAR** Measure Information Form Measure Set: Surgical Care Improvement Project (SCIP) Set Measure I

More information

Measure Information Form

Measure Information Form Release Notes: Measure Information Form Version 2.0 Measure Information Form Measure Set: Pneumonia (PN) Set Measure ID #: Organization Set Measure ID# Time Intervals JCHO 0-8 hours CMS/JCHO 0-4 hours

More information

NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE. Measure Information Form Collected For: CMS Voluntary Only

NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE. Measure Information Form Collected For: CMS Voluntary Only Last Updated: Version 4.4a NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE Measure Infmation Fm Collected F: CMS Voluntary Only Measure Set: Surgical Care Improvement Project (SCIP) Set Measure

More information

Quality ID #352: Total Knee Replacement: Preoperative Antibiotic Infusion with Proximal Tourniquet National Quality Strategy Domain: Patient Safety

Quality ID #352: Total Knee Replacement: Preoperative Antibiotic Infusion with Proximal Tourniquet National Quality Strategy Domain: Patient Safety Quality ID #352: Total Knee Replacement: Preoperative Antibiotic Infusion with Proximal Tourniquet National Quality Strategy Domain: Patient Safety 2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE

More information

Developed by Kathy Wonderly RN, MSEd,CPHQ Developed: October 2009 Most recently updated: December 2014

Developed by Kathy Wonderly RN, MSEd,CPHQ Developed: October 2009 Most recently updated: December 2014 Developed by Kathy Wonderly RN, MSEd,CPHQ Developed: October 2009 Most recently updated: December 2014 The Center for Medicare and Medicaid (CMS) is moving away from collecting data on the process of care

More information

Measure #20 (NQF 0270): Perioperative Care: Timing of Prophylactic Parenteral Antibiotic Ordering Physician

Measure #20 (NQF 0270): Perioperative Care: Timing of Prophylactic Parenteral Antibiotic Ordering Physician Measure #20 (NQF 0270): Perioperative Care: Timing of Prophylactic Parenteral Antibiotic Ordering Physician 2014 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY DESCRIPTION: Percentage of surgical

More information

2019 OPTIONS FOR INDIVIDUAL MEASURES: MIPS CLINICAL QUALITY MEASURES (CQMS) MEASURE TYPE: Process High Priority

2019 OPTIONS FOR INDIVIDUAL MEASURES: MIPS CLINICAL QUALITY MEASURES (CQMS) MEASURE TYPE: Process High Priority Quality ID #352: Total Knee Replacement: Preoperative Antibiotic Infusion with Proximal Tourniquet National Quality Strategy Domain: Patient Safety Meaningful Measure Area: Healthcare Associated Infections

More information

Measure #21 (NQF 0268): Perioperative Care: Selection of Prophylactic Antibiotic First OR Second Generation Cephalosporin

Measure #21 (NQF 0268): Perioperative Care: Selection of Prophylactic Antibiotic First OR Second Generation Cephalosporin Measure #21 (NQF 0268): Perioperative Care: Selection of Prophylactic Antibiotic First OR Second Generation Cephalosporin 2013 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY DESCRIPTION: Percentage

More information

Preventing Surgical Site Infections. Edward L. Goodman, MD September 16, 2013

Preventing Surgical Site Infections. Edward L. Goodman, MD September 16, 2013 Preventing Surgical Site Infections Edward L. Goodman, MD September 16, 2013 Outline NHSN Reporting and Definitions Magnitude of the Problem Risk Factors Non Pharmacologic Interventions Pharmacologic Interventions

More information

Prophylactic antibiotic timing and dosage. Dr. Sanjeev Singh AIMS, Kochi

Prophylactic antibiotic timing and dosage. Dr. Sanjeev Singh AIMS, Kochi Prophylactic antibiotic timing and dosage Dr. Sanjeev Singh AIMS, Kochi Meaning - Webster Medical Definition of prophylaxis plural pro phy lax es \-ˈlak-ˌsēz\play : measures designed to preserve health

More information

Measure Information Form

Measure Information Form Release Notes: Measure Information Form Version 3.0b **NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE** Measure Set: Pneumonia (PN) Performance Measure Identifier: Measure Information Form

More information

Use And Misuse Of Antibiotics In Neurosurgery

Use And Misuse Of Antibiotics In Neurosurgery Use And Misuse Of Antibiotics In Neurosurgery CSF infection in the United States after neurosurgery from 1992 to 2003 0.86% to 2.32% * *National Nosocomial Infections Surveillance System: National Nosocomial

More information

Antimicrobial prophylaxis. Bs Lưu Hồ Thanh Lâm Bv Nhi Đồng 2

Antimicrobial prophylaxis. Bs Lưu Hồ Thanh Lâm Bv Nhi Đồng 2 Antimicrobial prophylaxis Bs Lưu Hồ Thanh Lâm Bv Nhi Đồng 2 Definition The United States Centers for Disease Control and Prevention (CDC) has developed criteria that define surgical site infection (SSI)

