Improving Cardiac Surgical Site Infection Reporting and Prevention By Using Registry Data for Case Ascertainment Vaidehi Nayar, MS, MPH, Andrea Kennedy,

Slides:

Advertisements

Similar presentations

Improving Cardiac Surgical Site Infection Reporting and Prevention By Using Registry Data for Case Ascertainment Vaidehi Nayar, MS, MPH, Andrea Kennedy,

Advertisements

Changes in Risk Profile Over Time in the Population of a Pediatric Heart Transplant Program Olaf Reinhartz, MD, Katsuhide Maeda, MD, Bruce A. Reitz, MD,

Heart Transplant vs Left Ventricular Assist Device in Heart Transplant-Eligible Patients Matthew L. Williams, MD, Jaimin R. Trivedi, MD, MPH, Kelly C.

Elevated Hemoglobin A1c Is Associated With Lower Socioeconomic Position and Increased Postoperative Infections and Longer Hospital Stay After Cardiac.

What Predicts Long-Term Survival After Heart Transplantation

Richard S. D’Agostino, MD, Jeffrey P

The STS National Database

Elevated Hemoglobin A1c Is Associated With Lower Socioeconomic Position and Increased Postoperative Infections and Longer Hospital Stay After Cardiac.

Sources of Variation in Hospital-Level Infection Rates After Coronary Artery Bypass Grafting: An Analysis of The Society of Thoracic Surgeons Adult Heart.

Deep Hypothermic circulatory arrest does not impair neurodevelopmental outcome in school-age children after infant cardiac surgery Stephanie Fuller,

Phillips B. Harrington, MD, William W. McAlexander, MD, Ayesha S

International Participation in The Society of Thoracic Surgeons Adult Cardiac Surgery Database: From Institutional to National Oz M. Shapira, MD, Orit.

Coronary Artery Revascularization (CARE) Registry: An Observational Study of On- Pump and Off-Pump Coronary Artery Revascularization George Palmer, MD,

Variation in Outcomes for Risk-Stratified Pediatric Cardiac Surgical Operations: An Analysis of the STS Congenital Heart Surgery Database Jeffrey Phillip.

Comparison of Three Measurements of Cardiac Surgery Mortality for the Northern New England Cardiovascular Disease Study Group Donald S. Likosky, PhD,

Jeffrey G. Gaca, MD, Shubin Sheng, PhD, Mani Daneshmand, MD, J

Intraoperative Hemoglobin Levels and Transfusion Independently Predict Stroke After Cardiac Operations Zainab S. Bahrainwala, BS, Maura A. Grega, RN,

Trends in Robotic-Assisted Coronary Artery Bypass Grafts: A Study of The Society of Thoracic Surgeons Adult Cardiac Surgery Database, 2006 to 2012 David.

Initial Application in The STS Congenital Database of Complexity Adjustment to Evaluate Surgical Case Mix and Results Jeffrey Phillip Jacobs, MD, Francois.

Surgical Ventricular Restoration for Advanced Congestive Heart Failure: Should Pulmonary Hypertension Be a Contraindication? Nishant D. Patel, BA, Jason.

Tracheostomy After Cardiac Operations: In-Hospital and Long-Term Survival Andrea Ballotta, MD, Hassan Kandil, MD, Tommaso Generali, MD, Lorenzo Menicanti,

Surgical Resection of a Giant Coronary Aneurysm

Susanne Lison, MD, Michael Spannagl, MD, PhD, Wulf Dietrich, MD, PhD

Demographic, Psychosocial, and Behavioral Factors Associated With Survival After Heart Transplantation Steven A. Farmer, MD, PhD, Kathleen L. Grady,

Public policy and the practicing physician

Origins of the Cardiothoracic Surgery Network (CTSNet)

James D. St. Louis, MD The Annals of Thoracic Surgery

The Society of Thoracic Surgeons General Thoracic Surgery Database: Establishing Generalizability to National Lung Cancer Resection Outcomes Damien J.

Current Spectrum of Surgical Procedures Performed for Ebstein's Malformation: An Analysis of The Society of Thoracic Surgeons Congenital Heart Surgery.

The Relationship Between Hospital Surgical Case Volumes and Mortality Rates in Pediatric Cardiac Surgery: A National Sample, 1988–2005 Karl F. Welke,

Surgical Dilemmas: Diagnosis and Treatment of Atrial Plasmacytoma

Elliot Wakeam, MD, MPH, James P. Byrne, MD, Gail E

Alexander A. Brescia, MD, J. Scott Rankin, MD, Derek D

Mallory L. Irons, MD, MBE, J. William Gaynor, MD, Thomas L

Michael Gaies, MD, Sara K. Pasquali, MD, Janet E

Quality-Cost Relationship in Congenital Heart Surgery

Hybrid Management of a Giant Left Main Coronary Artery Aneurysm

Terry Shih, MD, Justin B. Dimick, MD, MPH

Sternal Wound Infections in Pediatric Congenital Cardiac Surgery: A Survey of Incidence and Preventative Practice Cathy S. Woodward, DNP, RN, Minnette.

Benjamin C. Sun, MD, Timothy A. Dickinson, CCP, Eric A

Embolized Methyl Methacrylate to the Right Atrium After Kyphoplasty

Measuring Hospital Performance in Congenital Heart Surgery: Administrative Versus Clinical Registry Data Sara K. Pasquali, MD, MHS, Xia He, MS, Jeffrey.

