------
Population Criteria 1
------
-
Initial Patient Population 1 =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter
Inpatient"
- AND: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" during "Measurement period"
- AND: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (length of stay <= 120 day(s))"
-
Denominator 1 =
- AND: "Initial Patient Population 1"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures - CABG (ordinality: 'Hospital Measures-Principal')" during "Occurrence
A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures - CABG (incision datetime)" >= 1 minute(s) starts after start
of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT: "Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures-Principal')" starts before
or during ("Occurrence A of Procedure, Performed: Hospital Measures - CABG (ordinality: 'Hospital Measures-Principal')" during
"Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Diagnosis, Active: Hospital Measures-Any infection" >= 1 minute(s) starts before start of ("Occurrence A of Procedure,
Performed: Hospital Measures - CABG (incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient
(admission datetime)")
- AND NOT: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route
IV, oral or IM')" > 24 hour(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures - CABG (incision
datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route
IV, oral or IM')" <= 24 hour(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures - Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" <= 4 day(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures
- CABG (incision datetime)"
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures - Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" <= 4 day(s) starts after start of "Occurrence A of Procedure, Performed: Hospital Measures
- CABG (incision datetime)"
- AND NOT: "Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 4 day(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures - CABG"
- AND NOT: "Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure" <= 4 day(s)
starts before start of "Occurrence A of Procedure, Performed: Hospital Measures - CABG"
- AND NOT: "Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 4 day(s) starts after start of "Occurrence
A of Procedure, Performed: Hospital Measures - CABG"
- AND NOT: "Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure" <= 4 day(s)
starts after start of "Occurrence A of Procedure, Performed: Hospital Measures - CABG"
-
Denominator Exclusions 1 =
- AND:
- OR: "Patient Characteristic: Clinical trial participant" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR:
- AND: "Patient Characteristic: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital Measures - CABG
(incision datetime)"
- AND: "Patient Characteristic: Expired" <= 6 hour(s) starts after end of ("Occurrence A of Procedure, Performed: Hospital
Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia" during "Occurrence A
of Encounter: Hospital Measures-Encounter Inpatient")
- OR:
- AND: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV')"
> 48 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- AND: "Diagnosis, Active: Hospital Measures-Any infection" <= 72 hour(s) ends after end of "Occurrence A of Procedure, Performed:
Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
- OR: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV,
oral or IM', reason)" > 48 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission
Evidence of a surgical procedure requiring general or neuraxial anesthesia"
-
Numerator 1.1 =
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" <= 48
hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- OR NOT: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" <=
48 hour(s) starts after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
-
Numerator 1.2 =
- AND:
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" > 48
hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- AND: "Diagnosis, Active: Hospital Measures-Any infection" <= 48 hour(s) starts after end of "Occurrence A of Procedure, Performed:
Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
- OR: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV,
oral or IM', reason)" > 72 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission
Evidence of a surgical procedure requiring general or neuraxial anesthesia"
-
Denominator Exceptions 1=
------
Population Criteria 2
------
-
Initial Patient Population 2 =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter
Inpatient"
- AND: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" during "Measurement period"
- AND: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (length of stay <= 120 day(s))"
-
Denominator 2 =
- AND: "Initial Patient Population 2"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures - Other Cardiac Surgery (ordinality: 'Hospital Measures-Principal')"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT: "Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures-Principal')" starts before
or during ("Occurrence A of Procedure, Performed: Hospital Measures - Other Cardiac Surgery (ordinality: 'Hospital Measures-Principal')"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: "Occurrence A of Procedure, Performed: Hospital Measures - Other Cardiac Surgery (incision datetime)" >= 1 minute(s)
starts after start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT: "Diagnosis, Active: Hospital Measures-Any infection" >= 1 minute(s) starts before start of ("Occurrence A of Procedure,
Performed: Hospital Measures - Other Cardiac Surgery" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route
IV, oral or IM')" > 24 hour(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures - Other Cardiac
Surgery (incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route
IV, oral or IM')" <= 24 hour(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures - Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" <= 4 day(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures
- Other Cardiac Surgery (incision datetime)"
