------
Population Criteria 1
------
-
Initial Patient Population 1 =
- AND: "Patient characteristic: birth date" >= 18 year(s) starts before start of "Instance A of Encounter: Hospital Measures-Encounter
Inpatient"
- AND: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (discharge)" during "Measurement period"
- AND: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (duration <= 120 days)"
-
Denominator 1=
- AND: "Initial Patient Population 1"
- AND: "Instance A of Procedure performed: Hospital Measures - CABG (ordinality: 'principal')" during "Instance A of Encounter:
Hospital Measures-Encounter Inpatient"
- AND: NOT "Diagnosis active: Hospital Measures-Infection diagnosis (ordinality: 'principal')" starts before or during ("Instance
A of Procedure performed: Hospital Measures - CABG (ordinality: 'principal')" during "Instance A of Encounter: Hospital Measures-Encounter
Inpatient")
- AND: "Instance A of Procedure performed: Hospital Measures - CABG (incision)" >= 1 minute(s) starts after start of "Instance
A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: NOT "Diagnosis active: Hospital Measures - Any infection" >= 1 minute(s) starts before start of ("Instance A of Procedure
performed: Hospital Measures - CABG" during "Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: NOT "Medication administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'IV, IM, oral')" > 24
hour(s) starts before start of ("Instance A of Procedure performed: Hospital Measures - CABG (incision)" during "Instance
A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: NOT "Medication active: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'IV, IM, oral')" <= 24 hour(s)
starts before start of "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: NOT "Instance 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 "Instance A of Procedure performed: Hospital Measures
- CABG (incision)"
- AND: NOT "Instance 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 "Instance A of Procedure performed: Hospital Measures -
CABG (incision)"
- AND: NOT "Device applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 4 day(s) starts before start of "Instance
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 "Instance A of Procedure performed: Hospital Measures - CABG"
- AND: NOT "Device applied: Hospital Measures-Pacemaker or implantable defibrillator" <= 4 day(s) starts after start of "Instance
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 "Instance A of Procedure performed: Hospital Measures - CABG"
-
Numerator 1.1 =
- AND: "Medication administered: Hospital Measures-IV Cardiac or Vascular antibiotics (route: 'IV')" <= 24 hour(s) starts before
start of "Instance A of Procedure performed: Hospital Measures - CABG (incision)"
- AND: "Medication administered: Hospital Measures-IV Cardiac or Vascular antibiotics (route: 'IV')" <= 24 hour(s) starts after
end of "Instance A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general
or neuraxial anesthesia"
- AND:
- AND: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures - CABG (incision)"
- AND:
- OR: "Diagnosis active: Hospital Measures-MRSA colonization or infection" starts before start of ("Instance A of Procedure
performed: Hospital Measures - CABG (incision)" during "Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- OR: "ANY Encounter: Hospital Measures-Encounter Inpatient (discharge)" <= 1 year(s) starts before start of "Instance A of
Encounter: Hospital Measures-Encounter Inpatient"
- OR: "ANY Encounter: Hospital Measures-Nursing home or extended care facility (discharge)" <= 1 year(s) starts before start
of "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Instance
A of Procedure performed: Hospital Measures - CABG (incision)"
- OR: "Intervention performed: Hospital Measures-Chronic wound care" <= 1 year(s) starts before start of "Instance A of Procedure
performed: Hospital Measures - CABG (incision)"
- OR: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (admission)" > 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures - CABG (incision)"
- AND:
- AND: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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 ("Instance A of Procedure
performed: Hospital Measures - CABG (incision)" during "Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- OR: "ANY Encounter: Hospital Measures-Encounter Inpatient (discharge)" <= 1 year(s) starts before start of "Instance A of
Encounter: Hospital Measures-Encounter Inpatient"
- OR: "ANY Encounter: Hospital Measures-Nursing home or extended care facility (discharge)" <= 1 year(s) starts before start
of "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Instance
A of Procedure performed: Hospital Measures - CABG (incision)"
- OR: "Intervention performed: Hospital Measures-Chronic wound care" <= 1 year(s) starts before start of "Instance A of Procedure
performed: Hospital Measures - CABG (incision)"
- OR: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (admission)" > 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures - CABG (incision)"
- AND:
- AND: "Medication allergy: Hospital Measures-IV Beta lactams" starts before start of "Instance A of Procedure performed: Hospital
Measures - CABG"
- AND:
- OR: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures - CABG (incision)"
- OR: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures - CABG (incision)"
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of ("Instance
A of Procedure performed: Hospital Measures - CABG (incision)" during "Instance A of Encounter: Hospital Measures-Encounter
Inpatient")
- AND:
- AND NOT:
- OR: "Diagnosis active: Hospital Measures-MRSA colonization or infection" starts before start of "Instance A of Procedure performed:
Hospital Measures - CABG (incision)"
