Caring for Surgical Patients

The graphic shows how many patients received perfect care* after they received the right medications and interventions prescribed to ensure their surgery was as safe as possible.

All data current as of 2nd Quarter 2015

What We're Doing To Improve

Kaweah Delta Health Care District has recently joined the National Surgical Quality Improvement Program (NSQIP) which is led by the American College of Surgeons. We have an internal designated surgeon champion and surgical quality coordinator focusing on these measures of quality, closely evaluating patient preoperative risk factors and post- operative outcomes with the primary goal to have zero infections. Our team has also partnered with the Armstrong Patient Safety Institute at Johns Hopkins Hospital in Baltimore, Maryland to implement “SUSP,” which is a program for safe surgery to reduce surgical site infections and other surgical complications. Our team is committed to implementing effective solutions to best serve our community.

There are 8 key factors that affect what is widely considered to be perfect surgical care:

Patients taking Beta Blockers at home that receive a Beta-blocker before and after surgery

It is important for surgical patients who were taking heart drugs called Beta-blockers at home; take these medications before and after their surgery. Research shows continuing Beta-blockers while in the hospital can reduce certain complications. This indicator shows how many surgical patients who were on Beta-blockers at home get their medications continued during their stay in the hospital.

Surgical patients who receive antibiotics within one hour before surgery

Research shows receiving an antibiotic within one hour prior to surgery reduces infections. This indicator measures how many patients received antibiotics prior to surgery.

Surgical patients who are prescribed the right antibiotics before surgery

Evidence shows some antibiotics are better at preventing infections than others depending on the type of surgery.  This indicator measures surgery patients who were given the right kind of antibiotic depending on their situation and type of surgery.

Antibiotics stopped at the right time for surgical patients

Stopping antibiotics when they are not needed is important. This indicator measures how often antibiotics are stopped after surgery when they are not needed anymore.

How well patient’s blood sugar is controlled after surgery

Managing a patient’s blood sugar after surgery has been shown to decrease infections and help wounds heal faster.  This indicator measures how well controlled surgery patient’s blood glucose is controlled after surgery.

Surgery patients with appropriate hair removal

The way hair is removed is important. It is recommended to use creams and clippers to remove hair before surgery.  Using razors to remove hair can cause damage to the skin allowing for infection. This indicator measures surgical patients who have their hair removed the appropriate way.

Urinary catheter removed after surgery

A urinary catheter is a tube that drains your urine. Urinary catheters can increase the chance of getting a urinary tract infection. It is important to remove the urinary catheter as soon as possible to reduce the chance of getting an infection. This indicator measures how many patients get their catheter removed within 48 hours after surgery.

Preventing blood clots in surgery patients

A serious complication after surgery can be developing a blood clot. Blood clots can be prevented by prescribing medications that help prevent blood clot formation. This indicator measures how often interventions and medications to prevent blood clot formation are prescribed and implemented.

*The Perfect Care Score shows the percentage of patients cared for at Kaweah Delta Health Care District who had all Medicaid Services (CMS) and Centers for Medicare quality measures done perfectly.

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