Surgery

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These indicators include various complication rates and death rates, and they summarize how well we follow recommended surgical practices. We also show the number of surgical procedures performed for certain high-risk procedures. Data for cardiovascular procedures are in a separate section.

Click on the indicator description or on the results to obtain the full report.

Key

better than U.S. average near U.S. average worse than U.S. average # = too few eligible cases to calculate a reliable statistic
blank = does not apply
italic number = no comparative data
  Desired Performance Norton Audubon Norton Hospital Norton Suburban Kosair Children's Kentucky U.S.
SCIP inf-bundle (select surgical inpatients) and treatment - percent of patients
meeting applic. infection prevention indics high 85 87 89      
given preop. antibiotic on time high 95 95 98   82 84
given recommended preop. antibiotic high 100 98 99   88 91
with antibiotic discontinued on time high 86 90 91   78 82
 Desired PerformanceNorton Audubon Norton HospitalNorton SuburbanKosair Children's KentuckyU.S.
SCIP inf-1 (percent of surgical inpatients given preop. antibiotic on time)
CABG surgical inpatients high 96 96       91
cardiac surgical inpatients high 91 90       90
hip surgical inpatients high 97 98 97     92
knee surgical inpatients high 97 97 100Quality Ribbon     93
colon surgical inpatients high 91 90 98     84
hysterectomy surgical inpatients high # 94 98     91
vascular surgical inpatients high 90 # 90     87
 Desired PerformanceNorton Audubon Norton HospitalNorton SuburbanKosair Children's KentuckyU.S.
SCIP inf-2 (percent of surgical inpatients given recommended preop. antibiotic)
CABG surgical inpatients high 100Quality Ribbon 100Quality Ribbon       98
cardiac surgical inpatients high 100Quality Ribbon 100Quality Ribbon       98
hip surgical inpatients high 100Quality Ribbon 100Quality Ribbon 100Quality Ribbon     98
knee surgical inpatients high 100Quality Ribbon 99 100Quality Ribbon     98
colon surgical inpatients high 98 88 93     79
hysterectomy surgical inpatients high # 97 99     94
vascular surgical inpatients high 100Quality Ribbon # 100Quality Ribbon     96
 Desired PerformanceNorton Audubon Norton HospitalNorton SuburbanKosair Children's KentuckyU.S.
SCIP inf-3 (percent surgical inpatients with antibiotic discontinued on time)
CABG surgical inpatient high 73 90       91
cardiac surgical inpatients high # #       90
hip surgical inpatients high 95 80 94     86
knee surgical inpatients high 95 97 87     88
colon surgical inpatients high 83 76 78     77
hysterectomy surgical inpatients high # 91 94     91
vascular surgical inpatients high # # #     79
 Desired PerformanceNorton Audubon Norton HospitalNorton SuburbanKosair Children's KentuckyU.S.
Other SCIP indicators - percent of selected surgical inpatients
cardiac surg. w/ controlled 6am post-op serum glucose high 87 92 #     88
w/ approp. surg. site hair removal high 99 99 99     96
colorectal surg. pts w/ recorded temp. w/in range high 60 72 74     82
given beta blocker during peri-op period high 81 69 71     92
with recomm. VTE prophylaxis ordered high 97 91 96   80 80
given approp. VTE prophylaxis high 87 87 92   76 77
 Desired PerformanceNorton Audubon Norton HospitalNorton SuburbanKosair Children's KentuckyU.S.
Postoperative complications - percent of surgical inpatients with
bleeding low 0.41 0.17 0.27      
physiologic derangement low 0.02 0.02 0.04      
respiratory failure low 1.0 1.1 1.0      
PE or DVT low 1.0 1.0 0.7      
sepsis low 3.3 1.8 1.8      
hip fracture low 0Quality Ribbon 0Quality Ribbon 0Quality Ribbon      
abdominal surgeries w/ postop wound dehiscence low 0.22 0.27 0.14      
 Desired PerformanceNorton Audubon Norton HospitalNorton SuburbanKosair Children's KentuckyU.S.
Other surgical complications - percent of
inpatients with a reported complication of anesthesia low 0.11 0.13 0.05      
select surgeries encountering technical difficulties low 0.13 0.38 0.31      
patients w/ pneumothorax resulting from medical care low 0.05 0.08 0.04      
 Desired PerformanceNorton Audubon Norton HospitalNorton SuburbanKosair Children's KentuckyU.S.
Mortality and volume indicators
% hip replacement patients who die (AHRQ risk-adjusted) low 0.51 0Quality Ribbon 0.36      
% craniotomy patients who die (AHRQ risk-adjusted) low 7.2 3.5 #      
% esophageal resection patients who die (AHRQ risk-adj) low   #        
# esophageal resection surgical procedures (AHRQ defn.) high 0 3 0     6
% pancreatic resection patients who die (AHRQ risk-adj) low # 0Quality Ribbon        
# pancreatic resection surgical procedures (AHRQ defn.) high 3 41 0     10
 Desired PerformanceNorton Audubon Norton HospitalNorton SuburbanKosair Children's KentuckyU.S.
Miscellaneous
% gall bladder surgery done laparoscopically high 88 80 92      
% incidental appendectomy in those over 64 years old low 1.4 0.9 3.2     2.1

Quality Ribbon We show a quality ribbon if a hospital has the best score possible.

For more information about Norton Healthcare's Quality Report please email us at quality@nortonhealthcare.org.
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