NQMC Update Service: December 15, 2014 ► Institute for Clinical Systems Improvement

NQMC Update Service: December 15, 2014

Institute for Clinical Systems Improvement

• Perioperative protocol: percentage of appropriate surgical patients who had their site marked by the surgeon in preoperative with his/her initials. This updates a previously published measure summary.

• Perioperative protocol: percentage of canceled or delayed surgical procedures due to ineffective communication regarding patient information as defined by organizational procedures. This updates a previously published measure summary.

• Perioperative protocol: percentage of patients undergoing cataract surgery who have electrocardiograms performed as part of the preoperative assessment prior to cataract surgery. This updates a previously published measure summary.

• Perioperative protocol: percentage of patients undergoing elective non-high-risk surgery having laboratory tests/imaging unrelated to positive findings on preoperative basic health assessment. This updates a previously published measure summary.

• Perioperative protocol: percentage of patients undergoing elective non-high-risk surgery with a preoperative basic health assessment completed prior to the day of the scheduled procedure. This updates a previously published measure summary.

• Perioperative protocol: percentage of patients who have canceled or delayed non-high-risk surgical procedures due to incomplete preoperative basic health assessment documentation. This updates a previously published measure summary.

• Perioperative protocol: percentage of patients with comorbidities undergoing elective non-high-risk surgery who have appropriate management of comorbidities prior to surgery, including antithrombotic therapy, recent coronary stent/antiplatelet therapy, beta-blocker therapy, diabetes mellitus, sleep apnea, and nicotine cessation.This updates a previously published measure summary.

• Perioperative protocol: percentage of patients with comorbidities undergoing elective non-high-risk surgery who have preoperative recommendations documented/communicated to the patient and/or surgical facility for all of the following applicable comorbidities: antithrombotic therapy, recent coronary stent/antiplatelet therapy, beta-blocker therapy, diabetes mellitus, sleep apnea, and nicotine cessation. This updates a previously published measure summary.

• Perioperative protocol: percentage of patients with comorbidities who have preoperative education documented for all specified applicable comorbidities.

• Perioperative protocol: percentage of preoperative wound infections by wound classifications: Class I: clean, Class II: clean contaminated, and Class III: contaminated. This updates a previously published measure summary.

• Perioperative protocol: percentage of surgical cases in which a verbal, active Time-Out has been conducted by all appropriate members of the surgical team prior to incision. This updates a previously published measure summary.

• Perioperative protocol: percentage of surgical cases where counts were not reconciled and imaging was performed.

• Perioperative protocol: percentage of surgical cases where the baseline count was conducted prior to the patient arriving in the operating/procedure room. This updates a previously published measure summary.

• Perioperative protocol: percentage of surgical patients with documentation of preoperative verification of correct patient, procedure and site/side/level. This updates a previously published measure summary.

• Perioperative protocol: percentage of unintentionally retained foreign objects in surgical cases per month. This updates a previously published measure summary.

• Perioperative protocol: percentage of wrong surgery events per month. This updates a previously published measure summary.