More information

Prevention of Perioperative Surgical Infections

Prevention of Perioperative Surgical Infections Prevention of Perioperative Surgical Infections Michael A. West, MD, PhD, FACS Department of Surgery University California San Francisco San Francisco, CA, USA Surgical Site Infections (SSI) 2-5% of operated

More information

2013 PQRS Measures Groups Specifications Manual PERIOPERATIVE CARE MEASURES GROUP OVERVIEW

2013 PQRS Measures Groups Specifications Manual PERIOPERATIVE CARE MEASURES GROUP OVERVIEW PERIOPERATIVE CARE MEASURES GROUP OVERVIEW 2013 PQRS OPTIONS F MEASURES GROUPS: CLAIMS, REGISTRY 2013 PQRS MEASURES IN PERIOPERATIVE CARE MEASURES GROUP: #20. Perioperative Care: Timing of Prophylactic

More information

Learning Objectives:

Learning Objectives: Preventing Surgical Site Infections (SSI) Learning Objectives: Discuss risk factors for surgical site infections in healthcare settings. Review current strategies and emerging guidelines for SSI prevention.

More information

Scottish Surveillance of Healthcare Infection Programme (SSHAIP) Health Protection Scotland SSI Surveillance Protocol 7th Edition 2017 Question &

Scottish Surveillance of Healthcare Infection Programme (SSHAIP) Health Protection Scotland SSI Surveillance Protocol 7th Edition 2017 Question & Contents General... 4 Pre-op... 4 Peri-op... 5 Post-op... 8 Caesarean Section... 12 Orthopaedics... 14 Large Bowel:... 15 Vascular... 17 General Pre-op Q: If a patient is an emergency admission is the

More information

PREVENTION OF SURGICAL SITE INFECTION

PREVENTION OF SURGICAL SITE INFECTION PREVENTION OF SURGICAL SITE INFECTION Montreal, March 29 2011 Chantal Bellerose P. Dt., BScHN, M.Sc. Adm Claude Laflamme MD, FRCPC, MHSC(c) Sandra Savery BScN, M.Sc.Adm Disclosure Financial disclosure:

More information

NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE. Measure Information Form

NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE. Measure Information Form Last Updated: Version 3.2a NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE Measure Set: Pneumonia (PN) Performance Measure Identifier: Measure Information Form Organization Set Measure ID#

More information

Infective complications according to duration of antibiotic treatment in acute abdomen

Infective complications according to duration of antibiotic treatment in acute abdomen International Journal of Infectious Diseases (2004) 8, 155 162 Infective complications according to duration of antibiotic treatment in acute abdomen Ana L.M. Gleisner*, Rodrigo Argenta, Marcelo Pimentel,

More information

DATA COLLECTION SECTION BY FRONTLINE TEAM. Patient Identifier/ Medical Record number (for facility use only)

DATA COLLECTION SECTION BY FRONTLINE TEAM. Patient Identifier/ Medical Record number (for facility use only) Assessment of Appropriateness of ICU Antibiotics (Patient Level Sheet) **Note this is intended for internal purposes only. Please do not return to PQC.** For this assessment, inappropriate antibiotic use

More information

Responders as percent of overall members in each category: Practice: Adult 490 (49% of 1009 members) 57 (54% of 106 members)

Responders as percent of overall members in each category: Practice: Adult 490 (49% of 1009 members) 57 (54% of 106 members) Infectious Diseases Society of America Emerging Infections Network 6/2/10 Report for Query: Perioperative Staphylococcus aureus Screening and Decolonization Overall response rate: 674/1339 (50.3%) physicians

More information

NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE. Measure Information Form Collected For: CMS Voluntary Only

NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE. Measure Information Form Collected For: CMS Voluntary Only Last Updated: Version 4.4a NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE Measure Set: Pneumonia (PN) Performance Measure Identifier: Measure Information Form Collected For: CMS Voluntary

More information

The CARI Guidelines Caring for Australians with Renal Impairment. 8. Prophylactic antibiotics for insertion of peritoneal dialysis catheter

The CARI Guidelines Caring for Australians with Renal Impairment. 8. Prophylactic antibiotics for insertion of peritoneal dialysis catheter 8. Prophylactic antibiotics for insertion of peritoneal dialysis catheter Date written: February 2003 Final submission: May 2004 Guidelines (Include recommendations based on level I or II evidence) Antibiotic

More information

Antibiotic prophylaxis guideline for colorectal, hepatobiliary and vascular surgery for adult patients.

Antibiotic prophylaxis guideline for colorectal, hepatobiliary and vascular surgery for adult patients. Antibiotic prophylaxis guideline for colorectal, hepatobiliary and vascular surgery for adult patients. Full Title of Guideline: Author (include email and role): Division & Speciality: Scope (Target audience,

More information

Surgical Antibiotic Prophylaxis: What Happens When SCIP Skips the Evidence Base?

