Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-26T06:34:56.962Z Has data issue: false hasContentIssue false
  • English
  • Français

A Retrospective Study of the Accuracy of Surgical Care Improvement Project Metrics for Documenting Normothermia

Published online by Cambridge University Press:  10 May 2016

John M. Boyce ,
Linda Sullivan ,
Douglas Vaughn ,
Jessica Nuzzo  and
Kimberly A. Davis
John M. Boyce*
Affiliation:
Department of Quality Improvement Support Services, Yale-New Haven Hospital, New Haven, Connecticut
Linda Sullivan
Affiliation:
Department of Quality Improvement Support Services, Yale-New Haven Hospital, New Haven, Connecticut
Douglas Vaughn
Affiliation:
Department of Perioperative Services, Yale-New Haven Hospital, New Haven, Connecticut
Jessica Nuzzo
Affiliation:
Department of Quality Improvement Support Services, Yale-New Haven Hospital, New Haven, Connecticut
Kimberly A. Davis
Affiliation:
Department of Quality Improvement Support Services, Yale-New Haven Hospital, New Haven, Connecticut
*
Hospital Epidemiology and Infection Control, Yale-New Haven Hospital, 20 York Street, New Haven, CT 06510 (john.boyce@ynhh.org).
Get access Rights & Permissions [Opens in a new window]

Abstract

A retrospective study of a systematic sample of 150 patients who underwent abdominal surgery revealed that 53 (35.3%) had all intraoperative temperatures in the hypothermic range (<36.0°C). Fifty-two (98.1%) of the 53 patients met 1 or both surgical care improvement project criteria for normothermia. Improved metrics are needed to assure normothermia.

Infect Control Hosp Epidemiol 2014;35(11):1408–1410

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 35 , Issue 11 , November 2014 , pp. 1408 - 1410
Copyright
© 2014 by The Society for Healthcare Epidemiology of America. All rights reserved.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Seamon, MJ, Wobb, J, Gaughan, JP, et al. The effects of intraoperative hypothermia on surgical site infection: an analysis of 524 trauma laparotomies. Ann Surg 2012;255:789–795.Google Scholar
2. QualityNet. Specifications manual for national hospital inpatient quality measures, version 4.1. http://www.qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier4&cid=1228771525863. Accessed September 2013.Google Scholar
3. Hawn, MT, Vick, CC, Richman, J, et al. Surgical site infection prevention: time to move beyond the surgical care improvement program. Ann Surg 2011;254:494–499.Google Scholar
4. Wick, EC, Hobson, DB, Bennett, JL, et al. Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections. J Am Coll Surg 2012;215:193–200.Google Scholar
5. Barone, JE, Tucker, JB, Cecere, J, et al. Hypothermia does not result in more complications after colon surgery. Am Surg 1999;65:356–359.CrossRefGoogle Scholar
6. De Witte, JL, Demeyer, C, Vandemaele, E. Resistive-heating or forced-air warming for the prevention of redistribution hypothermia. Anesth Analg 2010;110:829–833.Google Scholar
7. Winslow, EH, Cooper, SK, Haws, DM, et al. Unplanned perioperative hypothermia and agreement between oral, temporal artery, and bladder temperatures in adult major surgery patients. J Perianesth Nurs 2012;27:165–180.Google Scholar
8. Whitby, JD, Dunkin, LJ. Temperature differences in the oesophagus: preliminary study. Br J Anaesth 1968;40:991–995.Google Scholar
9. Nelson, EJ, Grissom, TE. Continuous gastric suctioning decreases measured esophageal temperature during general anesthesia. J Clin Monit 1996;12:429–432.CrossRefGoogle ScholarPubMed
10. Center for Medicare and Medicaid Services. FY 2014 hospital VBP program measures. Fed Reg 2013;78:50679.Google Scholar