The Surgical Care Improvement Project (SCIP) & CDC’s National Healthcare Safety Network. Linda McKibben, SCIP Team Leader Teresa Horan , Chief, Performance Measurement Section John Jernigan , Chief, Intervention and Evaluation Section Amy Curtis , Epidemiologist
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Linda McKibben, SCIP Team Leader
Teresa Horan, Chief, Performance Measurement Section
John Jernigan, Chief, Intervention and Evaluation Section
Amy Curtis, Epidemiologist
Chesley Richards, Quality Research Team Leader
Bonnie Zell, Senior Advisor for Partnerships
Denise Cardo, Director
Division of Healthcare Quality Promotion
National Center for Infectious Diseases
Partnership and tools for healthcare providers to:
Goal is to prevent targeted adverse events.
http://www.cdc.gov/ncidod/hip Improvement Program/
In 5 Years …
1Leape LL. Reporting of adverse events. NEJM 2002;347:1633-8.
2Burke JP. Infection control—a problem for patient safety. NEJM 2003;348:651-6.
About NNIS Improvement Program
*Richards C, et al. AJIC 2002
How to affect change?
Richards C, et al. Emerg Infect Dis 2001
Gaynes R, et al. Clin Infect Dis 2001; Richards C, et al Emerg Infect Dis 2001
Abdominal Hysterectomy 2 hr 1.4 2.3 5.3 **
Knee Prosthesis 2 hr 0.9 1.3 2.2 **
Exploratory Laparotomy 2 hr 1.8 3.1 4.8 7.2
CABG - chest & donor site 5 hr 1.2 3.5 5.5 10.2
Cesarean Section 1 hr 2.8 4.2 7.7 **
* SSI per 100 operations
** Risk index categories 2 & 3 combined
NNIS Report, Issued August 2003
Trends in Surgical Site Infection
(SSI) Rates By Risk Group*
SSIs per 100 operations
*NNIS, Unpublished data.
Current / NNIS System
Acute care focus
Manual data collection
Comparative data feedback
New / NHSN
All delivery venues
Electronic data capture
Healthcare safety events
Knowledge systemNNIS to NHSN Evolution
integration of 3 current
patient and healthcare personnel