Surgical Antibiotic Prophylaxis: What Happens When SCIP Skips the Evidence Base? Surgical Antibiotic Prophylaxis: What Happens When SCIP Skips the Evidence Base? NOTIFICATIONS CHART Institute, LLC is an approved provider of continuing nursing education by the Pennsylvania State Nurses

More information

Antimicrobial Prophylaxis in Digestive Surgery

Antimicrobial Prophylaxis in Digestive Surgery Antimicrobial Prophylaxis in Digestive Surgery Toar JM. Lalisang, MD, PhD Digestive Surgery Division Cipto Mangunkusumo Hospital Medical Faculty Universitas Indonesia Antibiotic must be present before

More information

2017 SURVEILLANCE OF SURGICAL SITES INFECTIONS FOLLOWING TOTAL HIP AND KNEE ARTHROPLASTY

2017 SURVEILLANCE OF SURGICAL SITES INFECTIONS FOLLOWING TOTAL HIP AND KNEE ARTHROPLASTY Canadian Nosocomial Infection Surveillance Program 2017 SURVEILLANCE OF SURGICAL SITES INFECTIONS FOLLOWING TOTAL HIP AND KNEE ARTHROPLASTY FINAL Working Group: E. Henderson, M. John, I. Davis, S. Dunford,

More information

SSI PREVENTION - CORRECT AND SAFE SURGICAL ANTIBIOTIC PROPHYLAXIS

SSI PREVENTION - CORRECT AND SAFE SURGICAL ANTIBIOTIC PROPHYLAXIS SSI PREVENTION - CORRECT AN SAFE SURGICAL ANTIBIOTIC PROPHYLAXIS Things you should know! There is wide consensus on specific procedures that warrant antibiotic prophylaxis as well as in which procedures

More information

Prevention of Surgical Site Infections

Prevention of Surgical Site Infections Prevention of Surgical Site Infections Adverse Clinical and Economic Outcomes Attributable to Surgical Site Infections Cohort Study Madhuri M. Sopirala, MD The Ohio State University Medical Center Engemann

More information

SHC Surgical Antimicrobial Prophylaxis Guidelines

SHC Surgical Antimicrobial Prophylaxis Guidelines SHC Surgical Antimicrobial Prophylaxis Guidelines I. Purpose/Background This document is based upon the 2013 consensus guidelines from American Society of Health-System Pharmacists (ASHP), the Infectious

More information

Beyond SCIP: Leading the Way to SSI Reduction. House Keeping. House Keeping. Questions. Dianne Rawson, RN, MA Hugo, MN May 14, 2013

Beyond SCIP: Leading the Way to SSI Reduction. House Keeping. House Keeping. Questions. Dianne Rawson, RN, MA Hugo, MN May 14, 2013 3M Learning Connection 5/7/2013 3M Infection Prevention Solutions Learning Connection Beyond SCIP: Leading the Way to SSI Reduction Dianne Rawson, RN, MA Hugo, MN May 14, 2013 2012. All Rights Reserved.

More information

The Impact of Timing, Selection, and Dosage of Preoperative Prophylactic Antibiotics on Preventable Surgical Site Infections

The Impact of Timing, Selection, and Dosage of Preoperative Prophylactic Antibiotics on Preventable Surgical Site Infections Rhode Island College Digital Commons @ RIC Master's Theses, Dissertations, Graduate Research and Major Papers Overview Master's Theses, Dissertations, Graduate Research and Major Papers 1-1-2012 The Impact

More information

Antimicrobial Prophylaxis in the Surgical Patient. M. J. Osgood

Antimicrobial Prophylaxis in the Surgical Patient. M. J. Osgood Antimicrobial Prophylaxis in the Surgical Patient M. J. Osgood Outline Definitions surgical site infection (SSI) Risk factors Wound classification Microbiology of SSIs Strategies for prevention of SSIs

More information

The role of Infection Control Nurse in Prevention of Surgical Site Infection (SSI) April 2013

The role of Infection Control Nurse in Prevention of Surgical Site Infection (SSI) April 2013 The role of Infection Control Nurse in Prevention of Surgical Site Infection (SSI) April 2013 Impact of SSI 2 nd common health- care associated infection (HCAI) 14-16% of HCAI Post operation SSI prolong

More information

Surgical Antibiotic Prophylaxis: Adherence to hospital s guidelines

Surgical Antibiotic Prophylaxis: Adherence to hospital s guidelines Surgical Antibiotic Prophylaxis: Adherence to hospital s guidelines Abstract Aim: This study was designed to assess the compliance to local hospital guidelines for antimicrobial prophylaxis in general

More information

RESEARCH ADVISORY COUNCIL APPLICATION FOR USE OF ANIMALS IN RESEARCH OR TRAINING

RESEARCH ADVISORY COUNCIL APPLICATION FOR USE OF ANIMALS IN RESEARCH OR TRAINING (ssigned by ) R # RESERH DVISORY OUNIL PPLITION FOR USE OF NIMLS IN RESERH OR TRINING Please contact the omparative Medicine Department (ext# 31795/77672/24780) for assistance in completing this form.

