Hospitals should have fewer than expected surgical site infections after major colon surgery. This is defined as first-time mothers giving birth to a single baby, at full-term, in the head-down position deliver their babies through a C-section. Hospitals should have a rate of C-sections of This is defined as mothers being scheduled for cesarean sections or medication inductions prior to 39 weeks gestation without a medical reason. This is defined as mothers having an incision made in the perineum the birth canal during childbirth.
This hospital does not admit pediatric patients or had too few pediatric admissions to administer the patient experience survey. Hospitals should use a CT radiation dose for routine CT scans of the abdomen and pelvis that falls within national benchmarks.
Hospitals should have an average radiation dose for routine CT scans of the head that falls within national benchmarks. When not in the ICU, the intensivist immediately responds to calls and has another physician or trained clinician who can immediately reach the patient. Hospitals should perform at least 20 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 10 procedures annually.
Additionally, this hospital does have protocols in place to ensure that carotid artery surgeries are only performed on patients that meet defined criteria. Hospitals should perform at least 40 procedures annually, and as part of their process for privileging surgeons, ensure that each surgeon performs at least 20 procedures annually. In addition, hospitals should participate in a national clinical registry and achieve the same or better outcomes when compared to others who also perform this procedure.
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