Perioperative Care: Discontinuation of Prophylactic Antibiotics (Non-Cardiac Procedures) (NQF 0271)
-
Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Measurement period"
- AND: "Procedure, Performed: Non-Cardiac Surgical Procedures requiring Discontinuation of Prophylactic Antibiotics within 24
hours" during "Measurement period"
-
Denominator =
- AND: "Initial Patient Population"
- AND:
- OR: "Medication, Administered: Prophylactic antibiotics" <= 240 minute(s) starts before start of "Procedure, Performed: Non-Cardiac
Surgical Procedures requiring Discontinuation of Prophylactic Antibiotics within 24 hours"
- OR: "Medication, Administered: Prophylactic antibiotics" during "Procedure, Performed: Non-Cardiac Surgical Procedures requiring
Discontinuation of Prophylactic Antibiotics within 24 hours"
- during "Measurement period"
-
Denominator Exclusions =
-
Numerator =
- AND:
- OR: "Medication, Order: Prophylactic antibiotics" starts before or during ("Procedure, Performed: Non-Cardiac Surgical Procedures
requiring Discontinuation of Prophylactic Antibiotics within 24 hours" during "Measurement period")
- OR: "Medication, Order: Prophylactic antibiotics" <= 24 hour(s) starts after end of ("Procedure, Performed: Non-Cardiac Surgical
Procedures requiring Discontinuation of Prophylactic Antibiotics within 24 hours" during "Measurement period")
- OR: "Medication, Administered: Prophylactic antibiotics" < 24 hour(s) ends after end of ("Procedure, Performed: Anesthesia
administration" <= 2 hour(s) ends before start of ("Procedure, Performed: Non-Cardiac Surgical Procedures requiring Discontinuation
of Prophylactic Antibiotics within 24 hours" during "Measurement period"))
-
Denominator Exceptions =
- AND: "Medication, Administered: Prophylactic antibiotics (reason)" >= 24 hour(s) ends after end of ("Procedure, Performed:
Anesthesia administration" ends before start of ("Procedure, Performed: Non-Cardiac Surgical Procedures requiring Discontinuation
of Prophylactic Antibiotics within 24 hours" during "Measurement period"))
-
"Medication, Administered: Prophylactic antibiotics" using "Prophylactic antibiotics RxNorm Value Set (2.16.840.1.113883.3.526.02.826)"
-
"Medication, Order: Prophylactic antibiotics" using "Prophylactic antibiotics RxNorm Value Set (2.16.840.1.113883.3.526.02.826)"
-
"Patient Characteristic: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Procedure, Performed: Anesthesia administration" using "Anesthesia administration Value Set GROUPING (2.16.840.1.113883.3.526.03.855)"
-
"Procedure, Performed: Non-Cardiac Surgical Procedures requiring Discontinuation of Prophylactic Antibiotics within 24 hours" using "Non-Cardiac Surgical Procedures requiring Discontinuation of Prophylactic Antibiotics within 24 hours Value Set GROUPING
(2.16.840.1.113883.3.526.02.824)"
- "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)"