More information

Prevention of Surgical Site Infections

Prevention of Surgical Site Infections Prevention of Surgical Site Infections A Review of Recent Evidence and Guidelines Dale W. Bratzler, DO, MPH, MACOI, FIDSA Professor and Associate Dean, College of Public Health Professor, College of Medicine

More information

2019 COLLECTION TYPE: MIPS CLINICAL QUALITY MEASURES (CQMS) MEASURE TYPE: Process High Priority

2019 COLLECTION TYPE: MIPS CLINICAL QUALITY MEASURES (CQMS) MEASURE TYPE: Process High Priority Quality ID #464 (NQF 0657): Otitis Media with Effusion: Systemic Antimicrobials - Avoidance of Inappropriate Use National Quality Strategy Domain: Effective Clinical Care Meaningful Measure Area: Appropriate

More information

Proc. related Joseph Lister - antiseptic principles Zoutman et al Inf Contr Hosp Epi 1999

Proc. related Joseph Lister - antiseptic principles Zoutman et al Inf Contr Hosp Epi 1999 Dick Zoutman, MD, FRCPC Queen s University School of Medicine & Kingston General Hospital, Kingston, Ontario, Canada Hosted by Paul Webber paul@webbertraining.com www.webbertraining.com Practical Meaning

More information

General Surgery Small Group Activity (Facilitator Notes) Curriculum for Antimicrobial Stewardship

General Surgery Small Group Activity (Facilitator Notes) Curriculum for Antimicrobial Stewardship General Surgery Small Group Activity (Facilitator Notes) Curriculum for Antimicrobial Stewardship Facilitator instructions: Read through the facilitator notes and make note of discussion points for each

More information

Antibiotic Prophylaxis in Spinal Surgery Antibiotic Guidelines. Contents

Antibiotic Prophylaxis in Spinal Surgery Antibiotic Guidelines. Contents Antibiotic Prophylaxis in Spinal Antibiotic Guidelines Classification: Clinical Guideline Lead Author: Antibiotic Steering Committee Additional author(s): Authors Division: DCSS & Tertiary Medicine Unique

More information

The Effect of Perioperative Use of Prophylactic Antibiotics on Surgical Wound Infection

The Effect of Perioperative Use of Prophylactic Antibiotics on Surgical Wound Infection THE IRAQI POSTGRADUATE MEDICAL JOURNAL PROPHYLACTIC ANTIBIOTICS ON SURGICAL WOUND INFECTION The Effect of Perioperative Use of Prophylactic Antibiotics on Surgical Wound Infection Ahmed Hamid Jasim*, Nabeel

More information

International Journal of Surgery

International Journal of Surgery International Journal of Surgery 8 (2010) 159 163 Contents lists available at ScienceDirect International Journal of Surgery journal homepage: www.theijs.com Peri-operative antibiotic prophylaxis: Adherence

More information

Summary of major changes

Summary of major changes 1 Summary of major changes The first SSI surveillance protocol was produced in 2002. Changes have been applied, either based on the issue of Scottish Government directives or to align Scotland s SSI surveillance

More information

1) Mangram AJ,Horan TC,Pearson ML, et al:guideline for Prevention of Surgical Site Infection.Infect Control Hosp Epidemiol 1999;20:247-278. 1a) Perl TM, Cullen JJ, Wenzel RP, et al.: Intranasal mupirocin

More information

2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process

2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process Quality ID #464 (NQF 0657): Otitis Media with Effusion: Systemic Antimicrobials - Avoidance of Inappropriate Use National Quality Strategy Domain: Effective Clinical Care 2018 OPTIONS FOR INDIVIDUAL MEASURES:

More information

Reducing Infections in Surgical Practice. Fred A Sweet, MD Rockford Spine Center Illinois, USA

Reducing Infections in Surgical Practice. Fred A Sweet, MD Rockford Spine Center Illinois, USA Reducing Infections in Surgical Practice Fred A Sweet, MD Rockford Spine Center Illinois, USA Introduction: How bacteria get in The Host The Surgeon The Procedure The STAFF Skin PREP Prophylactic Antibiotics

More information

Adherence to guidelines of antibiotic prophylactic use in surgery: a prospective cohort study in North West Bank, Palestine

Adherence to guidelines of antibiotic prophylactic use in surgery: a prospective cohort study in North West Bank, Palestine Musmar et al. BMC Surgery 2014, 14:69 RESEARCH ARTICLE Open Access Adherence to guidelines of antibiotic prophylactic use in surgery: a prospective cohort study in North West Bank, Palestine Samar MJ Musmar

More information

Prevention of surgical site infections (SSI) nosocomial infection * - Lead to prolonged hospital stay and increased coasts

