Healthcare Epidemiology: The Surgical Infection Prevention and Surgical Care Improvement Projects: National Initiatives to Improve Outcomes for Patients Having Surgery

TLDR

Surgical procedures often result in complications such as infections, sepsis, cardiovascular, respiratory, and thromboembolic events, which increase hospital stay, costs, and mortality, prompting CMS and CDC to launch the Surgical Infection Prevention Project and the Surgical Care Improvement Project to reduce morbidity and improve safety. This review updates the Surgical Infection Prevention Project and introduces the Surgical Care Improvement Project. CMS and CDC implemented the Surgical Infection Prevention Project, and a national quality partnership announced the Surgical Care Improvement Project to enhance surgical safety.

Abstract

Among the most common complications that occur after surgery are surgical site infections and postoperative sepsis, cardiovascular complications, respiratory complications (including postoperative pneumonia), and thromboembolic complications. Patients who experience postoperative complications have dramatically increased hospital length of stay, hospital costs, and mortality rates. The Centers for Medicare & Medicaid Services, in collaboration with the Centers for Disease Control and Prevention, has implemented the Surgical Infection Prevention Project to decrease the morbidity and mortality associated with postoperative surgical site infections. More recently, the Surgical Care Improvement Project, a national quality partnership of organizations committed to improving the safety of surgical care, has been announced. This review will provide an update from the Surgical Infection Prevention Project and provide an introduction to the Surgical Care Improvement Project.