Procedure-Associated (PA) Module
Patients undergoing surgical procedures are at an increased risk of infectious complications. Surgical Site Infections (SSIs) following operative procedures are well documented sequelae, and can result in extended hospital stays, increased morbidity, and increased healthcare costs. In one publication, it was estimated that over 8% of the HAIs that were associated with deaths in US were SSIs.1
Post Procedure Pneumonias (PPPs) can also develop in patients postoperatively. Postoperative reduction in lung inflation, challenge to a patient’s immune system, and side effects of prescribed medications can all impact a patient’s ability to resist infection and a PPP can result in the same negative consequences of illness, increased cost and death.
NHSN allows facilities to categorize surgical patients by the National Nosocomial Infection Surveillance (NNIS) System SSI risk- stratification method. This method accounts for the patient’s pre-surgical medical status, length of surgery compared to similar surgeries and a extent of contamination of the surgical wound. Using this information, facilities are able to categorize their patients, calculate risk-stratified rates, and compare those rates against national risk stratified rates. A variety of comparison percentiles and statistical analysis options are offered including line listings, frequency tables, rates, and control charts and can be used to better inform quality improvement decisions.
Protocols which outline the mechanisms and methods of surveillance are included for the following NHSN Events:
- SSI-Surgical site infection
- PPP-Post procedure pneumonia
1Klevens RM, Edward JR, et al. Estimating health care-associated infections and deaths in U.S. hospitals, 2002. Public Health Reports 2007;122:160-166.
Corresponding Materials
Protocol and Instructions
- Surgical Site Infection (SSI) Event [PDF - 198 KB]
Guidelines and procedures for monitoring SSI. January 2012 - Post-Procedure Pneumonia (PPP) Event [PDF - 52 KB] January 2012
Guidelines and procedures for monitoring PPP.
Training
Forms
- 57.106 Patient Safety Monthly Reporting Plan [PDF - 196 KB] June 2011
- 57.111 Pneumonia (PNEU) [PDF - 104 KB] January 2012
- 57.120 Surgical Site Infection (SSI) [PDF - 93 KB] January 2012
- 57.121 Denominator for Procedure [PDF - 42 KB] January 2012
- 57.122 Denominator for Custom Procedure [PDF - 42 KB] June 2011
-
Tables of Instructions [PDF - 422 KB] January 2012.
Instructions for completing forms.
Get email updates
To receive email updates about NHSN, enter your email address:
Contact NHSN:
-
Centers for Disease Control and Prevention
National Healthcare Safety Network
MS-A24
1600 Clifton Rd
Atlanta, GA 30333 - 800-CDC-INFO
(800-232-4636)
TTY: (888) 232-6348 - New Hours of Operation
8am-8pm ET/Monday-Friday
Closed Holidays - nhsn@cdc.gov