- OR: "ANY Encounter: Hospital Measures-Encounter Inpatient (discharge)" <= 1 year(s) starts before start of "Instance A of
Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge)" <= 1 year(s) starts before start of
"Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure performed: Hospital Measures-Hemodialysis or peritoneal dialysis" < 1 year(s) starts before start of "Instance
A of Procedure performed: Hospital Measures - CABG (incision)"
- OR: "Intervention performed: Hospital Measures-Chronic wound care" <= 1 year(s) starts before start of "Instance A of Procedure
performed: Hospital Measures - CABG (incision)"
- OR: "Encounter: Hospital Measures-Encounter Inpatient (admission)" > 24 hour(s) starts before start of "Instance A of Procedure
performed: Hospital Measures - CABG (incision)"
- OR: "Procedure performed: Hospital Measures-Cardiac valve surgery" starts before start of "Instance A of Procedure performed:
Hospital Measures - CABG (incision)"
- OR: "Medication allergy: Hospital Measures-IV Beta lactams" starts before start of "Instance A of Procedure performed: Hospital
Measures - CABG"
-
Exclusions 1 =
- OR: "Patient characteristic: Clinical trial participant" during "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR:
- AND: "Patient characteristic: Expired" starts after start of "Procedure performed: Hospital Measures - CABG (incision)"
- AND: "Patient characteristic: Expired" <= 6 hour starts after end of "Instance A of Procedure performed: Hospital Measures-Joint
Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
------
Population Criteria 2
------
-
Initial Patient Population 2 =
- AND: "Patient characteristic: birth date" >= 18 year(s) starts before start of "Instance A of Encounter: Hospital Measures-Encounter
Inpatient"
- AND: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (discharge)" during "Measurement period"
- AND: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (duration <= 120 days)"
-
Denominator 2=
- AND: "Initial Patient Population 2"
- AND: "Instance A of Procedure performed: Hospital Measures-Other cardiac procedure (ordinality: 'principal')" during "Instance
A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: NOT "Diagnosis active: Hospital Measures-Infection diagnosis (ordinality: 'principal')" starts before or during ("Instance
A of Procedure performed: Hospital Measures-Other cardiac procedure (ordinality: 'principal')" during "Instance A of Encounter:
Hospital Measures-Encounter Inpatient")
- AND: "Instance A of Procedure performed: Hospital Measures-Other cardiac procedure (incision)" >= 1 minute(s) starts after
start of "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: NOT "Diagnosis active: Hospital Measures - Any infection" >= 1 minute(s) starts before start of ("Instance A of Procedure
performed: Hospital Measures-Other cardiac procedure (incision)" during "Instance A of Encounter: Hospital Measures-Encounter
Inpatient")
- AND: NOT "Medication administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'IV, IM, oral')" > 24
hour(s) starts before start of ("Instance A of Procedure performed: Hospital Measures-Other cardiac procedure (incision)"
during "Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: NOT "Medication active: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'IV, IM, oral')" <= 24 hour(s)
starts before start of "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: NOT "Instance 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 "Instance A of Procedure performed: Hospital Measures-Other
cardiac procedure (incision)"
- AND: NOT "Instance 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 "Instance 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 "Instance
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 "Instance 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 "Instance
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 "Instance A of Procedure performed: Hospital Measures-Other cardiac procedure"
-
Numerator 2.1 =
- AND:
- OR: "Medication administered: Hospital Measures-IV Cardiac or Vascular antibiotics (route: 'IV')" <= 24 hour(s) starts before
start of "Instance A of Procedure performed: Hospital Measures-Other cardiac procedure (incision)"
- OR: "Medication administered: Hospital Measures-IV Cardiac or Vascular antibiotics (route: 'IV')" <= 24 hour(s) starts after
end of "Instance 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: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Other cardiac procedure (incision)"
- AND:
- OR: "Procedure performed: Hospital Measures-Cardiac valve surgery (ordinality: 'principal')" during "Instance A of Encounter:
Hospital Measures-Encounter Inpatient"
- OR: "Diagnosis active: Hospital Measures-MRSA colonization or infection" starts before start of ("Instance A of Procedure
performed: Hospital Measures-Other cardiac procedure (incision)" during "Instance A of Encounter: Hospital Measures-Encounter
Inpatient")
- OR: "ANY Encounter: Hospital Measures-Encounter Inpatient (discharge)" <= 1 year(s) starts before start of "Instance A of
Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge)" <= 1 year(s) starts before start of
"Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Other cardiac procedure (incision)"
- OR: "Intervention performed: Hospital Measures-Chronic wound care" < 1 year(s) starts before start of "Instance A of Procedure
performed: Hospital Measures-Other cardiac procedure (incision)"
- OR: "Instance A of Encounter: Hospital Measures-Encounter Inpatient" > 24 hour(s) starts before start of "Instance A of Procedure
performed: Hospital Measures-Other cardiac procedure (incision)"
- OR:
- AND: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'principal')" during "Instance A of Encounter:
Hospital Measures-Encounter Inpatient"
