外科监护治疗的改良方案(英文教学)The Surgical Care Improvement Project案例实例.ppt

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外科监护治疗的改良方案(英文教学)The Surgical Care Improvement Project案例实例.ppt

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The Surgical Care Improvement ProjectWhere we started and where we’re going…;Why focus on surgical quality?;Why focus on surgical quality;Consequences of Surgical Complications;Risk Factors for SSI;Risk Factors for SSI;Quality IndicatorsNational Surgical Infection Prevention Project;Efficacy Of Prophylaxis Is Independent Of The Specific Antibiotic;Stone HH et al. Ann Surg. 1976;184:443-452.;Classen, et al. N Engl J Med. 1992;328:281.;Clin Infect Dis. 2007; 44:921–7.;Clin Infect Dis. 2007; 44:921–7.;Discontinuation of Prophylaxis;C. difficile enterocolitis;;/about/papers/advistmt/1027.asp;/sections/aboutthesociety/practiceguidelines/antibioticguideline/;Antibiotic Recommendation Sources;Recently Updated Antibiotic Recommendations;Recently Updated Antibiotic Recommendations (continued);Antibiotic practices that have been shown to reduce the risk of SSI.;25;Surgical Care Improvement ProjectNational Goal;SCIP Steering Committee;Surgical Care Improvement Project (SCIP);Surgical Care Improvement ProjectPerformance measures - Process;30;Furnary et al. Ann Thorac Surg 1999:67:352;Pre-operative shaving;Temperature Control;Cardiovascular Complication Prevention;Prevention of Cardiac EventsIntroduction;Surgical Care Improvement ProjectPerformance measure - Process;37;/clinical/guidelines/perio/periobetablocker.pdf;Venous Thromboembolism Prevention;Prevention of Venous Thromboembolism;National Body Position Statements;Acquired Risk Factors;Thromboprophylaxis Use in Practice 1992-2002;Surgical Care Improvement ProjectPerformance measures - Process;45;Geerts WH, et al. CHEST. 2004;126:338S-400S.;Public Accountability and SCIP;Hospital Public Reporting – “P4R”;For purposes of clause (i) for fiscal year 2007 and each subsequent fiscal year, in the case of a subsection (d) hospital that does not submit, to the Secretary in accordance with this clause, data required to be submitted on measures selected under this clause with respect to such a fiscal year, the applicable pe