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures - Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" <= 4 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital Measures
- Other Cardiac Surgery (incision datetime)"
- AND NOT: "Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 4 day(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures - Other Cardiac Surgery"
- AND NOT: "Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure" <= 4 day(s)
starts before start of "Occurrence A of Procedure, Performed: Hospital Measures - Other Cardiac Surgery"
- AND NOT: "Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 4 day(s) starts after start of "Occurrence
A of Procedure, Performed: Hospital Measures - Other Cardiac Surgery"
- AND NOT: "Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure" <= 4 day(s)
starts after start of "Occurrence A of Procedure, Performed: Hospital Measures - Other Cardiac Surgery"
-
Denominator Exclusions 2 =
- AND:
- OR: "Patient Characteristic: Clinical trial participant" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR:
- AND: "Patient Characteristic: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital Measures - Other
Cardiac Surgery (incision datetime)"
- AND: "Patient Characteristic: Expired" <= 6 hour(s) starts after end of ("Occurrence A of Procedure, Performed: Hospital
Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia" during "Occurrence A
of Encounter: Hospital Measures-Encounter Inpatient")
- OR:
- AND: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV')"
> 48 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- AND: "Diagnosis, Active: Hospital Measures-Any infection" <= 72 hour(s) ends after end of "Occurrence A of Procedure, Performed:
Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
- OR: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications" > 48 hour(s) ends after end of "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
-
Numerator 2.1 =
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" <= 48
hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- OR NOT: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" <=
48 hour(s) starts after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
-
Numerator 2.2 =
- AND:
- OR:
- AND: "Occurrence A of Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route
IV')" > 48 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of
a surgical procedure requiring general or neuraxial anesthesia"
- AND: "Diagnosis, Active: Hospital Measures-Any infection" <= 48 hour(s) starts after end of "Occurrence A of Procedure, Performed:
Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
- OR: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (reason, route: 'Hospital Measures-Route
IV, oral or IM')" > 72 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission
Evidence of a surgical procedure requiring general or neuraxial anesthesia"
-
Denominator Exceptions 2=
------
Population Criteria 3
------
-
Initial Patient Population 3 =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter
Inpatient"
- AND: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" during "Measurement period"
- AND: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (length of stay <= 120 day(s))"
-
Denominator 3 =
- AND: "Initial Patient Population 3"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures - Hip arthroplasty (ordinality: 'Hospital Measures-Principal')"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures - Hip arthroplasty (incision datetime)" >= 1 minute(s) starts
after start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT: "Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures-Principal')" starts before
or during ("Occurrence A of Procedure, Performed: Hospital Measures - Hip arthroplasty (ordinality: 'Hospital Measures-Principal')"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Diagnosis, Active: Hospital Measures-Any infection" >= 1 minute(s) starts before start of ("Occurrence A of Procedure,
Performed: Hospital Measures - Hip arthroplasty (incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter
Inpatient")
- AND NOT: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route
IV, oral or IM')" > 24 hour(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures - Hip arthroplasty
(incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route
IV, oral or IM')" <= 24 hour(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures - Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" <= 3 day(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures
- Hip arthroplasty (incision datetime)"
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures - Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital Measures
- Hip arthroplasty"
- AND NOT: "Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 3 day(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures - Hip arthroplasty"
- AND NOT: "Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s)
starts before start of "Occurrence A of Procedure, Performed: Hospital Measures - Hip arthroplasty"
- AND NOT: "Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 3 day(s) starts after start of "Occurrence
A of Procedure, Performed: Hospital Measures - Hip arthroplasty"
- AND NOT: "Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s)
starts after start of "Occurrence A of Procedure, Performed: Hospital Measures - Hip arthroplasty"
-
Denominator Exclusions 3 =
- AND:
- OR: "Patient Characteristic: Clinical trial participant" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR:
- AND: "Patient Characteristic: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital Measures - Hip
arthroplasty (incision datetime)"
- AND: "Patient Characteristic: Expired" <= 6 hour(s) starts after end of ("Occurrence A of Procedure, Performed: Hospital
Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia" during "Occurrence A
of Encounter: Hospital Measures-Encounter Inpatient")
- OR:
- AND: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV')"
> 48 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- AND: "Diagnosis, Active: Hospital Measures-Any infection" <= 48 hour(s) ends after end of "Occurrence A of Procedure, Performed:
Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
