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Quality Performance Reports Surgical Care

What is Surgical Care or SCIP?
Surgical Care is an abbreviation for the Centers for Medicare and Medicaid's Surgical Care Improvement Project. The goal of the project is to improve the safety of surgical procedures by reducing complications and infections after a procedure.

A surgical site infection is caused when bacteria is present within a wound. Infections near or around a surgical incision occur in 2-5% of abdominal area surgeries and up to 20% of intra-abdominal surgeries. A patient who develops a surgical site infection is more likely to be transferred to the intensive care unit (ICU), and more likely to be readmitted to the hospital.*

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The Surgical Care Improvement Project at UNC Health Care

UNC Health Care follows the recommended procedures for care of patients who undergo surgery with us. The recommendations, also called indicators, are listed below.**

  • SCIP-1 - Percent of Surgery Patients Who Received Preventative Antibiotic(s) One Hour Before Incision
    Why is this recommended?
    Getting an antibiotic within one hour before surgery reduces the risk of wound infections. Hospitals should check to make sure surgery patients get antibiotics at the right time.
  • SCIP-2 - Percent of Surgery Patients Who Received the Appropriate Preventative Antibiotic(s) for Their Surgery
    Why is this recommended?
    Certain antibiotics are recommended to help prevent wound infection for particular types of surgery.
  • SCIP-3 - Percent of Surgery Patients Whose Preventative Antibiotic(s) are Stopped Within 24 hours After Surgery
    Why is this recommended?
    It is important for hospitals to stop giving preventative antibiotics within 24 hours after surgery to avoid side effects and other problems associated with antibiotic use. For certain surgeries, however, antibiotics may be needed for a longer time.
  • SCIP-4 - Percent of All Heart Surgery Patients Whose Blood Sugar (blood glucose) is Kept under Good Control in the Days Right after Surgery
    Why is this recommended?
    All heart surgery patients get their blood sugar checked after surgery. Any patient who has high blood sugar after heart surgery has a greater chance of getting an infection. This measure tells how often the blood sugar of heart surgery patients was kept under good control in the days right after their surgery.
  • SCIP-6 - Percent of Surgery Patients Needing Hair Removed from the Surgical Area before Surgery, who had Hair Removed Using a Safer Method (electric clippers or hair removal cream – not a razor)
    Why is this recommended?
    For those patients who needed to have hair removed to prepare for surgery, this measure tells how often one of the safer methods was used (electric clippers or hair removal cream).
  • SCIP-7 - Percent of Colon Surgery patients whose body temperatures were within the normal range after surgery
    Why is this recommended?
    Research has shown that maintaining patients’ body temperature within a normal range can reduce complications after surgery.***

     This measure was discontinued as of September 2009. In January 2010, this measure will change to include all patients. 

  • SCIP-VTE-1 - Percent of Surgery Patients Whose Doctors Ordered Treatments to Prevent Blood Clots (Venous Thromboembolism) For Certain Types of Surgeries
    Why is this recommended?
    This measure tells how often surgery patients' doctors ordered treatment to prevent blood clots from forming in the veins after certain surgeries
  • SCIP-VTE-2 - Percent of Surgery Patients Who Received Treatment To Prevent Blood Clots Within 24 Hours Before or After Selected Surgeries to Prevent Blood Clots
    Why is this recommended?
    This measure tells how often surgery patients received treatment to prevent blood clots within 24 hours before or after certain surgeries
  • SCIP-Card - Percent of Heart Surgery patients on beta blocker therapy prior to surgery and received a beta blocker within the period of 24 hours before surgery through discharge from the recovery area
    Why is this recommended?
    Beta blockers are used to lower blood pressure, treat chest pain (angina) and heart failure, and to help prevent a heart attack. Research has shown that patients kept on beta blockers after surgery have a reduced risk for future cardiac events.


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