142nd APHA Annual Meeting and Exposition

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A stitch in time? Process and outcome measures related to specific adverse events seen in US surgical inpatients 18+ years old: Findings from the Agency for Healthcare Research and Quality (AHRQ)'s National Healthcare Quality and Disparities Reports (NHQR/DR)

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014

Darryl Gray, MD, ScD, FAHA , Center for Quality Improvement and Patient Safety, Agency for Healthcare Research and Quality, Rockville, MD
Sample charts of adults of all ages undergoing selected inpatient surgical procedures were abstracted as part of Medicare’s Quality Improvement Organization Program.  The use of procedure-appropriate perioperative prophylactic antibiotics and their timely administration for 2009-11 were tracked, as was formal perioperative temperature management.   Rates of systemic sepsis and of re-closure of wound dehiscence in surgical discharges meeting specific criteria were tracked using administrative data from AHRQ’s Healthcare Cost and Utilization Project.  Overall and sub-group adherence with guidelines generally exceeded 95%, with some inter-state variation.  Observed rates of sepsis (1-2%) and dehiscence re-closure (0.1-0.2%) included subgroup variation presumably reflecting multiple factors.

Learning Areas:

Administration, management, leadership
Biostatistics, economics

Learning Objectives:
Identify several process and outcome measures used in the NHQR/DR related to adverse surgical events Describe overall nationwide and demographic subgroup results from 2009-2011 regarding process measures related to avoiding certain infection-related complications in US adult surgical patients. Describe overall nationwide and demographic subgroup rates of sepsis and of re-closure of surgical wound dehiscence in US adult surgical patients for 2009-2011.

Keyword(s): Quality of Care, Treatment Outcomes

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a physician/clinical epidemiologist/health services researcher and have been a member of the AHRQ team that generates the National Healthcare Quality and Disparities Reports since 2004. I am also a member of the HAI and General Patient Safety teams of AHRQ’s Center for Quality Improvement and Patient Safety. My relevant research interests include the use of administrative and medcial records data to track process and outcome measures of the quality of surgical care.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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