Prevention of surgical site infections (SSI) nosocomial infection * - Lead to prolonged hospital stay and increased coasts Antibiotic Prophylaxis in Surgery Birgit Ross, MD Dep. of Hospital Hygiene University Hospital and Clinics, Essen Prevention of surgical site infections (SSI) - Surgical site infections account for approximately

More information

Who should read this document 2. Key practice points 2. Background/ Scope/ Definitions 2. What is new in this version 3. Policy/Procedure/Guideline 3

Who should read this document 2. Key practice points 2. Background/ Scope/ Definitions 2. What is new in this version 3. Policy/Procedure/Guideline 3 Antibiotic Prophylaxis in Cranial Neurosurgery Antibiotic Classification: Clinical Guideline Lead Author: Antibiotic Steering Committee Additional author(s): as above Authors Division: DCSS & Tertiary

More information

Measure Information Form Collected For: CMS Voluntary Only The Joint Commission - Retired

Measure Information Form Collected For: CMS Voluntary Only The Joint Commission - Retired Measure Information Form Collected For: CMS Voluntary Only The Joint Commission - Retired Last Updated: Version 4.3a Measure Set: Pneumonia (PN) Set Measure I #: Performance Measure Name: lood Cultures

More information

Antibiotic usage in surgical prophylaxis: a prospective surveillance of surgical wards at a tertiary hospital in Malaysia

Antibiotic usage in surgical prophylaxis: a prospective surveillance of surgical wards at a tertiary hospital in Malaysia Original Article Antibiotic usage in surgical prophylaxis: a prospective surveillance of surgical wards at a tertiary hospital in Malaysia Ai Ling Oh 1, Leh Min Goh 1, Nik Abdullah Nik Azim 2, Chee Sian

More information

Antimicrobial utilization: Capital Health Region, Alberta

Antimicrobial utilization: Capital Health Region, Alberta ANTIMICROBIAL STEWARDSHIP Antimicrobial utilization: Capital Health Region, Alberta Regionalization of health care services in Alberta began in 1994. In the Capital Health region, restructuring of seven

More information

Audit of Antibiotic Use in a Brazilian University Hospital

Audit of Antibiotic Use in a Brazilian University Hospital 272 BJID 2004; 8 (August) Audit of Antibiotic Use in a Brazilian University Hospital Laura Guimarães Fonseca and Lucieni de Oliveira Conterno Faculty og Medicine of Marília, Marília, SP, Brazil A cohort

More information

Prevention of Surgical Site Infection 2017 Guidelines & Antimicrobial Stewardship

Prevention of Surgical Site Infection 2017 Guidelines & Antimicrobial Stewardship Prevention of Surgical Site Infection 2017 Guidelines & Antimicrobial Stewardship Phenelle Segal RN, CIC, FAPIC President Infection Control Consulting Services www.iccs home.com 215 692 3485 info@iccs

More information

Prevention of Perioperative Surgical Infections

Prevention of Perioperative Surgical Infections Prevention of Perioperative Surgical Infections Michael A. West, MD, PhD, FACS Department of Surgery University California San Francisco San Francisco, CA, USA Surgical Site Infections (SSI) 2-5% of operated

More information

VCH PHC SURGICAL PROPHYLAXIS RECOMMENDATIONS

VCH PHC SURGICAL PROPHYLAXIS RECOMMENDATIONS VCH PHC SURGICAL PROPHYLAXIS RECOMMENDATIONS CARDIAC Staphylococcus aureus, S. epidermidis, except for For patients with known MRSA colonization, recommend decolonization with Antimicrobial Photodynamic

More information

Inappropriate Use of Antibiotics and Clostridium difficile Infection. Jocelyn Srigley, MD, FRCPC November 1, 2012

Inappropriate Use of Antibiotics and Clostridium difficile Infection. Jocelyn Srigley, MD, FRCPC November 1, 2012 Inappropriate Use of Antibiotics and Clostridium difficile Infection Jocelyn Srigley, MD, FRCPC November 1, 2012 Financial Disclosures } No conflicts of interest } The study was supported by a Hamilton

More information

Preventing Surgical Site Infections Loretta Litz Fauerbach, Shands Hospital at the University of Florida Sponsored by 3M Canada

Preventing Surgical Site Infections Loretta Litz Fauerbach, Shands Hospital at the University of Florida Sponsored by 3M Canada Preventing Surgical Site Infections Loretta Litz Fauerbach, MS, CIC Hosted by Paul Webber paul@webbertraining.com Sponsored by: 3M Canada www.3m.ca www.webbertraining.com Surgical Site Infections (SSIs)

More information

Antimicrobial Stewardship the State Health Department Perspective

Antimicrobial Stewardship the State Health Department Perspective Antimicrobial Stewardship the State Health Department Perspective Marion A. Kainer MD, MPH, FRACP, FSHEA Healthcare Associated Infections and Antimicrobial Resistance Program NIAA Antibiotic Stewardship:

