Surgical Safety

1
Surgical Safety SCIPCMS Lessons in One Domain

• David R. Hunt, M.D., FACS
• Medical Officer
• CMS Quality Improvement Group

2
SCIP Goal

• To reduce preventable surgical morbidity and
  mortality 25 by 2010.

3
SCIP Domains

• Infection
• Perioperative MI
• Venous Thromboembolic Events
• Respiratory Complications
• ESRD Vascular Access

4
As to diseases make a habit of two things - to
help, or at least, to do no harm.
Hippocrates

• Epidemics I

5
(No Transcript)
6
Antibiotic Prophylaxis
Bratzler, Houck, et. al. Arch Surg. 2005
Feb140(2)174-82
7
How many hands?
8
SCIP Process Redesign...
9
All things are difficult before they are easy.

• John Norley