Prophylactic antibiotic given within 1 hour prior to surgical incision. Applies to all ADULT patients (18 years or over). If giving Vancomycin or Clindamycin,administration may be within 2 hours prior to surgical incision time. Since its inception in 2006, the Surgical Care Improvement Project (SCIP) promoted 3 perioperative antibiotic recommendations as one component of an ambitious goal to reduce overall surgical complication rates by 25% before 2011. 1 Although SCIP based its antibiotic recommendations on several high-quality studies demonstrating good efficacy, the project fell short. Harbarth S, Samore MH, Lichtenberg D, Carmely Y. Prolonged antibiotic prophylaxis after cardiovascular surgery and its effect on surgical site infections and antimicrobial resistance. Circulation. 2000;101:2916-2921. Wymenga AB, Hekster YA, Theeuwes A, et al. Antibiotic use after cefuroxime prophylaxis in hip and knee joint replacement. CMS Inpatient Core Measures Surgical Care Improvement Project (SCIP) : Tips for Physicians 3 2015 Prophylactic Antibiotic Regimen Selection for Surgery Surgical Procedure Approved Hip/Knee Arthroplasty Cefazolin or CefuroximeAntibiotics or Vancomycin** If ?-lactam allergy: Vancomycin* or Clindamycin* Colon Cefotetan, Cefoxitin, Ampicillin Scip guidelines pdf Surgical Care Improvement Project SCIP Guidelines. scip guidelines for dvt prophylaxis SCIP 1 - Antibiotic Timing.These guidelines were developed jointly by the American. Gery-related measures similar to those reported for SCIP and the Joint.The current SCIP VTE measure specifications apply to selected surgical procedures. Practice guidelines are systematically developed statements to assist practitioners and patients in making decisions about appropriate health care for specific clinical circumstances. Attributes of good guidelines include validity, reliability, reproducibility, clinical applicability, clinical flexibility, clarity, multidisciplinary process * Joint Commission Only . Performance Measure Name: Prophylactic Antibiotic Selection for Surgical Patients Description: Surgical patients who received prophylactic antibiotics consistent with current guidelines (specific to each type of surgical procedure). Rationale: A goal of prophylaxis with antibiotics is to use an agent that is safe, cost-effective, and has a spectrum of action that NQF-ENDORSED VOLUNTARY CONSENSUS STANDARDS FOR HOSPITAL CARE . ID# Performance Measure Name : SCIP-Inf-2a Prophylactic Antibiotic Selection for Surgical Patients - Overall Rate : SCIP-Inf-2b . Prophylactic Antibiotic Selection for Surgical Patients - CABG ASHP therapeutic guidelines on CMS CORE MEASURE - 2014* SCIP: SURGICAL CARE IMPROVEMENT PROJECT SCIP is a national quality partnership of organizations focused on reducing the incidence of surgical complications. This material was produced by Mountain-Pacific Quality Health, the Medicare Quality Improvement Organization for MT, Adult antimicrobial surgical prophylaxis guidelines Approved XX.XX.2017 • Data is limited • Take into account: o Timing of infection o Location of infection o Prior treatment o Planned procedure o Organism Patients with penicillin allergy • Take an antibiotic history o Exact details of reaction, description of rash (if present) Surgical Care Improvement Project Core Measure Set . Effective for Discharges January 1, 2014 . Set Measure ID # Measure Short Name SCIP Inf-1 Prophylactic Antibiotic Received With