Patient safety and high quality clinical care are high priorities at North York General and we have become a leader in infectious disease control. We have made significant enhancements, including:
Working with Safer Health Care Now and the Ministry of Health and Long-Term Care to implement best practices that help reduce SSIs. These include:
Optimal use of prophylactic (preventative) antibiotics:
• Determining the appropriate antibiotic to be used
• Administering these antibiotics within 0 - 60 minutes before surgery time
• Discontinuing the antibiotic in less than 24 hours
Monitoring surgical patients' core body temperature and maintaining the temperature at a minimum of 36 degrees Celsius throughout the entire surgery.
Enhancing our Infection Prevention and Control Program.
North York General Surgical Site Infection Prevention indicator rates
North York General regularly monitors and reviews infection rates and uses this information to execute best practice protective measures and continually improve patient care and safety.
The SSI Prevention Indicator is a measure of the hospital's proper administration of a prophylactic (preventative) antibiotic used to prevent surgical site infections in hip and knee joint replacement surgeries. This measure is reported on a quarterly basis.
The SSI indicator is a process measure, where the numerator is the total number of patients whose antibiotic was administered within the appropriate time prior to surgery. The denominator is the total number of patients in the reporting month that had an inpatient knee/hip joint replacement surgical procedure.
Percent of knee/hip joint replacement surgical patients who received
"on-time" prophylactic (preventative) antibiotics =
|# of hip/knee joint replacement surgeries who received usual antibiotics within 60 minutes of skin incision
|# of hip/knee joint replacement surgeries who received vancomycin (antibiotic) within 120 minutes of skin incision ( for those patients who are allergic to penicillin products)
Total number of patients during the reporting period who had a
primary knee/hip joint replacement surgical procedure