- OR: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV', reason)"
> 24 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
-
Numerator 3.1 =
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" <= 24
hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- OR NOT: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" <
24 hour(s) starts after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
-
Numerator 3.2 =
- AND:
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" > 24
hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- AND: "Diagnosis, Active: Hospital Measures-Any infection" <= 48 hour(s) starts after end of "Procedure, Performed: Hospital
Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
- OR: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV,
oral or IM', reason)" > 48 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission
Evidence of a surgical procedure requiring general or neuraxial anesthesia"
-
Denominator Exceptions 3=
------
Population Criteria 4
------
-
Initial Patient Population 4 =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter
Inpatient"
- AND: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" during "Measurement period"
- AND: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (length of stay <= 120 day(s))"
-
Denominator 4 =
- AND: "Initial Patient Population 4"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures - Knee arthroplasty (ordinality: 'Hospital Measures-Principal')"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures - Knee arthroplasty (incision datetime)" >= 1 minute(s) starts
after start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT: "Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures-Principal')" starts before
or during ("Occurrence A of Procedure, Performed: Hospital Measures - Knee arthroplasty (ordinality: 'Hospital Measures-Principal')"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Diagnosis, Active: Hospital Measures-Any infection" >= 1 minute(s) starts before start of ("Occurrence A of Procedure,
Performed: Hospital Measures - Knee arthroplasty (incision datetime)" during "Occurrence A of Procedure, Performed: Hospital
Measures - Knee arthroplasty")
- AND NOT: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route
IV, oral or IM')" > 24 hour(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures - Knee arthroplasty
(incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route
IV, oral or IM')" <= 24 hour(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures - Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" <= 3 day(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures
- Knee arthroplasty (incision datetime)"
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures - Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital Measures
- Knee arthroplasty"
- AND NOT: "Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 3 day(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures - Knee arthroplasty"
- AND NOT: "Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s)
starts before start of "Occurrence A of Procedure, Performed: Hospital Measures - Knee arthroplasty"
- AND NOT: "Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 3 day(s) starts after start of "Occurrence
A of Procedure, Performed: Hospital Measures - Knee arthroplasty"
- AND NOT: "Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s)
starts after start of "Occurrence A of Procedure, Performed: Hospital Measures - Knee arthroplasty"
-
Denominator Exclusions 4 =
- AND:
- OR: "Patient Characteristic: Clinical trial participant" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR:
- AND: "Patient Characteristic: Expired" starts after start of "Procedure, Performed: Hospital Measures-Knee arthroplasty (incision
datetime)"
- AND: "Patient Characteristic: Expired" <= 6 hour(s) starts after end of ("Occurrence A of Procedure, Performed: Hospital
Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia" during "Occurrence A
of Encounter: Hospital Measures-Encounter Inpatient")
- OR:
- AND: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV')"
> 24 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- AND: "Diagnosis, Active: Hospital Measures-Any infection" <= 48 hour(s) ends after end of "Occurrence A of Procedure, Performed:
Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
- OR: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV,
oral or IM', reason)" > 24 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission
Evidence of a surgical procedure requiring general or neuraxial anesthesia"
-
Numerator 4.1 =
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" <= 24
hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- OR NOT: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" <=
24 hour(s) starts after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
-
Numerator 4.2 =
- AND:
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" > 24
hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- AND: "Diagnosis, Active: Hospital Measures-Any infection" <= 48 hour(s) starts after end of "Procedure, Performed: Hospital
Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
- OR: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV,
oral or IM', reason)" > 24 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission
Evidence of a surgical procedure requiring general or neuraxial anesthesia"
-
Denominator Exceptions 4=
------
Population Criteria 5
------
-
Initial Patient Population 5 =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter
Inpatient"
- AND: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" during "Measurement period"
- AND: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (length of stay <= 120 day(s))"
-
Denominator 5 =
- AND: "Initial Patient Population 5"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures - Colon surgery (ordinality: 'Hospital Measures-Principal')"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures - Colon surgery (incision datetime)" >= 1 minute(s) starts
after start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT: "Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures-Principal')" starts before