More information

Surgical Site Infection (SSI) Prevention: The Latest, Greatest and Unanswered Questions

Surgical Site Infection (SSI) Prevention: The Latest, Greatest and Unanswered Questions Surgical Site Infection (SSI) Prevention: The Latest, Greatest and Unanswered Questions Keith S. Kaye, MD, MPH Corporate Vice President of Quality and Patient Safety Corporate Medical Director, Infection

More information

CURRENT CONCEPTS IN THE PREVENTION OF SURGICAL SITE INFECTIONS

CURRENT CONCEPTS IN THE PREVENTION OF SURGICAL SITE INFECTIONS CURRENT CONCEPTS IN THE PREVENTION OF SURGICAL SITE INFECTIONS Walter L. Biffl, M.D. Assistant Director, Patient Quality and Safety Denver Health Medical Center Associate Professor of Surgery University

More information

Received 25 April 2011/Returned for modification 23 June 2011/Accepted 26 July 2011

Received 25 April 2011/Returned for modification 23 June 2011/Accepted 26 July 2011 ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, Oct. 2011, p. 4659 4663 Vol. 55, No. 10 0066-4804/11/$12.00 doi:10.1128/aac.00562-11 Copyright 2011, American Society for Microbiology. All Rights Reserved. Nonconcordance

More information

NHS Dumfries And Galloway. Surgical Prophylaxis Guidelines

NHS Dumfries And Galloway. Surgical Prophylaxis Guidelines NHS Dumfries And Galloway Surgical Prophylaxis Guidelines The aim of surgical prophylaxis is to reduce rates of surgical site and health-care associated infections and so reduce surgical morbidity and

More information

Challenges and opportunities for rapidly advancing reporting and improving inpatient antibiotic use in the U.S.

Challenges and opportunities for rapidly advancing reporting and improving inpatient antibiotic use in the U.S. Challenges and opportunities for rapidly advancing reporting and improving inpatient antibiotic use in the U.S. Overview of benchmarking Antibiotic Use Scott Fridkin, MD, Senior Advisor for Antimicrobial

More information

Canadian Nosocomial Infection Surveillance Program 2018 SURVEILLANCE OF SURGICAL SITES INFECTIONS FOLLOWING HIP AND KNEE ARTHROPLASTY

Canadian Nosocomial Infection Surveillance Program 2018 SURVEILLANCE OF SURGICAL SITES INFECTIONS FOLLOWING HIP AND KNEE ARTHROPLASTY Canadian Nosocomial Infection Surveillance Program 2018 SURVEILLANCE OF SURGICAL SITES INFECTIONS FOLLOWING HIP AND KNEE ARTHROPLASTY FINAL Working Group: Dominik Mertz (Chair) Elizabeth Henderson, Johan

More information

MEASURING ANTIBIOTIC USE IN LTCFS

MEASURING ANTIBIOTIC USE IN LTCFS MEASURING ANTIBIOTIC USE IN LTCFS ELIZABETH DODDS ASHLEY, PHARMD, MHS LIAISON CLINICAL PHARMACIST dason.medicine.duke.edu Sources for Antibiotic Data in Nursing Homes Purchasing data -Can be difficult

More information

2016/LSIF/FOR/007 Improving Antimicrobial Use and Awareness in Korea

2016/LSIF/FOR/007 Improving Antimicrobial Use and Awareness in Korea 2016/LSIF/FOR/007 Improving Antimicrobial Use and Awareness in Korea Submitted by: Asia Pacific Foundation for Infectious Diseases Policy Forum on Strengthening Surveillance and Laboratory Capacity to

More information

Neurosurgery Antibiotic Prophylaxis Guideline

Neurosurgery Antibiotic Prophylaxis Guideline Neurosurgery Antibiotic Prophylaxis Guideline Full Title of Guideline: Author (include email and role): Division & Speciality: Scope (Target audience, state if Trust wide): Review date (when this version

More information

PHYSICIAN ORDERS. Page 1 of 6. Provider Initial: Esophagectomy Preoperative [ ] Height Weight Allergies

PHYSICIAN ORDERS. Page 1 of 6. Provider Initial: Esophagectomy Preoperative [ ] Height Weight Allergies Height Weight Allergies If appropriate for patient condition, please consider the following order sets: Hydration Order for Reducing Risk of Radiocontrast Induced Nephrotoxicity Physician Order #683 In

More information

Appropriate Antimicrobial Use in California: The Path of Least Resistance

Appropriate Antimicrobial Use in California: The Path of Least Resistance Appropriate Antimicrobial Use in California: The Path of Least Resistance BEACON Fall Exchange November 9, 2011 Kavita K. Trivedi, MD Healthcare Associated Infections Program California Department of Public

More information

Core Elements of Antibiotic Stewardship for Nursing Homes

Core Elements of Antibiotic Stewardship for Nursing Homes Core Elements of Antibiotic Stewardship for Nursing Homes Nimalie D. Stone, MD, MS Medical Epidemiologist for LTC Division of Healthcare Quality Promotion Centers for Disease Control and Prevention Antimicrobial

More information

Breast Reconstruction in the U.S.

