The Surgical Infection Prevention and Surgical Care Improvement Projects: Promises and Pitfalls
- 1 November 2006
- journal article
- research article
- Published by SAGE Publications in The American Surgeon
- Vol. 72 (11), 1010-1016
- https://doi.org/10.1177/000313480607201106
Abstract
Variations in outcomes for patients who have surgery are well known, and there is extensive evidence that failure to apply standards of care known to prevent adverse events results in patient harm. Infections and postoperative sepsis, cardiovascular complications, respiratory complications, and thromboembolic complications represent some of the most common adverse events that occur after surgery. Patients who experience postoperative complications have increased hospital length of stay, readmission rates, and mortality rates; in addition, costs of care are increased for patients, hospitals, and payers. In 2002, the Centers for Medicare and Medicaid Services, in collaboration with the Centers for Disease Control and Prevention, implemented the Surgical Infection Prevention Project to decrease the morbidity and mortality associated with postoperative surgical site infections. More recently, the Surgical Care Improvement Project, a national quality partnership of organizations committed to improving the safety of surgical care has been implemented. Although the Surgical Care Project does not focus on the complete set of important surgical quality issues, it does provide the incentive and infrastructure for national data collection and quality improvement activities for hospitals. There is now a strong national commitment to measure processes and outcomes of care for surgery in the United States.Keywords
This publication has 30 references indexed in Scilit:
- Healthcare Epidemiology: The Surgical Infection Prevention and Surgical Care Improvement Projects: National Initiatives to Improve Outcomes for Patients Having SurgeryClinical Infectious Diseases, 2006
- Who Pays for Poor Surgical Quality? Building a Business Case for Quality ImprovementJournal of the American College of Surgeons, 2006
- ACC/AHA 2006 Guideline Update on Perioperative Cardiovascular Evaluation for Noncardiac Surgery: Focused Update on Perioperative Beta-Blocker Therapy: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery) Developed in Collaboration With the American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society for Vascular Medicine and BiologyJournal of the American College of Cardiology, 2006
- Association of Postoperative Complications with Hospital Costs and Length of Stay in a Tertiary Care CenterJournal of General Internal Medicine, 2006
- The Society of Thoracic Surgeons Practice Guideline Series: Antibiotic Prophylaxis in Cardiac Surgery, Part I: DurationThe Annals of Thoracic Surgery, 2006
- The NSQIP: A new frontier in surgerySurgery, 2005
- Determinants of Long-Term Survival After Major Surgery and the Adverse Effect of Postoperative ComplicationsAnnals of Surgery, 2005
- Are cephalosporins adequate for antimicrobial prophylaxis for cardiac surgery involving implants?Clinical Infectious Diseases, 2005
- Complications and costs after high-risk surgery: where should we focus quality improvement initiatives?Journal of the American College of Surgeons, 2003
- Disseminating Innovations in Health CareJAMA, 2003