or during ("Occurrence A of Procedure, Performed: Hospital Measures - Colon surgery (ordinality: 'Hospital Measures-Principal')"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Diagnosis, Active: Hospital Measures-Any infection" >= 1 minute(s) starts before start of ("Occurrence A of Procedure,
Performed: Hospital Measures - Colon surgery (incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter
Inpatient")
- AND NOT:
- AND: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV,
oral or IM')" > 24 hour(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures - Colon surgery
(incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT:
- AND: "Medication, Active: Hospital Measures-PO Neomycin sulfate (route: 'Hospital Measures-Route oral')" > 24 hour(s) starts
before start of ("Occurrence A of Procedure, Performed: Hospital Measures - Colon surgery (incision datetime)" during "Occurrence
A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: "Medication, Administered: Hospital Measures-PO Colon and Hysterectomy Antibiotics (route: 'Hospital Measures-Route oral')"
> 24 hour(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures - Colon surgery (incision datetime)"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT:
- AND: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV,
oral or IM')" <= 24 hour(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT:
- AND: "Medication, Active: Hospital Measures-PO Neomycin sulfate (route: 'Hospital Measures-Route oral')" <= 24 hour(s) starts
before start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: "Medication, Administered: Hospital Measures-PO Colon and Hysterectomy Antibiotics (route: 'Hospital Measures-Route oral')"
<= 24 hour(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures - Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" <= 3 day(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures
- Colon surgery (incision datetime)"
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures - Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital Measures
- Colon surgery"
- AND NOT: "Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 3 day(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures - Colon surgery"
- AND NOT: "Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s)
starts before start of "Occurrence A of Procedure, Performed: Hospital Measures - Colon surgery"
- AND NOT: "Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 3 day(s) starts after start of "Occurrence
A of Procedure, Performed: Hospital Measures - Colon surgery"
- AND NOT: "Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s)
starts after start of "Occurrence A of Procedure, Performed: Hospital Measures - Colon surgery"
-
Denominator Exclusions 5 =
- AND:
- OR: "Patient Characteristic: Clinical trial participant" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR:
- AND: "Patient Characteristic: Expired" starts after start of "Procedure, Performed: Hospital Measures-Colon surgery (incision
datetime)"
- AND: "Patient Characteristic: Expired" <= 6 hour(s) starts after end of ("Occurrence A of Procedure, Performed: Hospital
Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia" during "Occurrence A
of Encounter: Hospital Measures-Encounter Inpatient")
- OR:
- AND: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV')"
> 24 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- AND: "Diagnosis, Active: Hospital Measures-Any infection" <= 48 hour(s) ends after end of "Occurrence A of Procedure, Performed:
Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
- OR: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV,
oral or IM', reason)" > 24 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission
Evidence of a surgical procedure requiring general or neuraxial anesthesia"
-
Numerator 5.1 =
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" <= 24
hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- OR NOT: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" <=
24 hour(s) starts after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
-
Numerator 5.2 =
- AND:
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" > 24
hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- AND: "Diagnosis, Active: Hospital Measures-Any infection" <= 48 hour(s) starts after end of "Procedure, Performed: Hospital
Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
- OR: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV,
oral or IM', reason)" > 24 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission
Evidence of a surgical procedure requiring general or neuraxial anesthesia"
-
Denominator Exceptions 5=
------
Population Criteria 6
------
-
Initial Patient Population 6 =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter
Inpatient"
- AND: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" during "Measurement period"
- AND: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (length of stay <= 120 day(s))"
-
Denominator 6 =
- AND: "Initial Patient Population 6"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy (ordinality: 'Hospital Measures-Principal')"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy (incision datetime)" >= 1 minute(s)
starts after start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT: "Occurrence A of Procedure, Performed: Hospital Measures - Caesarian section" starts before start of ("Occurrence
A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy (ordinality: 'Hospital Measures-Principal')" during
"Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures-Principal')" starts before
or during ("Occurrence A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy (ordinality: 'Hospital Measures-Principal')"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Diagnosis, Active: Hospital Measures-Any infection" >= 1 minute(s) starts before start of ("Occurrence A of Procedure,
Performed: Hospital Measures - Abdominal hysterectomy (incision datetime)" during "Occurrence A of Procedure, Performed: Hospital
Measures - Abdominal hysterectomy")
- AND NOT: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route
IV, oral or IM')" > 24 hour(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures - Abdominal
