Perioperative Enterprise Committee Surgical Site Infection Report
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Transcript of Perioperative Enterprise Committee Surgical Site Infection Report
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Perioperative Enterprise CommitteeSurgical Site Infection Report
October 15, 2009
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ProcedureRate Q3
2009Rate Q3
2008% Change from 1 yr
CDC Benchmark
O/E Inf Rate*
Cardiac
Cardiac surgery (non-CABG) 0.6 1.2 -100% 1.71 0.4
Coronary bypass w/chest and donor incision 4.3 1.8 139% 4.88 0.8
Coronary bypass graft with chest incision 0 0.6 -100% 2.88 0
Cardiac surgery (pediatric, primary closure) 2.3 1.3 77% 1.71 1.34
Colorectal
Elective Colon 8.4 12.5 -32.8% 10.8 0.7
Elective Rectal 21.2 22.2 -4% 20 1.06
EGS Colon 15.6 21.5 -27.4 10.8 1.4
EGS Rectal 0 0 0% 15 0
Craniotomy 2.7 7.5 -64% 4.68 0.6
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ProcedureRate Q3
2009Rate Q3
2008% Change from 1 yr
CDC Benchmark
O/E Infection
Rate*
Total Hip 4.9 3.4 44% 2.97 1.65
Total Knee 0 1.0 -100% 1.82 0
Vascular AAA Repair 0 0 0% 5.2 0
CEA 6.7 0 100% 0.42 16
Peripheral Bypass 9.1 0 100% 6.7 7.3
OB/GYN Hyst - Vaginal 0 0 -100% 1.26 0
Hyst - Abdominal 4.9 2.4 104% 4.37 1.12
C-sections 2.4 7.4 -67% 2.64 0.9
Pediatric VP shunts 4.7 6.7 -30% 5.16 0.9
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Pod 1C-Section
Hysterectomy
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Cesarean Section SSIs
2.4%
2.64%
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Abdominal Hysterectomy SSIs
4.37%
4.5%
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Vaginal Hysterectomy SSIs
1.3%
0%
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Pod 3Colorectal Surgery
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Elective Colon Surgery SSIs
10.86%
8.4%
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20% 21.2%
Elective Rectal Surgery SSIs
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Pod 4Ambulatory Services
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Outbreak in Thyroidectomy Cases 5 cases from 2 surgeons within a 3 month
time frame No common pathogens IC Team needs to observe
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Sterilization in the Dental Clinic Non-standard practices observed in the
Dental/Orthodontic clinics at VAV One person was the local expert Non-standard practices when this person was out
Standardized to off site sterilization Labeling instruments Be able to inspect and repair Standard treatment for all persons
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Pod 6Orthopedic Surgery
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Total Hip Arthroplasty SSIs
2.97%
4.9%
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Hip Infection Details One infection occurring in July
1 infection deep ( 6+ hr surgery, EBL 1300-1500cc, with 5 units PRBCs/FFP intraop. Multiple procs– ORIF then THA.
ABX and timing appropriate Three infections for August
1 SIP 2 DIP
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Total Knee Arthroplasty SSIs
1.82%
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Pod 7EGS - Colorectal
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EGS Colon Surgery SSIs
10.86%
15.6%
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15%
0%
EGS Rectal Surgery SSIs
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Pod 8Neurosurgery
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Craniotomy SSI
4.68%
2.7%
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Pod 9Vascular Surgery
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Abdominal Aortic Aneurysm SSI
5.2%
0%
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Carotid Endarterectomy SSI
0.42%
1/15=6.7%
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Peripheral Vascular Bypass SSI
6.7%
25%
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Pod 10Cardiac Surgery
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Adult CABG (Procedures w/ Sternotomy + Donor Site) SSIs
4.88% 4.3%
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Adult CABG (Sternotomy-Only Procedures) SSIs
2.88% 0%
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Adult Cardiac (non-CABG) SSIs
1.71%
0%
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State Mandatory Reporting Delayed due to H1N1 TDOH will publish hospital infection rates for the
public to view CLABSI rates for each ICU will be published by
unit per facility (excluding BICU and Trauma) Cardiac SSI rates will be published as an aggregate
for the state (Coronary bypass grafts) Will likely be a SIR for 2008 Tennessee regions may be separate
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Vanderbilt Cardiac SIR (CBGB)
0
1
2
3
4
5
6
J F M A M J J A S O N D
CBGB SIR CDC Benchmark
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VCH ORsPediatric Cardiac
Pediatric V Shunt
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Pediatric Cardiac SSIs
1.71%
2.3%
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Pediatric VP Shunt SSI
5.16% 2.3%