Breast Reconstruction in the U.S. The State of Antibiotic Use in Implant Based Breast Reconstruction Robert D. Foster, MD Professor of Surgery Division of Plastic and Reconstructive Surgery UCSF Breast Reconstruction in the U.S. Each year

More information

Patient Preparation. Surgical Team

Patient Preparation. Surgical Team January 2019 www.nursingcenter.com Surgical Site Infection Prevention Surgical site infections (SSIs) are one of the most common and costly healthcare-associated infections in the United States (Smith

More information

Preventing Surgical Site Infections

Preventing Surgical Site Infections Preventing Surgical Site Infections BC Hip & Knee Arthroplasty Collaborative February 7, 2006 Felicia Laing, BSc MSc CIC, Infection Control Anisha Lakhani, BScPharm Pharm D Fraser Health Authority It s

More information

Hot Topics in Antimicrobial Stewardship. Meghan Brett, MD Medical Director, Antimicrobial Stewardship University of New Mexico Hospital

Hot Topics in Antimicrobial Stewardship. Meghan Brett, MD Medical Director, Antimicrobial Stewardship University of New Mexico Hospital Hot Topics in Antimicrobial Stewardship Meghan Brett, MD Medical Director, Antimicrobial Stewardship University of New Mexico Hospital Antimicrobial Stewardship Goals Primary Goal Optimize clinical outcomes

More information

Evaluating the Role of MRSA Nasal Swabs

Evaluating the Role of MRSA Nasal Swabs Evaluating the Role of MRSA Nasal Swabs Josh Arnold, PharmD PGY1 Pharmacy Resident Pharmacy Grand Rounds February 28, 2017 2016 MFMER slide-1 Objectives Identify the pathophysiology of MRSA nasal colonization

More information

Effectiveness of Surgical Prophylaxis And Expenditure on Antimicrobial Agents Used For Treatment of Post-Operative Infections

Effectiveness of Surgical Prophylaxis And Expenditure on Antimicrobial Agents Used For Treatment of Post-Operative Infections IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) e-issn: 2279-0853, p-issn: 2279-0861.Volume 16, Issue 11 Ver. VII (Nov. 2017), PP 52-58 www.iosrjournals.org Effectiveness of Surgical Prophylaxis

More information

Hyperlink to Guideline

Hyperlink to Guideline Clinical Guideline Surgical Antibiotic Prophylaxis Sites where Clinical Guideline applies All facilities where surgery is carried out This Clinical Guideline applies to: 1. Adults Yes 2. Children up to

More information

Healthcare-associated Infections and Antimicrobial Use Prevalence Survey

Healthcare-associated Infections and Antimicrobial Use Prevalence Survey Healthcare-associated Infections and Antimicrobial Use Prevalence Survey Shamima Sharmin, M.B.B.S., MSc, MPH Emerging Infections Program New Mexico Department of Health Agenda Recognize healthcare-associated

More information

2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process

2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process Quality ID #407: Appropriate Treatment of Methicillin-Susceptible Staphylococcus Aureus (MSSA) Bacteremia National Quality Strategy Domain: Effective Clinical Care 2018 OPTIONS FOR INDIVIDUAL MEASURES:

More information

Gynaecological Surgery in Adults Surgical Antibiotic Prophylaxis

Gynaecological Surgery in Adults Surgical Antibiotic Prophylaxis Gynaecological Surgery in Adults Surgical Antibiotic Prophylaxis Full Title of Guideline: Author (include email and role): Division & Speciality: Scope (Target audience, state if Trust wide): Review date

More information

Appropriate Antibiotic Administration in Elective Surgical Procedures: Still Missing the Message

Appropriate Antibiotic Administration in Elective Surgical Procedures: Still Missing the Message Original Article Appropriate Antibiotic Administration in Elective Surgical Procedures: Still Missing the Message Yunus A. Gul, Lim Chong Hong and Subhita Prasannan, Department of General Surgery, University

More information

Systemic Antimicrobial Prophylaxis Issues

Systemic Antimicrobial Prophylaxis Issues Systemic Antimicrobial Prophylaxis Issues Pierre Moine Department of Anesthesiology University of Colorado Denver 3 rd International Conference on Surgery and Anesthesia OMICs Group Conference The Surgical

More information

Chapter Anaerobic infections (individual fields): prevention and treatment of postoperative infections

Chapter Anaerobic infections (individual fields): prevention and treatment of postoperative infections J Infect Chemother (2011) 17 (Suppl 1):62 66 DOI 10.1007/s10156-010-0141-x GUIDELINES Chapter 2-5-1. Anaerobic infections (individual fields): prevention and treatment of postoperative infections Ó Japanese

