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

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Presentation on theme: "Improving Cardiac Surgical Site Infection Reporting and Prevention By Using Registry Data for Case Ascertainment  Vaidehi Nayar, MS, MPH, Andrea Kennedy,"— Presentation transcript:

1 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 (January 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 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  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 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  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions


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