Transcript Insert Title here

1 September 2008
Preventing Surgical Complications
Surgical
Site
Infection
Measure
Preventing
Surgical
Complications
1000 Lives Campaign
To save 1,000 lives and to avoid
50,000 episodes of harm in Welsh
healthcare between 21 April 2008
and 21 April 2010.
Preventing Surgical Complications
SSI outcome measure
Measure name:% of surgical patients with SSI
Description: The percentage of surgical patients developing a
Surgical Site Infection (SSI). Even though one patient could
experience more than one SSI during the same admission or
surgical procedure, this measure is a percentage not a rate.
The numerator, therefore, is based on a simple question: Did
the patient develop a SSI/? Yes or No? The measure is not
concerned with how many the patient developed.
Numerator: The total number of elective surgical patients in the
sample who developed a SSIs.
Denominator: The total number of surgical cases (patients) in
the sample.
Preventing Surgical Complications
Data available
• Mandatory SSI collection
– Orthopaedics
– LSCS
Preventing Surgical Complications
Mandatory measure – extranet
Preventing Surgical Complications
WHAIP tool
Insert link
http://nww2.nphs.wales.nhs.uk:8080/surgicalsitei
nfectionsurv.nsf
http://nphscdscdev/s1klives/login.aspx?ReturnUrl=%2fs1klives
%2freportsmenu.aspx
Preventing Surgical Complications
Intervention population
• Establish who is the pilot population
• Identify how to collect post discharge data
– OPD
– Incident reporting from primary care
– Read codes on GP systems
– Follow up letters to GP / patient
Preventing Surgical Complications
Extranet
Institute for Healthcare Improvement : Login to IHI.org
Preventing Surgical Complications
Data frequency
• Use quarterly mandatory data
• Will have 3 month lag
• When increasing sample then annotate
charts
Preventing Surgical Complications
September Report
• Use mandatory data report received this
week
• Upload data for April / May / June
• Total no. of procedures (not no. of
records)
• Total no. of infections
Preventing Surgical Complications
PDSA
• Small changes, one patient, one list, one team
• Measure – did it work, if not try something
different
• Spread if did work
• Identify a pilot population
• Measure
• Are you already doing it? – measure
compliance
Preventing Surgical Complications