New York—December 17, 2013
“As patients are becoming more engaged in choosing where to receive surgery, it is critical that they have access to data about which hospitals adopt best practices to keep patients safe. By making hospital infection rates transparent, New York State is giving patients access to a critical piece of information they need when making healthcare decisions,” said Louis A. Shapiro, president and CEO. “As a national leader in orthopedics, our entire staff is committed to quality and to providing an environment for excellence in patient care and safety.”
Surgeons at Hospital for Special Surgery performed the most hip replacement surgeries in New York State, with more than 4300 procedures. Among the 165 hospitals included in the report, Hospital for Special Surgery had a statistically lower surgical site infection rate of 0.46 percent compared with the state average of 1 percent for total hip replacement or revision hip procedures.
“At Hospital for Special Surgery, we perform almost four times more total hip replacement surgeries than any other hospital in New York State, and the most in the world,” said Surgeon-in-Chief Dr. Thomas P. Sculco. “We are highly committed to employing the most advanced techniques to prevent this devastating complication. We are also committed to research in finding new ways to prevent infection.”
Hospital for Special Surgery’s specialization in orthopedic surgery allows for systems that improve efficiency in surgical settings within each operating room, lowering surgical times and improving safety. Numerous best practices—many pioneered at Hospital for Special Surgery—have helped to keep infection rates low. The Hospital’s anesthesiologists are leaders in using regional anesthesia for joint replacement, which limits anesthesia only to the surgical region, and reduces bleeding and surgical time.
“An infection prevention nurse is dedicated to the operating room and collaborates with the Perioperative Team, including surgeons, to ensure that all staff are competent to provide safe, quality patient care in activities such as insertion of catheters and preoperative skin preparation of the surgical site that prevent infection,” explained Eileen Finerty, RN, nursing director for Infection Prevention and Occupational Health.
“All joint replacement procedures are performed skillfully and quickly. We utilize less invasive surgical procedures, which reduce operating time, lessen blood loss and lead to rapid recovery. More rapid surgery is another important factor in reducing infection,” said Dr. Sculco.
During surgery, a patient’s exposure to contaminants is minimized, because they are isolated from the environment by a specially designed Plexiglas enclosure, which helps to improve air flow and to restrict excess personnel at the surgical field. After surgery, the operating rooms are meticulously cleaned by staff who are regularly monitored for competency by the infection control nurse, and the infection prevention department ensures that heightened standards are maintained.
An electronic data monitoring program serves as a “first alert” system for new cultures and organisms that could pose a threat to patient safety.
New York State’s strict regulatory and surveillance systems require hospitals to report certain hospital-acquired infections to the State Department of Health. This year’s publication is the sixth annual report of hospital-acquired infections in New York State, but the fifth annual report to include hip replacement procedures. The report states that the data are made publically available each year to give people information about hospital performance that could help them make informed medical decisions.
View the full report from the New York State Department of Health at: https://health.data.ny.gov/
See all of Hospital for Special Surgery’s initiatives towards providing the highest quality healthcare at: http://www.hss.edu/quality
About HSS | Hospital for Special Surgery
HSS is the world’s leading academic medical center focused on musculoskeletal health. At its core is Hospital for Special Surgery, nationally ranked No. 1 in orthopedics (for the ninth consecutive year) and No. 3 in rheumatology by U.S.News & World Report (2018-2019). Founded in 1863, the Hospital has one of the lowest infection rates in the country and was the first in New York State to receive Magnet Recognition for Excellence in Nursing Service from the American Nurses Credentialing Center four consecutive times. The global standard total knee replacement was developed at HSS in 1969. An affiliate of Weill Cornell Medical College, HSS has a main campus in New York City and facilities in New Jersey, Connecticut and in the Long Island and Westchester County regions of New York State. In 2017 HSS provided care to 135,000 patients and performed more than 32,000 surgical procedures. People from all 50 U.S. states and 80 countries travelled to receive care at HSS. In addition to patient care, HSS leads the field in research, innovation and education. The HSS Research Institute comprises 20 laboratories and 300 staff members focused on leading the advancement of musculoskeletal health through prevention of degeneration, tissue repair and tissue regeneration. The HSS Global Innovation Institute was formed in 2016 to realize the potential of new drugs, therapeutics and devices. The culture of innovation is accelerating at HSS as 130 new idea submissions were made to the Global Innovation Institute in 2017 (almost 3x the submissions in 2015). The HSS Education Institute is the world’s leading provider of education on the topic on musculoskeletal health, with its online learning platform offering more than 600 courses to more than 21,000 medical professional members worldwide. Through HSS Global Ventures, the institution is collaborating with medical centers and other organizations to advance the quality and value of musculoskeletal care and to make world-class HSS care more widely accessible nationally and internationally.