More information

POTENTIAL STRUCTURE INDICATORS FOR EVALUATING ANTIMICROBIAL STEWARDSHIP PROGRAMMES IN EUROPEAN HOSPITALS

POTENTIAL STRUCTURE INDICATORS FOR EVALUATING ANTIMICROBIAL STEWARDSHIP PROGRAMMES IN EUROPEAN HOSPITALS POTENTIAL STRUCTURE INDICATORS FOR EVALUATING ANTIMICROBIAL STEWARDSHIP PROGRAMMES IN EUROPEAN HOSPITALS Dirk VOGELAERS Department of General Internal Medicine, Infectious Diseases and Psychosomatic Medicine

More information

11/22/2016. Antimicrobial Stewardship Update Disclosures. Outline. No conflicts of interest to disclose

11/22/2016. Antimicrobial Stewardship Update Disclosures. Outline. No conflicts of interest to disclose Antimicrobial Stewardship Update 2016 APIC-CI Conference November 17 th, 2016 Jay R. McDonald, MD Chief, ID Section VA St. Louis Health Care System Assistant Professor of medicine Washington University

More information

Standardization of Perioperative Antibiotic Prophylaxis through the Development of Procedure-specific Guidelines in the NICU

Standardization of Perioperative Antibiotic Prophylaxis through the Development of Procedure-specific Guidelines in the NICU Standardization of Perioperative Antibiotic Prophylaxis through the Development of Procedure-specific Guidelines in the NICU Setting: Ann and Robert H. Lurie Children s Hospital of Chicago in Chicago,

More information

Top Ten Articles Infection Prevention and Control

Top Ten Articles Infection Prevention and Control Top Ten Articles Infection Prevention and Control 2017-2018 John M Conly MD Chingiz Amirov Just wash em! May 2018 Objectives Research or evidence-based guidelines in IPC Critique strengths and weaknesses

More information

MDRO s, Stewardship and Beyond. Linda R. Greene RN, MPS, CIC

MDRO s, Stewardship and Beyond. Linda R. Greene RN, MPS, CIC MDRO s, Stewardship and Beyond Linda R. Greene RN, MPS, CIC linda_greene@urmc.rochester.edu Evolving Threat of Antimicrobial Resistance Why are MDROs important? Limited treatment options Associated with:

More information

prof. dr. Bojana Beović, dr. med.

prof. dr. Bojana Beović, dr. med. How To Improve ntibiotic Use In Hospitals prof. dr. ojana eović, dr. med. University Medical entre Ljubljana Slovenia Evidence-based antibiotic. Team (II-III) III) stewardship 2. ollaboration with

More information

Impact of Antimicrobial Stewardship Program

Impact of Antimicrobial Stewardship Program Impact of Antimicrobial Stewardship Program Ripal Joshi, Pharm.D. AAHIVP Tampa General Hospital January 28, 2016 Objectives Provide an overview on antimicrobial stewardship programs (ASP) Describe the

More information

EVALUATION OF SURGICAL ANTIBIOTIC PROPHYLAXIS IN ASEER AREA HOSPITALS IN KINGDOM OF SAUDI ARABIA

EVALUATION OF SURGICAL ANTIBIOTIC PROPHYLAXIS IN ASEER AREA HOSPITALS IN KINGDOM OF SAUDI ARABIA www.arpapress.com/volumes/jpcs/vol6/jpcs_6_01.pdf EVALUATION OF SURGICAL ANTIBIOTIC PROPHYLAXIS IN ASEER AREA HOSPITALS IN KINGDOM OF SAUDI ARABIA Mohamed A. Hammad 1, Khaled M. AL-Akhali 2 & Abubakr T.

More information

SURGICAL ANTIBIOTIC PROPHYLAXIS GUIDELINES WITHIN ORTHOPAEDIC SURGERY FOR ADULT PATIENTS

SURGICAL ANTIBIOTIC PROPHYLAXIS GUIDELINES WITHIN ORTHOPAEDIC SURGERY FOR ADULT PATIENTS SURGICAL ANTIBIOTIC PROPHYLAXIS GUIDELINES WITHIN ORTHOPAEDIC SURGERY FOR ADULT PATIENTS Full Title of Guideline: Author (include email and role): Division & Speciality: Scope (Target audience, state if

More information

GUIDELINE FOR ANTIMICROBIAL USE IN THE ORTHOPAEDIC AND TRAUMA DEPARTMENT

GUIDELINE FOR ANTIMICROBIAL USE IN THE ORTHOPAEDIC AND TRAUMA DEPARTMENT GUIDELINE FOR ANTIMICROBIAL USE IN THE ORTHOPAEDIC AND TRAUMA DEPARTMENT Written by: Dr Ken. N. Agwuh, Consultant Microbiologist Mr Roger Helm, Consultant Orthopaedic Surgeon Mr T Kumar, Consultant Orthopaedic

More information