Other Surgery Measures



Antibiotics Received One Hour Prior to Surgery

What are we measuring and why?

MGH tracks the percentage of eligible adult surgery patients who receive appropriate prophylactic antibiotics within one hour prior to surgical incision, or two hours for those receiving vancomycin or fluoroquinolone. Timely administration of these antibiotics has been shown to prevent wound infections related to specific types of surgery.  The term prophylactic is used when the antibiotics are being used to prevent infection, rather than to treat a known infection.

How are we doing and how do we compare to best practices?

This data is no longer collected by the Joint Commission (TJC), nor is it publically reported. Over the last few years, the vast majority of eligible surgery patients have received appropriate prophylactic antibiotics within the specified time period, with 99% receiving it in the most recent quarter. This performance is in line with the national average of 99%. Our performance for the last reporting period, January 2014 to December 2014 was 99%.  The national average for all Joint Commission accredited hospitals was 99%.

Click to see MGH’s performance on this measure by patients’ race.

  • Current Scores
  • Scores Over Time
  • Higher values are better
99% 100% 99%

MGH Source: Hospital administrative data and chart review.
Comparison Group Source: CMS/TJC National Hospital Quality Measures.

N.B. Data for this measure is no longer being collected, nor is it publically reported.

MGH:Jan 14-Dec 14
TJC:Jan 14-Dec 14

99 99 99 99 99 99 99 99 99 99 99 99 99 99 99 99 100 100 100 100 100 100 100 100

MGH Source: Hospital administrative data and chart review.
Comparison Group Source: CMS/TJC National Hospital Quality Measures.

N.B. Data for this measure is no longer being collected, nor is it publically reported.



What are we doing to improve?

MGH created a program to administer antibiotics before surgery, a number of years before the national program started, which includes regular tracking of performance.  Infection control experts provided surgeons with routine feedback on their practice patterns.  In the last two years, as information technology in the operating room has evolved, we are incorporating additional prompts and reminders into our computerized surgical systems. MGH is one of the few hospitals nation-wide with a computerized information system for anesthesiologists.  This system uses electronic guidelines to prompt the physicians and nurse anesthetists to consider whether the patient is a candidate for antibiotics. For each patient, there must be documentation of administration or a reason for not administering the drug in the electronic medical record.

What can you do to ensure you receive antibiotics promptly before surgery?

If you or a family member have been admitted to the hospital for surgery, ask about antibiotic administration at the time of surgery.  Make sure the surgeon and anesthesiologist are aware of any special circumstances, such as allergies or prescriptions for antibiotics during the time before the hospital admission.

 

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