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Quality Measures

Surgical Care

Hospitals can reduce the risk of infection after surgery by making sure they provide care that’s known to get the best results for most patients, including:

  • Giving the recommended antibiotics at the right time before surgery
  • Stopping the antibiotics within the right time frame after surgery
  • Maintaining the patient’s temperature and blood glucose (sugar) at normal levels
  • Removing catheters that are used to drain the bladder in a timely manner after surgery.

Hospitals can also reduce the risk of cardiac problems associated with surgery by:

  • Making sure that certain prescription drugs are continued in the time before, during, and just after the surgery. This includes drugs used to control heart rhythms and blood pressure.
  • Giving drugs that prevent blood clots and using other methods such as special stockings that increase circulation in the legs.

Timely Surgical Care

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery

Abington Memorial Hospital 97%
Lansdale Hospital 100%
Pennsylvania Average 97%
National Average 97%

Higher percentages are better

What It Is and Why It Is Important

  • Hospitals can prevent surgical wound infections. Medical research shows that surgery patients who get antibiotics within the hour before their surgery are less likely to get wound infections.

Surgery patients who were given an antibiotic at the right time (within one hour before surgery) to help prevent infection

Abington Memorial Hospital 99% *
Lansdale Hospital 99% *
Pennsylvania Average 99%
National Average 99%

Higher percentages are better

What It Is and Why It Is Important

  • Surgical wound infections can be prevented. Medical research shows that surgery patients who get antibiotics within the hour before their surgery are less likely to get wound infections.

footnotes:
*
Data submitted were based on a sample of cases/patients.

Surgery patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

Abington Memorial Hospital 98% *
Lansdale Hospital 97% *
Pennsylvania Average 98%
National Average 98%

Higher percentages are better.

What It Is and Why It Is Important

  • Antibiotics are often given to patients before surgery to prevent infection. Continuing the medication longer than necessary can increase the risk of side effects such as stomach aches and serious types of diarrhea

footnotes:
*
Data submitted were based on a sample of cases/patients.

Patients who got treatment at the right time (within 24 hours before or after their surgery) to help prevent blood clots after certain types of surgery

Abington Memorial Hospital 99% *
Lansdale Hospital 97% *
Pennsylvania Average 99%
National Average 98%

Higher percentages are better.

What It Is and Why It Is Important

  • Treatments to help prevent blood clots from forming after surgery include blood-thinning medications, elastic support stockings, or mechanical air stockings that help with blood flow in the legs.

footnotes:
*
Data submitted were based on a sample of cases/patients.

Effective Surgical Care

Outpatients having surgery who got the right kind of antibiotic

Abington Memorial Hospital 93%
Lansdale Hospital 100%
Pennsylvania Average 97%
National Average 97%

Higher percentages are better.

What It Is and Why It Is Important

  • Medical research has shown that certain antibiotics work better to prevent wound infections for certain types of surgery.

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on the beta blockers during the period just before and after their surgery

Abington Memorial Hospital 95% *
Lansdale Hospital 92% *
Pennsylvania Average 98%
National Average 97%

Higher percentages are better.

What It Is and Why It Is Important

  • It is often standard procedure to stop patients' usual medications for a while before and after their surgery. But if patients who have been taking beta blockers suddenly stop taking them, they can have heart problems such as a fast heartbeat. For these patients, staying on beta blockers before and after surgery makes it less likely that they will have heart problems.

footnotes:
*
Data submitted were based on a sample of cases/patients.

Surgery patients who were given the right kind of antibiotic to help prevent infection

Abington Memorial Hospital 99% *
Lansdale Hospital 100% *
Pennsylvania Average 99%
National Average 99%

Higher percentages are better.

What It Is and Why It Is Important

  • Medical research has shown that certain antibiotics work better to prevent wound infections for certain types of surgery.

footnotes:
*
Data submitted were based on a sample of cases/patients.

Heart surgery patients whose blood sugar (blood glucose) is kept under good control in the days right after surgery

Abington Memorial Hospital 98% *
Lansdale Hospital Not Available *  **
Pennsylvania Average 97%
National Average 96%

Higher percentages are better.

What It Is and Why It Is Important

  • Even if heart surgery patients do not have diabetes, keeping their blood sugar under good control after surgery lowers the risk of infection and other problems.
  • "Under good control" means their blood sugar should be 200 mg/dL or less when checked first thing in the morning.

footnotes:
 *
Data submitted were based on a sample of cases/patients.
** No cases met the criteria for this measure.

Surgery patients whose urinary catheters were removed on the first or second day after surgery

Abington Memorial Hospital 97% *
Lansdale Hospital 85% *
Pennsylvania Average 98%
National Average 97%

Higher percentages are better.

What It Is and Why It Is Important

  • Sometimes surgical patients need to have a urinary catheter, or thin tube, inserted into their bladder to help drain the urine. Catheters are usually attached to a bag that collects the urine.
  • Surgery patients can develop infections when urinary catheters are left in place too long after surgery.

footnotes:
 *
Data submitted were based on a sample of cases/patients.

Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal by the end of surgery

Abington Memorial Hospital 100% *
Lansdale Hospital 100% *
Pennsylvania Average 100%
National Average 100%

Higher percentages are better.

What It Is and Why It Is Important

  • Medical research has shown that patients whose body temperatures drop during surgery have a greater risk of infection and their wounds may not heal as quickly.
  • Hospital staff should make sure that patients are actively warmed during and immediately after surgery to prevent drops in body temperature.

footnotes:
 *
Data submitted were based on a sample of cases/patients.

Source: The information was provided from Hospital Compare (for the months of April 1, 2012 through March 31, 2013), a quality tool developed by the United States Department of Health and Human Services.  You may use the information in Hospital Compare together with the other information you gather about hospitals as you decide where to get hospital services. You may want to contact your health care provider, your State Survey Agency or your state Quality Improvement Organization (QIO) for more information. If you have a complaint about the quality of the medical care you or a loved one received at a hospital, first contact the hospital's patient advocate. Or, contact your state QIO. If you have other complaints about a health care facility, contact your State Survey Agency. Additional information about hospitals may be found on the state websites.