Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin (NQF 0268)
-
Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Measurement period"
- AND: "Procedure, Performed: Surgical Procedures Requiring First OR Second Generation Cephalosporin Prophylaxis" during "Measurement
period"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
-
Numerator =
- AND:
- OR:
- OR: "Medication, Order: First Generation Cephalosporin - Cefazolin"
- OR: "Medication, Order: Second Generation Cephalosporin -Cefuroxime"
- <= 14 day(s) starts before or during ("Procedure, Performed: Surgical Procedures Requiring First OR Second Generation Cephalosporin
Prophylaxis" during "Measurement period")
- OR:
- OR: "Medication, Administered: First Generation Cephalosporin - Cefazolin"
- OR: "Medication, Administered: Second Generation Cephalosporin -Cefuroxime"
- <= 4 hour(s) starts before or during ("Procedure, Performed: Surgical Procedures Requiring First OR Second Generation Cephalosporin
Prophylaxis" during "Measurement period")
-
Denominator Exceptions =
- AND:
- OR:
- OR: "Medication, Allergy: First Generation Cephalosporin - Cefazolin"
- OR: "Medication, Adverse Effects: First Generation Cephalosporin - Cefazolin"
- OR: "Medication, Intolerance: First Generation Cephalosporin - Cefazolin"
- OR: "Medication, Allergy: Second Generation Cephalosporin -Cefuroxime"
- OR: "Medication, Adverse Effects: Second Generation Cephalosporin -Cefuroxime"
- OR: "Medication, Intolerance: Second Generation Cephalosporin -Cefuroxime"
- starts before or during "Measurement period"
- OR:
- OR: "Medication, Order not done: Medical reason" for "First Generation Cephalosporin - Cefazolin RxNorm Value Set"
- OR: "Medication, Administered not done: Medical reason" for "First Generation Cephalosporin - Cefazolin RxNorm Value Set"
- OR: "Medication, Order not done: Medical reason" for "Second Generation Cephalosporin -Cefuroxime RxNorm Value Set"
- OR: "Medication, Administered not done: Medical reason" for "Second Generation Cephalosporin -Cefuroxime RxNorm Value Set"
- starts before or during ("Procedure, Performed: Surgical Procedures Requiring First OR Second Generation Cephalosporin Prophylaxis"
<= 14 day(s) during "Measurement period")
-
"Medication, Administered: First Generation Cephalosporin - Cefazolin" using "First Generation Cephalosporin - Cefazolin RxNorm Value Set (2.16.840.1.113883.3.526.02.853)"
-
"Medication, Administered: Second Generation Cephalosporin -Cefuroxime" using "Second Generation Cephalosporin -Cefuroxime RxNorm Value Set (2.16.840.1.113883.3.526.02.854)"
-
"Medication, Administered not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.313)"
-
"Medication, Adverse Effects: First Generation Cephalosporin - Cefazolin" using "First Generation Cephalosporin - Cefazolin RxNorm Value Set (2.16.840.1.113883.3.526.02.853)"
-
"Medication, Adverse Effects: Second Generation Cephalosporin -Cefuroxime" using "Second Generation Cephalosporin -Cefuroxime RxNorm Value Set (2.16.840.1.113883.3.526.02.854)"
-
"Medication, Allergy: First Generation Cephalosporin - Cefazolin" using "First Generation Cephalosporin - Cefazolin RxNorm Value Set (2.16.840.1.113883.3.526.02.853)"
-
"Medication, Allergy: Second Generation Cephalosporin -Cefuroxime" using "Second Generation Cephalosporin -Cefuroxime RxNorm Value Set (2.16.840.1.113883.3.526.02.854)"
-
"Medication, Intolerance: First Generation Cephalosporin - Cefazolin" using "First Generation Cephalosporin - Cefazolin RxNorm Value Set (2.16.840.1.113883.3.526.02.853)"
-
"Medication, Intolerance: Second Generation Cephalosporin -Cefuroxime" using "Second Generation Cephalosporin -Cefuroxime RxNorm Value Set (2.16.840.1.113883.3.526.02.854)"
-
"Medication, Order: First Generation Cephalosporin - Cefazolin" using "First Generation Cephalosporin - Cefazolin RxNorm Value Set (2.16.840.1.113883.3.526.02.853)"
-
"Medication, Order: Second Generation Cephalosporin -Cefuroxime" using "Second Generation Cephalosporin -Cefuroxime RxNorm Value Set (2.16.840.1.113883.3.526.02.854)"
-
"Medication, Order not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.313)"
-
"Patient Characteristic: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Procedure, Performed: Surgical Procedures Requiring First OR Second Generation Cephalosporin Prophylaxis" using "Surgical Procedures Requiring First OR Second Generation Cephalosporin Prophylaxis Value Set GROUPING (2.16.840.1.113883.3.526.03.850)"
- "Patient Characteristic: Gender" using "Gender HL7 Value Set (2.16.840.1.113883.1.11.1)"
- "Patient Characteristic: Race" using "Race CDC Value Set (2.16.840.1.114222.4.11.836)"
- "Patient Characteristic: Ethnicity" using "Ethnicity CDC Value Set (2.16.840.1.114222.4.11.837)"
- "Patient Characteristic: Payer" using "Payer Source of Payment Typology Value Set (2.16.840.1.113883.3.221.5)"