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Surgical care management/Surgical Care Improvement Project (SCIP) is a set of quality measures that are reviewed on a monthly basis to assure that defined quality care is being given to hospitalized surgical patients. These measures are focused on reducing the incidence of four broad sets of complications that can occur following surgery: surgical site infection, adverse cardiac events, deep vein thrombosis and postoperative pneumonia.
One way to evaluate the care of patients receiving surgery is to look at the percentage of eligible patients whose care met the care guidelines listed in above chart. The goal for all medical facilities is to meet this guideline in 100 percent of eligible patients. The graph above displays the percentage of eligible Mayo Clinic hospital patients receiving surgery whose care met the standards of care guideline.
This graph shows that Mayo Clinic has improved the overall care of hospital patients receiving surgery.
The quality measures listed in the table below are known as the "standards of care" for managing patients undergoing surgery in a hospital setting. This list includes the medical care widely accepted as the most appropriate care guidelines for the majority of patients undergoing surgery in a hospital.
Standards of care for surgical care management |
An explanation of this care |
|---|---|
Percent of patients given preventative antibiotic within one hour before the surgical incision. |
Research has shown that receiving an antibiotic within the hour before surgery insures the lowest incidence of post-operative infection. |
Percent of patients for whom the appropriate antibiotic was selected. |
The goal of selecting the appropriate antibiotic is to select one that is safe, cost effective and works for most of the potentially infectious agents for the specific operation. Each surgery type has specific antibiotics that are acceptable to use. |
Percent of patients for whom the selected antibiotic was stopped with 24 or 48 hours following surgery. |
Research has shown that continuing antibiotics beyond 24 hours (48 hours for cardiac surgery) offers no additional benefit to the surgical patient. |
Surgical care management efforts (or the Surgical Care Improvement Project) at Mayo Clinic have reduced the infection rate and other complications related to surgery. All Mayo Clinic facilities have instituted quality projects that focus on the issues related to improving the processes that ensure quality care. These efforts include developing new hospital orders sets that include appropriate care measures and establishing electronic systems to remind care providers of crucial documentation for these care measures.
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