Perioperative Care: Timing of Prophylactic Antibiotics - Ordering Physician (NQF 0270)
-
Initial Patient Population =
- AND: "Patient Characteristic: birth date" >= 18 year(s) starts before start of "Measurement period"
- AND: "Procedure, Performed: Surgical Procedures with indications for Antibiotic Prophylaxis 1 hour prior to incision" during
"Measurement period"
-
Denominator =
- AND: "Initial Patient Population"
-
Denominator Exclusions =
-
Numerator =
- AND:
- OR: "Medication, Order: Prophylactic antibiotics (excluding fluoroquinolones and vancomycin)" <= 60 minute(s) starts before
start of
- OR: "Procedure, Performed: Surgical Procedures with indications for Antibiotic Prophylaxis 1 hour prior to incision (incision
datetime)"
- OR: "Procedure, Performed: Surgical Procedures with indications for Antibiotic Prophylaxis 1 hour prior to incision (start
datetime)"
- OR: "Medication, Administered: Prophylactic antibiotics (excluding fluoroquinolones and vancomycin)" <= 60 minute(s) starts
before start of
- OR: "Procedure, Performed: Surgical Procedures with indications for Antibiotic Prophylaxis 1 hour prior to incision (incision
datetime)"
- OR: "Procedure, Performed: Surgical Procedures with indications for Antibiotic Prophylaxis 1 hour prior to incision (start
datetime)"
- OR: "Medication, Order: Prophylactic antibiotics: fluoroquinolones and vancomycin" <= 120 minute(s) starts before start of
- OR: "Procedure, Performed: Surgical Procedures with indications for Antibiotic Prophylaxis 1 hour prior to incision (incision
datetime)"
- OR: "Procedure, Performed: Surgical Procedures with indications for Antibiotic Prophylaxis 1 hour prior to incision (start
datetime)"
- OR: "Medication, Administered: Prophylactic antibiotics: fluoroquinolones and vancomycin" <= 120 minute(s) starts before
start of
- OR: "Procedure, Performed: Surgical Procedures with indications for Antibiotic Prophylaxis 1 hour prior to incision (incision
datetime)"
- OR: "Procedure, Performed: Surgical Procedures with indications for Antibiotic Prophylaxis 1 hour prior to incision (start
datetime)"
- during "Measurement period"
-
Denominator Exceptions =
- AND:
- OR:
- OR: "Medication, Allergy: Prophylactic antibiotics (excluding fluoroquinolones and vancomycin)"
- OR: "Medication, Allergy: Prophylactic antibiotics: fluoroquinolones and vancomycin"
- OR: "Medication, Adverse Effects: Prophylactic antibiotics (excluding fluoroquinolones and vancomycin)"
- OR: "Medication, Adverse Effects: Prophylactic antibiotics: fluoroquinolones and vancomycin"
- OR: "Medication, Intolerance: Prophylactic antibiotics (excluding fluoroquinolones and vancomycin)"
- OR: "Medication, Intolerance: Prophylactic antibiotics: fluoroquinolones and vancomycin"
- starts before start of ("Procedure, Performed: Surgical Procedures with indications for Antibiotic Prophylaxis 1 hour prior
to incision" during "Measurement period")
- OR:
- OR: "Medication, Administered not done: Medical reason" for "Prophylactic antibiotics (excluding fluoroquinolones and vancomycin)
RxNorm Value Set" <= 60 minute(s) starts before start of
- OR: "Procedure, Performed: Surgical Procedures with indications for Antibiotic Prophylaxis 1 hour prior to incision (incision
datetime)"
- OR: "Procedure, Performed: Surgical Procedures with indications for Antibiotic Prophylaxis 1 hour prior to incision (start
datetime)"
- OR: "Medication, Administered not done: Medical reason" for "Prophylactic antibiotics: fluoroquinolones and vancomycin RxNorm
Value Set" <= 120 minute(s) starts before start of
- OR: "Procedure, Performed: Surgical Procedures with indications for Antibiotic Prophylaxis 1 hour prior to incision (incision
datetime)"
- OR: "Procedure, Performed: Surgical Procedures with indications for Antibiotic Prophylaxis 1 hour prior to incision (start
datetime)"
- during "Measurement period"
-
"Medication, Administered: Prophylactic antibiotics: fluoroquinolones and vancomycin" using "Prophylactic antibiotics: fluoroquinolones and vancomycin RxNorm Value Set (2.16.840.1.113883.3.526.02.810)"
-
"Medication, Administered: Prophylactic antibiotics (excluding fluoroquinolones and vancomycin)" using "Prophylactic antibiotics (excluding fluoroquinolones and vancomycin) RxNorm Value Set (2.16.840.1.113883.3.526.02.809)"
-
"Medication, Administered not done: Medical reason" using "Medical reason SNOMED-CT Value Set (2.16.840.1.113883.3.526.02.313)"
-
"Medication, Adverse Effects: Prophylactic antibiotics: fluoroquinolones and vancomycin" using "Prophylactic antibiotics: fluoroquinolones and vancomycin RxNorm Value Set (2.16.840.1.113883.3.526.02.810)"
-
"Medication, Adverse Effects: Prophylactic antibiotics (excluding fluoroquinolones and vancomycin)" using "Prophylactic antibiotics (excluding fluoroquinolones and vancomycin) RxNorm Value Set (2.16.840.1.113883.3.526.02.809)"
-
"Medication, Allergy: Prophylactic antibiotics: fluoroquinolones and vancomycin" using "Prophylactic antibiotics: fluoroquinolones and vancomycin RxNorm Value Set (2.16.840.1.113883.3.526.02.810)"
-
"Medication, Allergy: Prophylactic antibiotics (excluding fluoroquinolones and vancomycin)" using "Prophylactic antibiotics (excluding fluoroquinolones and vancomycin) RxNorm Value Set (2.16.840.1.113883.3.526.02.809)"
-
"Medication, Intolerance: Prophylactic antibiotics: fluoroquinolones and vancomycin" using "Prophylactic antibiotics: fluoroquinolones and vancomycin RxNorm Value Set (2.16.840.1.113883.3.526.02.810)"
-
"Medication, Intolerance: Prophylactic antibiotics (excluding fluoroquinolones and vancomycin)" using "Prophylactic antibiotics (excluding fluoroquinolones and vancomycin) RxNorm Value Set (2.16.840.1.113883.3.526.02.809)"
-
"Medication, Order: Prophylactic antibiotics: fluoroquinolones and vancomycin" using "Prophylactic antibiotics: fluoroquinolones and vancomycin RxNorm Value Set (2.16.840.1.113883.3.526.02.810)"
-
"Medication, Order: Prophylactic antibiotics (excluding fluoroquinolones and vancomycin)" using "Prophylactic antibiotics (excluding fluoroquinolones and vancomycin) RxNorm Value Set (2.16.840.1.113883.3.526.02.809)"
-
"Patient Characteristic: birth date" using "birth date LOINC Value Set (2.16.840.1.113883.3.560.100.4)"
-
"Procedure, Performed: Surgical Procedures with indications for Antibiotic Prophylaxis 1 hour prior to incision" using "Surgical Procedures with indications for Antibiotic Prophylaxis 1 hour prior to incision Value Set GROUPING (2.16.840.1.113883.3.526.03.808)"
- "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)"