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Surgical Care Infection Prevention

Selecting Appropriate Antibiotics before Surgery

What are we measuring?

The percent of surgical patients receiving the appropriate antibiotic before surgery.

Why is this important?

The appropriateness of an antibiotic depends on the type of procedure being performed and assessment of the patient. By selecting and administering antibiotics that are consistent with current guidelines, which are specific to each type of surgical procedure, hospitals can significantly reduce the risk of an infection after surgery.

What is our most recent performance and trend?

Source of comparison data: HospitalCompare, Centers for Medicare & Medicaid Services.

What are we doing to improve our performance?

BIDMC physicians developed clinical practice guidelines for the ordering of antibiotics, and are working to standardize the selection and ordering of antibiotics across surgery departments. 

Click here to learn about the Surgical Site Infection Prevention Bundle.

Administering Antibiotic within One Hour before Surgery 

What are we measuring?

The percent of surgery patients who receive preventative antibiotics within one hour prior to surgical incision.

Why is this important?

Giving the appropriate antibiotic one hour before surgery has been shown to prevent surgical site infections.  

What is our most recent performance and trend?

Source of comparison data: Hospital Compare, Centers for Medicare & Medicaid Services.

Stopping Antibiotics within 24 Hours after Surgery

What are we measuring?

The percent of surgery patients whose preventative antibiotic(s) are stopped within 24 hours after surgery ends.

Why is this important?

In most cases, it is not necessary to continue giving patients antibiotics more than 24 hours after the surgery. Administering this medication beyond that point increases the risk of side effects and can cause bacteria to become resistant to the medication.

What is our most recent performance and trend?

Source of comparison data: HospitalCompare, Centers for Medicare & Medicaid Services.

What are we doing to improve our performance?

BIDMC continues to work to improve our performance by focusing closely on those surgeries that most often use antibiotics before surgery and educating staff about the need to minimize antibiotics in the postoperative phase of surgery unless an infection exists.

Other Measures of Infections: 

Last updated: June 2014 
 

Contact Information

Silverman Institute for Health Care Quality and Safety
Beth Israel Deaconess Medical Center
330 Brookline Ave
Boston, MA 02215
617-667-1325