Surgical Care Improvement Project (SCIP): Has Its Mission Succeeded?

Abstract The purpose of this study was to determine if adherence to the surgical care improvement project (SCIP) measures could further reduce rate of surgical site infection (SSI) and venous thromboembolism (VTE) in total joint arthroplasty (TJA) patients. We retrospectively identified all patients...

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Bibliographic Details
Published in:The Journal of arthroplasty 2013-08, Vol.28 (7), p.1072-1075
Main Authors: Rasouli, Mohammad R., MD, Jaberi, Mehrad M., BS, Hozack, William J., MD, Parvizi, Javad, MD, FRCS, Rothman, Richard H., MD, PhD
Format: Article
Language:English
Subjects:
Arthroplasty, Replacement - standards
Female
Humans
Male
Orthopedics
Quality Improvement
Regression Analysis
Reoperation
Retrospective Studies
Surgical Care Improvement Project (SCIP)
surgical site infection (SSI)
Surgical Wound Infection - epidemiology
Surgical Wound Infection - prevention & control
total joint arthroplasty
Treatment Outcome
venous thromboembolism
Venous Thromboembolism - epidemiology
Venous Thromboembolism - prevention & control
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Summary:Abstract The purpose of this study was to determine if adherence to the surgical care improvement project (SCIP) measures could further reduce rate of surgical site infection (SSI) and venous thromboembolism (VTE) in total joint arthroplasty (TJA) patients. We retrospectively identified all patients who underwent primary or revision TJA at our institution between July 2000 and June 2009. After implementation of SCIP measures, rate of superficial SSI increased (0.42% versus 0.60%, P = 0.05) while rate of deep SSI decreased from 0.92% to 0.82% ( P = 0.46). The rate of DVT was 0.92% before and 0.83% after implementation of SCIP ( P = 0.51); however, rate of PE increased from 0.87% to 1.30% ( P = 0.002). Our findings indicated that SCIP has not been successful in reducing complications in TJA patients.
ISSN:0883-5403
1532-8406
DOI:10.1016/j.arth.2013.03.004