Quality Report Card: Surgical Care Improvement Project
What does a measurement about the surgical care improvement project tell me? Patients who have surgical procedures are at an increased risk of acquiring infections. Hospitals across the country, including TRH, have implemented proven interventions that help decrease the risk of infections for patients. We measure our compliance with these proven prevention methods, as well as the overall surgical site infection rates, and can compare our results with state and national averages.
Key:
| Better Than Average | Near or At Average | Below Average |
No Average Comparison or Too Few Cases |  Leader in the Industry/Scores in Top 10% |
If you have questions about a specific measure, just click on that measure for a brief explanation.
| Measure | Desired Performance | State Average | National Average | TRH Score |
|---|---|---|---|---|
| Antibiotic received at the right time (within one hour prior to surgical incision ) | High | 97% | 92% | 98% |
| The right antibiotic was selected to help prevent infection | High | 97% | 95% | 99% |
| The antibiotic was discontinued at the right time (within 24 hours after surgery end time) | High | 93% | 90% | 98% |
| Patients’ hair at surgical site was removed with a safe method (not with a razor) | High | 99% | 98% | 100% |
| Correct treatment to prevent blood clots chosen | High | 90% | 88% | 91% |
| Correct treatment to prevent blood clots administered at the correct time | High | 88% | 87% | 91% |
Data in this report card was obtained from the Hospital Quality Alliance (dates included in measurement are Oct. 2008 – Sept. 2009). You may also view quality measures for TRH at
www.hospitalcompare.hhs.gov(the Medicare & Medicaid comparison site); www.NCHospitalQuality.org (the North Carolina Hospital Association comparison site); and www.jointcommission.org (our accrediting agency’s comparison site).
Please note that the dates of measurement differ in each web-based report; therefore, scores may vary based upon the reporting period used. This report card was updated in May 2010. The next update will be made in Nov. 2010.