hysterectomy (incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route
IV, oral or IM')" <= 24 hour(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures - Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" <= 3 day(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures
- Abdominal hysterectomy (incision datetime)"
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures - Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital Measures
- Abdominal hysterectomy"
- AND NOT: "Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 3 day(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy"
- AND NOT: "Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s)
starts before start of "Occurrence A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy"
- AND NOT: "Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 3 day(s) starts after start of "Occurrence
A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy"
- AND NOT: "Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s)
starts after start of "Occurrence A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy"
-
Denominator Exclusions 6 =
- AND:
- OR: "Patient Characteristic: Clinical trial participant" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR:
- AND: "Patient Characteristic: Expired" starts after start of "Procedure, Performed: Hospital Measures-Abdominal hysterectomy
(incision datetime)"
- AND: "Patient Characteristic: Expired" <= 6 hour(s) starts after end of ("Occurrence A of Procedure, Performed: Hospital
Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia" during "Occurrence A
of Encounter: Hospital Measures-Encounter Inpatient")
- OR:
- AND: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV')"
> 24 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- AND: "Diagnosis, Active: Hospital Measures-Any infection" <= 48 hour(s) ends after end of "Occurrence A of Procedure, Performed:
Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
- OR: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV,
oral or IM', reason)" > 24 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission
Evidence of a surgical procedure requiring general or neuraxial anesthesia"
-
Numerator 6.1 =
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" <= 24
hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- OR NOT: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" <=
24 hour(s) starts after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
-
Numerator 6.2 =
- AND:
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" > 24
hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- AND: "Diagnosis, Active: Hospital Measures-Any infection" <= 48 hour(s) starts after end of "Procedure, Performed: Hospital
Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
- OR: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV,
oral or IM', reason)" > 24 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission
Evidence of a surgical procedure requiring general or neuraxial anesthesia"
-
Denominator Exceptions 6=
------
Population Criteria 7
------
-
Initial Patient Population 7 =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter
Inpatient"
- AND: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" during "Measurement period"
- AND: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (length of stay <= 120 day(s))"
-
Denominator 7 =
- AND: "Initial Patient Population 7"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures - Vaginal hysterectomy (ordinality: 'Hospital Measures-Principal')"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures - Vaginal hysterectomy (incision datetime)" >= 1 minute(s)
starts after start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT: "Occurrence A of Procedure, Performed: Hospital Measures - Caesarian section" starts before start of ("Occurrence
A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy (ordinality: 'Hospital Measures-Principal')" during
"Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures-Principal')" starts before
or during ("Occurrence A of Procedure, Performed: Hospital Measures - Vaginal hysterectomy (ordinality: 'Hospital Measures-Principal')"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Diagnosis, Active: Hospital Measures-Any infection" >= 1 minute(s) starts before start of ("Occurrence A of Procedure,
Performed: Hospital Measures - Vaginal hysterectomy (incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter
Inpatient")
- AND NOT: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route
IV, oral or IM')" > 24 hour(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures - Vaginal
hysterectomy (incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route
IV, oral or IM')" <= 24 hour(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures - Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" <= 3 day(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures
- Vaginal hysterectomy (incision datetime)"
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures - Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital Measures
- Vaginal hysterectomy"
- AND NOT: "Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 3 day(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures - Vaginal hysterectomy"
- AND NOT: "Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s)
starts before start of "Occurrence A of Procedure, Performed: Hospital Measures - Vaginal hysterectomy"
- AND NOT: "Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 3 day(s) starts after start of "Occurrence
A of Procedure, Performed: Hospital Measures - Vaginal hysterectomy"
- AND NOT: "Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s)
starts after start of "Occurrence A of Procedure, Performed: Hospital Measures - Vaginal hysterectomy"
-
Denominator Exclusions 7 =
- AND:
- OR: "Patient Characteristic: Clinical trial participant" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR:
- AND: "Patient Characteristic: Expired" starts after start of "Procedure, Performed: Hospital Measures-Vaginal hysterectomy
(incision datetime)"
- AND: "Patient Characteristic: Expired" <= 6 hour(s) starts after end of ("Occurrence A of Procedure, Performed: Hospital
Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia" during "Occurrence A
of Encounter: Hospital Measures-Encounter Inpatient")
- OR:
- AND: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV')"
> 24 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- AND: "Diagnosis, Active: Hospital Measures-Any infection" <= 48 hour(s) ends after end of "Occurrence A of Procedure, Performed:
Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
- OR: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV,
oral or IM', reason)" > 24 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission
Evidence of a surgical procedure requiring general or neuraxial anesthesia"
-
Numerator 7.1 =
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" <= 24
hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- OR NOT: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" <=
24 hour(s) starts after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
-
Numerator 7.2 =
- AND:
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" > 24
hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- AND: "Diagnosis, Active: Hospital Measures-Any infection" <= 48 hour(s) starts after end of "Procedure, Performed: Hospital
Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
- OR: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV,
oral or IM', reason)" > 24 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission
Evidence of a surgical procedure requiring general or neuraxial anesthesia"
-
Denominator Exceptions 7=
------
Population Criteria 8
------
-
Initial Patient Population 8 =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter
Inpatient"
- AND: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" during "Measurement period"
- AND: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (length of stay <= 120 day(s))"
-
Denominator 8 =
- AND: "Initial Patient Population 8"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures - Vascular surgery (ordinality: 'Hospital Measures-Principal')"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures - Vascular surgery (incision datetime)" >= 1 minute(s) starts
after start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT: "Diagnosis, Active: Hospital Measures-Infection diagnosis (ordinality: 'Hospital Measures-Principal')" starts before
or during ("Occurrence A of Procedure, Performed: Hospital Measures - Vascular surgery (ordinality: 'Hospital Measures-Principal')"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Diagnosis, Active: Hospital Measures-Any infection" >= 1 minute(s) starts before start of ("Occurrence A of Procedure,
Performed: Hospital Measures - Vascular surgery (incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter
Inpatient")
- AND NOT: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route
IV, oral or IM')" > 24 hour(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures - Vascular
surgery (incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route
IV, oral or IM')" <= 24 hour(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures - Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" <= 3 day(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures
- Vascular surgery (incision datetime)"
- AND NOT: "Occurrence B of Procedure, Performed: Hospital Measures - Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: Hospital Measures
- Vascular surgery"
- AND NOT: "Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 3 day(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures - Vascular surgery"
- AND NOT: "Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s)
starts before start of "Occurrence A of Procedure, Performed: Hospital Measures - Vascular surgery"
- AND NOT: "Device, Applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 3 day(s) starts after start of "Occurrence
A of Procedure, Performed: Hospital Measures - Vascular surgery"
- AND NOT: "Procedure, Performed: Hospital Measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s)
starts after start of "Occurrence A of Procedure, Performed: Hospital Measures - Vascular surgery"
-
Denominator Exclusions 8 =
- AND:
- OR: "Patient Characteristic: Clinical trial participant" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR:
- AND: "Patient Characteristic: Expired" starts after start of "Procedure, Performed: Hospital Measures-Vascular surgery (incision
datetime)"
- AND: "Patient Characteristic: Expired" <= 6 hour(s) starts after end of ("Occurrence A of Procedure, Performed: Hospital
Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia" during "Occurrence A
of Encounter: Hospital Measures-Encounter Inpatient")
- OR:
- AND: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV')"
> 24 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- AND: "Diagnosis, Active: Hospital Measures-Any infection" <= 48 hour(s) ends after end of "Occurrence A of Procedure, Performed:
Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
- OR: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV,
oral or IM', reason)" > 24 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission
Evidence of a surgical procedure requiring general or neuraxial anesthesia"
-
Numerator 8.1 =
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" <= 24
hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- OR NOT: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" <=
24 hour(s) starts after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
-
Numerator 8.2 =
- AND:
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Antimicrobial medication (route: 'Hospital Measures-Route IV')" > 24
hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical
procedure requiring general or neuraxial anesthesia"
- AND: "Diagnosis, Active: Hospital Measures-Any infection" <= 48 hour(s) starts after end of "Procedure, Performed: Hospital
Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
- OR: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures-Route IV,
oral or IM', reason)" > 24 hour(s) ends after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission
Evidence of a surgical procedure requiring general or neuraxial anesthesia"
-
Denominator Exceptions 8=