Surgical Care Improvement

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Evidence-Based Practice (EBP) is an evolutionary step in the nursing model of excellence in professional practice. A healthcare culture focused on excellence and world-class patient care requires that nursing research and EBP are integrated into the professional practice model and nursing care delivery. (Promoting Evidence-Based Practice and Translational Research, July-September, 2010)

In 1999, The Joint Commission together with the Centers for Medicare and Medicaid Services (CMS), focused on potential safety areas for hospitals that were Joint Commission Accredited. On July 1, 2002, data for several core measure improvement projects were set including the Surgical Care Improvement Project (SCIP).

For specific procedures, surgical site infections will be included in the CMS’s denial of payment for hospital-acquired complications. (Banschbach, CNOR Professional Accountability in Perioperative Nursing, 2009) “In the battle to improve patient safety, surgical site infection is a major focus of the various quality assurance associations as well as the Centers for Medicare and Medicaid Services (CMS).” (Banschbach, CNOR Professional Accountability in Perioperative Nursing, 2009) Banschbach further states that in light of the growing global economic crisis, this also presents an added challenge to hospitals trying to maintain fiscal well being. If accredited hospitals are to be successful they must develop a zero tolerance for hospital-acquired infections.

The SCIP core measure is to help improve post-surgical infections. There are several key components that need to be reported. “Nurse Managers and their staff are in a position to play an important role in meeting the SCIP core measure set requirements.” (Booth, Evidence-based nursing: The SCIP core measures: A dizzying array of issues, 2009). Booth further states that the SCIP core measures are rooted in evidence-based practice, and in most cases, they make clinical sense and clearly...
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