Editorial Board, January 2010

Bradford B. Smith, MD, Matthew A

Sarah C. Huen, MD, Chirag R. Parikh, MD, PhD

Completely Thrombosed Tricuspid Pouch Mimicking a Cardiac Tumor

Current Assessment of Mortality Rates in Congenital Cardiac Surgery

Experience With Biventricular Intervention for Neonates With Mitral Valve Abnormalities in the Setting of Critical Left-Side Heart Obstruction Catherine.

Current Status of the European Association for Cardio-Thoracic Surgery and The Society of Thoracic Surgeons Congenital Heart Surgery Database Jeffrey.

Is Early Too Early? Effect of Shorter Stays After Bypass Surgery

Acute Esophageal Necrosis: A Case Series and Long-Term Follow-Up

Specialty Training and Mortality After Esophageal Cancer Resection

Sara K. Pasquali, MD, Matthew Hall, PhD, Jennifer S

Interinstitutional Comparison of Risk-Adjusted Mortality and Length of Stay in Congenital Heart Surgery William M. DeCampli, MD, PhD, Redmond P. Burke,

Dana Y. Fuhrman, DO, MS, Lan G

Digital Drainage System Reduces Hospitalization After Video-Assisted Thoracoscopic Surgery Lung Resection Daniel L. Miller, MD, Gerald A. Helms, MD,

The American Board of Thoracic Surgery: Update

Susan D. Moffatt-Bruce, MD, PhD, John Karamichalis, MD, Robert C

Method and Value of Digital Recording of Operations for Congenital Heart Disease Mazyar Kanani, MRCS, Ergin Kocyildirim, MD, Gordon Cohen, MD, Kieran.

“Transitions” for Cardiothoracic Surgeons Now Listed on the Web:

Use of Administrative Data for Surgical Site Infection Surveillance After Congenital Cardiac Surgery Results in Inaccurate Reporting of Surgical Site.

Use of Ventricular Assist Devices in Children Across the United States: Analysis of 7.5 Million Pediatric Hospitalizations David L.S. Morales, MD, Farhan.

Successful use of argatroban as a heparin substitute during cardiopulmonary bypass: heparin-induced thrombocytopenia in a high-risk cardiac surgical patient

Costs Associated With Ventricular Assist Device Use in Children

Sara K. Pasquali, MD, MHS, Xia He, MS, Marshall L

The Impact of New Technology on Cardiothoracic Surgical Practice

Heart Transplant Program Volume Is Not a Measure of Quality

Are unaudited records from an outcomes registry database accurate?

Delayed Sternal Closure in Infant Heart Surgery—The Importance of Where and When: An Analysis of the STS Congenital Heart Surgery Database Kristen Nelson-McMillan,

J. Alberto Lopez, MD The Annals of Thoracic Surgery

Presentation transcript:

Improving Cardiac Surgical Site Infection Reporting and Prevention By Using Registry Data for Case Ascertainment Vaidehi Nayar, MS, MPH, Andrea Kennedy, BA, Janine Pappas, BA, Krista D. Atchley, RN, BSN, Cynthia Field, BSN, NE-BC, Sarah Smathers, MPH, CIC, Eva E. Teszner, RN, CIC, Julia S. Sammons, MD, MSCE, Susan E. Coffin, MD, Jeffrey S. Gerber, MD, Thomas L. Spray, MD, James M. Steven, MD, Louis M. Bell, MD, Joan Forrer, RN, Fernando Gonzalez, BA, Albert Chi, MBA, William J. Nieczpiel, BA, John N. Martin, MBA, J. William Gaynor, MD The Annals of Thoracic Surgery Volume 101, Issue 1, Pages 190-199 (January 2016) DOI: 10.1016/j.athoracsur.2015.07.042 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Rolling 12-month surgical site infection (SSI) rate from 3 sources: (1) billing in light gray, (2) The Society of Thoracic Surgeons (STS) in darker dotted gray, (3) NHSN/TheraDoc in dashed black lines. Vertical lines in light gray for surveillance guideline changes and black for quality improvement interventions. From cardiac SSI data visualization tool. (B) Statistical process control (SPC) chart examples for STS-CHSD and billing (administrative) databases, to examine variation around the mean, with control limits and display adjustments to highlight: (1) points out-of-control limits, (2) runs of 6 or more point above or below the mean to then recalculate the mean. (Abx = antibiotic; CPB = cardiopulmonary bypass; Discont. = discontinue; EPIC = Epic Systems Corporation, electronic health record; Incl. = included; Inpt = inpatient; LDA = lines, drains, and airways; NHSN = National Healthcare Safety Network; STS-CHSD = The Society of Thoracic Surgeons Congenital Heart Surgery Database; Txp = transplant.) The Annals of Thoracic Surgery 2016 101, 190-199DOI: (10.1016/j.athoracsur.2015.07.042) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Cardiac surgical site infection (SSI) identification and documentation process flow. (CHOP = The Children's Hospital of Philadelphia; EPIC = Epic Systems Corporation, electronic health record; IPC = infection prevention and control; LDA = lines, drains, and airways; micro = microbiology; NHSN = National Healthcare Safety Network; OR = operating room; PA = physician assistant; respos. = repository; pos = positive; SSI = surgical site infection; tbd = to be decided.) The Annals of Thoracic Surgery 2016 101, 190-199DOI: (10.1016/j.athoracsur.2015.07.042) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions