------
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" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Medication, Administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures - IV,
IM, oral')" > 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, Active: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures - IV, IM,
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" <= 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 end 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 "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"
-
Numerator 1.1 =
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular antibiotics (route: 'Hospital Measures-Route IV')"
<= 24 hour(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures - CABG (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular antibiotics (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"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Vancomycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures - CABG (incision datetime)"
- AND:
- OR: "Diagnosis, Active: Hospital Measures-MRSA colonization or infection" starts before start of ("Occurrence A of Procedure,
Performed: Hospital Measures - CABG (incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- OR: "ANY Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of "Occurrence
A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "ANY Encounter: Hospital Measures-Nursing home or extended care facility (discharge datetime)" <= 1 year(s) starts before
start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure, Performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures - CABG (incision datetime)"
- OR: "Intervention, Performed: Hospital Measures-Chronic wound care" <= 1 year(s) starts before start of "Occurrence A of
Procedure, Performed: Hospital Measures - CABG (incision datetime)"
- OR: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (admission datetime)" > 24 hour(s) starts before start
of "Occurrence A of Procedure, Performed: Hospital Measures - CABG (incision datetime)"
- OR: "Procedure, Performed: Hospital Measures-Cardiac valve surgery" during "Occurrence A of Procedure, Performed: Hospital
Measures - CABG (incision datetime)"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Vancomycin (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"
- AND:
- OR: "Diagnosis, Active: Hospital Measures-MRSA colonization or infection" starts before start of ("Occurrence A of Procedure,
Performed: Hospital Measures - CABG (incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- OR: "ANY Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of "Occurrence
A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "ANY Encounter: Hospital Measures-Nursing home or extended care facility (discharge datetime)" <= 1 year(s) starts before
start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure, Performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures - CABG (incision datetime)"
- OR: "Intervention, Performed: Hospital Measures-Chronic wound care" <= 1 year(s) starts before start of "Occurrence A of
Procedure, Performed: Hospital Measures - CABG (incision datetime)"
- OR: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (admission datetime)" > 24 hour(s) starts before start
of "Occurrence A of Procedure, Performed: Hospital Measures - CABG (incision datetime)"
- OR: "Procedure, Performed: Hospital Measures-Cardiac valve surgery" starts before or during "Occurrence A of Procedure, Performed:
Hospital Measures - CABG (incision datetime)"
- OR:
- AND: "Medication, Allergy: Hospital Measures-IV Beta lactams" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures - CABG"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Vancomycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures - CABG (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Vancomycin (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"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures - CABG (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (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 1.2 =
- AND: "Medication, Administered: Hospital Measures-IV Vancomycin (route: 'Hospital Measures-Route IV')" <= 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:
- OR: "Diagnosis, Active: Hospital Measures-MRSA colonization or infection" starts before start of "Occurrence A of Procedure,
Performed: Hospital Measures - CABG (incision datetime)"
- OR: "ANY Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of "Occurrence
A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge datetime)" <= 1 year(s) starts before
start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure, Performed: Hospital Measures-Hemodialysis or peritoneal dialysis" < 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures - CABG (incision datetime)"
- OR: "Intervention, Performed: Hospital Measures-Chronic wound care" <= 1 year(s) starts before start of "Occurrence A of
Procedure, Performed: Hospital Measures - CABG (incision datetime)"
- OR: "Encounter: Hospital Measures-Encounter Inpatient (admission datetime)" > 24 hour(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures - CABG (incision datetime)"
- OR: "Procedure, Performed: Hospital Measures-Cardiac valve surgery" starts before or during "Occurrence A of Procedure, Performed:
Hospital Measures - CABG (incision datetime)"
- OR: "Medication, Allergy: Hospital Measures-IV Beta lactams" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures - CABG"
-
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 procedure (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 procedure (ordinality: 'Hospital Measures-Principal')"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Other cardiac procedure (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 procedure (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 - IV,
IM, oral')" > 24 hour(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures-Other cardiac procedure
(incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT: "Medication, Active: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures - IV, IM,
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" <= 4 day(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Other
cardiac procedure (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 procedure"
- 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 procedure"
- 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 procedure"
- 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 procedure"
- 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 procedure"
-
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 ("Procedure, Performed: Hospital Measures-Other cardiac surgery"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: "Patient Characteristic: Expired" <= 6 hour(s) starts after end of "Occurrence B 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 Cardiac or Vascular antibiotics (route: 'Hospital Measures-Route IV')"
<= 24 hour(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Other cardiac procedure (incision
datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular antibiotics (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"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Vancomycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Other cardiac procedure (incision datetime)"
- AND:
- OR: "Procedure, Performed: Hospital Measures-Cardiac valve surgery (ordinality: 'Hospital Measures-Principal')" during "Occurrence
A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Diagnosis, Active: Hospital Measures-MRSA colonization or infection" starts before start of ("Occurrence A of Procedure,
Performed: Hospital Measures-Other cardiac procedure (incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter
Inpatient")
- OR: "ANY Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of "Occurrence
A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge datetime)" <= 1 year(s) starts before
start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure, Performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Other cardiac procedure (incision datetime)"
- OR: "Intervention, Performed: Hospital Measures-Chronic wound care" < 1 year(s) starts before start of "Occurrence A of Procedure,
Performed: Hospital Measures-Other cardiac procedure (incision datetime)"
- OR: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient" > 24 hour(s) starts before start of "Occurrence A
of Procedure, Performed: Hospital Measures-Other cardiac procedure (incision datetime)"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Vancomycin (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"
- AND:
- OR: "Procedure, Performed: Hospital Measures-Cardiac valve surgery (ordinality: 'Hospital Measures-Principal')" during "Occurrence
A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Diagnosis, Active: Hospital Measures-MRSA colonization or infection" starts before start of "Occurrence A of Procedure,
Performed: Hospital Measures-Other cardiac procedure (incision datetime)"
- OR: "ANY Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of "Occurrence
A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge datetime)" <= 1 year(s) starts before
start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure, Performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Other cardiac procedure (incision datetime)"
- OR: "Intervention, Performed: Hospital Measures-Chronic wound care" < 1 year(s) starts before start of "Occurrence A of Procedure,
Performed: Hospital Measures-Other cardiac procedure (incision datetime)"
- OR: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient" > 24 hour(s) starts before start of "Occurrence A
of Procedure, Performed: Hospital Measures-Other cardiac procedure (incision datetime)"
- OR:
- AND: "Medication, Allergy: Hospital Measures-IV Beta lactams" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Other cardiac procedure"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Vancomycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Other cardiac procedure (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Vancomycin (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"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Other cardiac procedure (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (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 2.2 =
- AND: "Medication, Administered: Hospital Measures-IV Vancomycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of ("Occurrence A of Procedure, Performed: Hospital Measures-Other cardiac procedure (incision datetime)" during
"Encounter: Hospital Measures-Encounter Inpatient")
- AND NOT:
- OR: "Diagnosis, Active: Hospital Measures-MRSA colonization or infection" starts before start of "Occurrence A of Procedure,
Performed: Hospital Measures-Other cardiac procedure (incision datetime)"
- OR: "Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of "Occurrence
A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge datetime)" <= 1 year(s) starts before
start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure, Performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Other cardiac procedure (incision datetime)"
- OR: "Intervention, Performed: Hospital Measures-Chronic wound care" <= 1 year(s) starts before start of "Occurrence A of
Procedure, Performed: Hospital Measures-Other cardiac procedure (incision datetime)"
- OR: "Encounter: Hospital Measures-Encounter Inpatient (admission datetime)" > 24 hour(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Other cardiac procedure (incision datetime)"
- OR: "Procedure, Performed: Hospital Measures-Cardiac valve surgery" starts before or during "Occurrence A of Procedure, Performed:
Hospital Measures-Other cardiac procedure (incision datetime)"
- OR: "Medication, Allergy: Hospital Measures-IV Beta lactams" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Other cardiac procedure (incision datetime)"
-
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 - IV,
IM, oral')" > 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 - IV,
IM, 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-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 ("Procedure, Performed: Hospital Measures-Hip arthroplasty" during
"Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- 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"
-
Numerator 3.1 =
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular antibiotics (route: 'Hospital Measures-Route IV')"
<= 24 hour(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Hip arthroplasty (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular antibiotics (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"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Vancomycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Hip arthroplasty (incision datetime)"
- AND:
- OR: "Diagnosis, Active: Hospital Measures-MRSA colonization or infection" starts before start of "Occurrence A of Procedure,
Performed: Hospital Measures-Hip arthroplasty (incision datetime)"
- OR: "Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of "Occurrence
A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge datetime)" <= 1 year(s) starts before
start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure, Performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Hip arthroplasty (incision datetime)"
- OR: "Intervention, Performed: Hospital Measures-Chronic wound care" < 1 year(s) starts before start of "Occurrence A of Procedure,
Performed: Hospital Measures-Hip arthroplasty (incision datetime)"
- OR: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (admission datetime)" > 24 hour(s) starts before start
of "Occurrence A of Procedure, Performed: Hospital Measures-Hip arthroplasty (incision datetime)"
- OR: "Procedure, Performed: Hospital Measures-Cardiac valve surgery" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Hip arthroplasty (incision datetime)"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Vancomycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
after end of ("Occurrence A of Procedure, Performed: Hospital Measures-Hip arthroplasty (incision datetime)" during "Occurrence
A of Encounter: Hospital Measures-Encounter Inpatient")
- AND:
- OR: "Diagnosis, Active: Hospital Measures-MRSA colonization or infection" starts before start of "Occurrence A of Procedure,
Performed: Hospital Measures-Hip arthroplasty (incision datetime)"
- OR: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start
of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge datetime)" <= 1 year(s) starts before
start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure, Performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Hip arthroplasty (incision datetime)"
- OR: "Intervention, Performed: Hospital Measures-Chronic wound care" < 1 year(s) starts before start of "Occurrence A of Procedure,
Performed: Hospital Measures-Hip arthroplasty (incision datetime)"
- OR: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (admission datetime)" > 24 hour(s) starts before start
of "Occurrence A of Procedure, Performed: Hospital Measures-Hip arthroplasty (incision datetime)"
- OR: "Procedure, Performed: Hospital Measures-Cardiac valve surgery" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Hip arthroplasty (incision datetime)"
- OR:
- AND: "Medication, Allergy: Hospital Measures-IV Beta lactams" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Hip arthroplasty"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Vancomycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Hip arthroplasty (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Vancomycin (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"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Hip arthroplasty (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (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: "Medication, Administered: Hospital Measures-IV Vancomycin (route: 'Hospital Measures-Route IV')" <= 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:
- OR: "Diagnosis, Active: Hospital Measures-MRSA colonization or infection" starts before start of ("Occurrence A of Procedure,
Performed: Hospital Measures-Hip arthroplasty (incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter
Inpatient")
- OR: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start
of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge datetime)" <= 1 year(s) starts before
start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure, Performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Hip arthroplasty (incision datetime)"
- OR: "Intervention, Performed: Hospital Measures-Chronic wound care" <= 1 year(s) starts before start of "Occurrence A of
Procedure, Performed: Hospital Measures-Hip arthroplasty (incision datetime)"
- OR: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (admission datetime)" > 24 hour(s) starts before start
of "Occurrence A of Procedure, Performed: Hospital Measures-Hip arthroplasty (incision datetime)"
- OR: "Procedure, Performed: Hospital Measures-Cardiac valve surgery" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Hip arthroplasty (incision datetime)"
- OR: "Medication, Allergy: Hospital Measures-IV Beta lactams" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Hip arthroplasty"
-
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 - IV,
IM, oral')" > 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, Active: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures - IV, IM,
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-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 ("Occurrence A of Procedure, Performed: Hospital Measures-Knee
arthroplasty" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- 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"
-
Numerator 4.1 =
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular antibiotics (route: 'Hospital Measures-Route IV')"
<= 24 hour(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Knee arthroplasty (incision
datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular antibiotics (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"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Vancomycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Knee arthroplasty (incision datetime)"
- AND:
- OR: "Diagnosis, Active: Hospital Measures-MRSA colonization or infection" starts before start of "Occurrence A of Procedure,
Performed: Hospital Measures-Knee arthroplasty (incision datetime)"
- OR: "Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of "Occurrence
A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge datetime)" <= 1 year(s) starts before
start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure, Performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Knee arthroplasty (incision datetime)"
- OR: "Intervention, Performed: Hospital Measures-Chronic wound care" < 24 hour(s) starts before start of "Occurrence A of
Procedure, Performed: Hospital Measures-Knee arthroplasty (incision datetime)"
- OR: "Encounter: Hospital Measures-Encounter Inpatient (admission datetime)" > 24 hour(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Knee arthroplasty (incision datetime)"
- OR: "Procedure, Performed: Hospital Measures-Cardiac valve surgery" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Knee arthroplasty (incision datetime)"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Vancomycin (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"
- AND:
- OR: "Diagnosis, Active: Hospital Measures-MRSA colonization or infection" starts before start of "Occurrence A of Procedure,
Performed: Hospital Measures-Knee arthroplasty (incision datetime)"
- OR: "Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of "Occurrence
A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge datetime)" <= 1 year(s) starts before
start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure, Performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Knee arthroplasty (incision datetime)"
- OR: "Intervention, Performed: Hospital Measures-Chronic wound care" < 24 hour(s) starts before start of "Occurrence A of
Procedure, Performed: Hospital Measures-Knee arthroplasty (incision datetime)"
- OR: "Encounter: Hospital Measures-Encounter Inpatient (admission datetime)" > 24 hour(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Knee arthroplasty (incision datetime)"
- OR: "Procedure, Performed: Hospital Measures-Cardiac valve surgery" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Knee arthroplasty (incision datetime)"
- OR:
- AND: "Medication, Allergy: Hospital Measures-IV Beta lactams" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Knee arthroplasty"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Vancomycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Knee arthroplasty (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Vancomycin (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"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Knee arthroplasty (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (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: "Medication, Administered: Hospital Measures-IV Vancomycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of ("Occurrence A of Procedure, Performed: Hospital Measures-Knee arthroplasty (incision datetime)" during "Encounter:
Hospital Measures-Encounter Inpatient")
- AND NOT:
- OR: "Diagnosis, Active: Hospital Measures-MRSA colonization or infection" starts before start of "Occurrence A of Procedure,
Performed: Hospital Measures-Knee arthroplasty (incision datetime)"
- OR: "Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start of "Occurrence
A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge datetime)" <= 1 year(s) starts before
start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure, Performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Knee arthroplasty (incision datetime)"
- OR: "Intervention, Performed: Hospital Measures-Chronic wound care" <= 1 year(s) starts before start of "Occurrence A of
Procedure, Performed: Hospital Measures-Knee arthroplasty (incision datetime)"
- OR: "ANY Encounter: Hospital Measures-Encounter Inpatient (admission datetime)" > 24 hour(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Knee arthroplasty (incision datetime)"
- OR: "Procedure, Performed: Hospital Measures-Cardiac valve surgery" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Knee arthroplasty (incision datetime)"
- OR: "Medication, Allergy: Hospital Measures-IV Beta lactams" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Knee arthroplasty"
- OR: "Procedure, Performed: Hospital Measures-Cardiac valve surgery" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Knee arthroplasty"
-
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 - IV, IM,
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-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 - IV, IM,
oral')" <= 24 hour(s) starts before start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- AND NOT:
- AND: "Medication, Administered: 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 "Occurrence A of Procedure, Performed: Hospital Measures-Colon
surgery"
- 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"
-
Numerator 5 =
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Colon-Antibiotics (route: 'Hospital Measures-Route IV')" <= 24 hour(s)
starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Colon surgery (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Colon-Antibiotics (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"
- OR: "Medication, Administered: Hospital Measures-IV Ertapenem (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Colon surgery (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Ertapenem (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"
- OR:
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Arthroplasty and Colon - Antibiotics (route: 'Hospital Measures-Route
IV')" <= 24 hour(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Colon surgery (incision
datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Arthroplasty and Colon - Antibiotics (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"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Colon surgery (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Metronidazole (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"
- OR:
- AND: "Medication, Allergy: Hospital Measures-IV Beta lactams" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Colon surgery"
- AND: OR:
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Colon surgery (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (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"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital Measures-Route IV')" <= 24 hour(s)
starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Colon surgery (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (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"
- OR:
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Colon surgery (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (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"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital Measures-Route IV')"
<= 24 hour(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Colon surgery (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (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"
- OR:
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Colon surgery (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (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"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Aztreonam (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Colon surgery (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Aztreonam (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"
- OR:
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Colon surgery (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Metronidazole (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"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital Measures-Route IV')" <= 24 hour(s)
starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Colon surgery (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (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"
- OR:
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start 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 Metronidazole (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"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital Measures-Route IV')"
<= 24 hour(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Colon surgery (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (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"
-
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 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 - IV,
IM, oral')" > 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, Active: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures - IV, IM,
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
- 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 ("Occurrence A of Procedure, Performed: Hospital Measures - Abdominal
hysterectomy" during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- 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"
-
Numerator 6 =
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Hysterectomy-Antibiotics (route: 'Hospital Measures-Route IV')" <= 24
hour(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy (incision
datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Hysterectomy-Antibiotics (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"
- OR:
- AND: "Medication, Allergy: Hospital Measures-IV Beta lactams" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures - Abdominal hysterectomy"
- AND:
- OR:
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (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"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital Measures-Route IV')" <= 24 hour(s)
starts before start of "Occurrence A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (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"
- OR:
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (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"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital Measures-Route IV')"
<= 24 hour(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy (incision
datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (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"
- OR:
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (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"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Aztreonam (route: 'Hospital Measures-Route IV')" <= 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")
- OR: "Medication, Administered: Hospital Measures-IV Aztreonam (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"
- OR:
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Metronidazole (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"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital Measures-Route IV')" <= 24 hour(s)
starts before start of "Occurrence A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (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"
- OR:
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Metronidazole (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"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital Measures-Route IV')"
<= 24 hour(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures - Abdominal hysterectomy (incision
datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (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"
-
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 - IV,
IM, oral')" > 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, Active: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures - IV, IM,
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-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"
during "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient")
- 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"
-
Numerator 7 =
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Hysterectomy-Antibiotics (route: 'Hospital Measures-Route IV')" <= 24
hour(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Vaginal hysterectomy (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Hysterectomy-Antibiotics (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"
- OR:
- AND: "Medication, Allergy: Hospital Measures-IV Beta lactams" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Vaginal hysterectomy"
- AND:
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Vaginal hysterectomy (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (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"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital Measures-Route IV')" <= 24 hour(s)
starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Vaginal hysterectomy (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (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"
- OR:
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Vaginal hysterectomy (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (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"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital Measures-Route IV')"
<= 24 hour(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Vaginal hysterectomy (incision
datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (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"
- OR:
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Vaginal hysterectomy (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (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"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Aztreonam (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Vaginal hysterectomy (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Aztreonam (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"
- OR:
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Vaginal hysterectomy (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Metronidazole (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"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital Measures-Route IV')" <= 24 hour(s)
starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Vaginal hysterectomy (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Aminoglycosides (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"
- OR:
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Vaginal hysterectomy (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Metronidazole (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"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital Measures-Route IV')"
<= 24 hour(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Vaginal hysterectomy (incision
datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (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"
-
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 - IV,
IM, oral')" > 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, Active: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'Hospital Measures - IV, IM,
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-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 "Occurrence A 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"
-
Numerator 8.1 =
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular antibiotics (route: 'Hospital Measures-Route IV')"
<= 24 hour(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Vascular surgery (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Cardiac or Vascular antibiotics (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"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Vancomycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Vascular surgery (incision datetime)"
- AND:
- OR: "Diagnosis, Active: Hospital Measures-MRSA colonization or infection" starts before start of ("Occurrence A of Procedure,
Performed: Hospital Measures-Vascular surgery (incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter
Inpatient")
- OR: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start
of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge datetime)" <= 1 year(s) starts before
start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure, Performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Vascular surgery (incision datetime)"
- OR: "Intervention, Performed: Hospital Measures-Chronic wound care" <= 1 year(s) starts before start of "Occurrence A of
Procedure, Performed: Hospital Measures-Vascular surgery (incision datetime)"
- OR: "ANY Encounter: Hospital Measures-Encounter Inpatient (admission datetime)" > 24 hour(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Vascular surgery (incision datetime)"
- OR: "Procedure, Performed: Hospital Measures-Cardiac valve surgery" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Vascular surgery (incision datetime)"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Vancomycin (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"
- AND:
- OR: "Diagnosis, Active: Hospital Measures-MRSA colonization or infection" starts before start of ("Occurrence A of Procedure,
Performed: Hospital Measures-Vascular surgery (incision datetime)" during "Occurrence A of Encounter: Hospital Measures-Encounter
Inpatient")
- OR: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start
of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge datetime)" <= 1 year(s) starts before
start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure, Performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Vascular surgery (incision datetime)"
- OR: "Intervention, Performed: Hospital Measures-Chronic wound care" <= 1 year(s) starts before start of "Occurrence A of
Procedure, Performed: Hospital Measures-Vascular surgery (incision datetime)"
- OR: "ANY Encounter: Hospital Measures-Encounter Inpatient (admission datetime)" > 24 hour(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Vascular surgery (incision datetime)"
- OR: "Procedure, Performed: Hospital Measures-Cardiac valve surgery" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Vascular surgery (incision datetime)"
- OR:
- AND: "Medication, Allergy: Hospital Measures-IV Beta lactams" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Vascular surgery"
- AND:
- OR: "Medication, Administered: Hospital Measures-IV Vancomycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Vascular surgery (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Vancomycin (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"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital Measures-Route IV')" <= 24 hour(s) starts
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Hip arthroplasty (incision datetime)"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (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: "Medication, Administered: Hospital Measures-IV Vancomycin (route: 'Hospital Measures-Route IV')" <= 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:
- OR: "Diagnosis, Active: Hospital Measures-MRSA colonization or infection" starts before start of "Occurrence A of Procedure,
Performed: Hospital Measures-Vascular surgery (incision datetime)"
- OR: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (discharge datetime)" <= 1 year(s) starts before start
of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge datetime)" <= 1 year(s) starts before
start of "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure, Performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Vascular surgery (incision datetime)"
- OR: "Intervention, Performed: Hospital Measures-Chronic wound care" <= 1 year(s) starts before start of "Occurrence A of
Procedure, Performed: Hospital Measures-Vascular surgery (incision datetime)"
- OR: "Occurrence A of Encounter: Hospital Measures-Encounter Inpatient (admission datetime)" > 24 hour(s) starts before start
of "Occurrence A of Procedure, Performed: Hospital Measures-Vascular surgery (incision datetime)"
- OR: "Procedure, Performed: Hospital Measures-Cardiac valve surgery" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Vascular surgery (incision datetime)"
- OR: "Medication, Allergy: Hospital Measures-IV Beta lactams" starts before start of "Occurrence A of Procedure, Performed:
Hospital Measures-Vascular surgery"
-
Denominator Exceptions 8=