- OR: "Diagnosis active: Hospital Measures-MRSA colonization or infection" starts before start of "Instance A of Procedure performed:
Hospital Measures-Other cardiac procedure (incision)"
- OR: "ANY Encounter: Hospital Measures-Encounter Inpatient (discharge)" <= 1 year(s) starts before start of "Instance A of
Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge)" <= 1 year(s) starts before start of
"Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Other cardiac procedure (incision)"
- OR: "Intervention performed: Hospital Measures-Chronic wound care" < 1 year(s) starts before start of "Instance A of Procedure
performed: Hospital Measures-Other cardiac procedure (incision)"
- OR: "Instance A of Encounter: Hospital Measures-Encounter Inpatient" > 24 hour(s) starts before start of "Instance A of Procedure
performed: Hospital Measures-Other cardiac procedure (incision)"
- OR:
- AND: "Medication allergy: Hospital Measures-IV Beta lactams" starts before start of "Instance A of Procedure performed: Hospital
Measures-Other cardiac procedure"
- AND:
- OR: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Other cardiac procedure (incision)"
- OR: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Other cardiac procedure (incision)"
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of ("Instance
A of Procedure performed: Hospital Measures-Other cardiac procedure (incision)" during "Encounter: Hospital Measures-Encounter
Inpatient")
- AND:
- AND NOT:
- OR: "Procedure performed: Hospital Measures-Cardiac valve surgery (ordinality: 'principal', incision)" during "Instance A
of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Diagnosis active: Hospital Measures-MRSA colonization or infection" starts before start of "Instance A of Procedure performed:
Hospital Measures-Other cardiac procedure (incision)"
- OR: "Encounter: Hospital Measures-Encounter Inpatient (discharge)" <= 1 year(s) starts before start of "Instance A of Encounter:
Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge)" <= 1 year(s) starts before start of
"Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Other cardiac procedure (incision)"
- OR: "Intervention performed: Hospital Measures-Chronic wound care" <= 1 year(s) starts before start of "Instance A of Procedure
performed: Hospital Measures-Other cardiac procedure (incision)"
- OR: "Encounter: Hospital Measures-Encounter Inpatient (admission)" > 24 hour(s) starts before start of "Instance A of Procedure
performed: Hospital Measures-Other cardiac procedure (incision)"
- OR: "Procedure performed: Hospital Measures-Cardiac valve surgery" starts before start of "Instance A of Procedure performed:
Hospital Measures-Other cardiac procedure (incision)"
- OR: "Medication allergy: Hospital Measures-IV Beta lactams" starts before start of "Instance A of Procedure performed: Hospital
Measures-Other cardiac procedure (incision)"
-
Exclusions 2 =
- OR: "Patient characteristic: Clinical trial participant" during "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR:
- AND: "Patient characteristic: Expired" starts after start of ("Procedure performed: Hospital Measures-Other cardiac surgery"
during "Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: "Patient characteristic: Expired" <= 6 hour starts after end of "Instance B of Procedure performed: Hospital Measures
- Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
------
Population Criteria 3
------
-
Initial Patient Population 3 =
- AND: "Patient characteristic: birth date" >= 18 year(s) starts before start of "Instance A of Encounter: Hospital Measures-Encounter
Inpatient"
- AND: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (discharge)" during "Measurement period"
- AND: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (duration <= 120 days)"
-
Denominator 3=
- AND: "Initial Patient Population 3"
- AND: "Instance A of Procedure performed: Hospital Measures-Hip arthroplasty (ordinality: 'principal')" during "Instance A
of Encounter: Hospital Measures-Encounter Inpatient"
- AND: NOT "Diagnosis active: Hospital Measures-Infection diagnosis (ordinality: 'principal')" starts before or during ("Instance
A of Procedure performed: Hospital Measures-Hip arthroplasty (ordinality: 'principal')" during "Instance A of Encounter: Hospital
Measures-Encounter Inpatient")
- AND: NOT "Diagnosis active: Hospital Measures - Any infection" >= 1 minute(s) starts before start of ("Instance A of Procedure
performed: Hospital Measures-Hip arthroplasty (incision)" during "Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: NOT "Medication administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'IV, IM, oral')" > 24
hour(s) starts before start of ("Instance A of Procedure performed: Hospital Measures-Hip arthroplasty (incision)" during
"Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: NOT "Medication administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'IV, IM, oral')" <= 24
hour(s) starts before start of "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: NOT "Instance 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 "Instance A of Procedure performed: Hospital Measures-Hip
arthroplasty (incision)"
- AND: NOT "Instance 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 "Instance 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 "Instance
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 "Instance 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 "Instance
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 "Instance A of Procedure performed: Hospital Measures-Hip arthroplasty"
-
Numerator 3.1 =
- AND: "Medication administered: Hospital Measures-IV Cardiac or Vascular antibiotics (route: 'IV')" <= 24 hour(s) starts before
start of "Instance A of Procedure performed: Hospital Measures-Hip arthroplasty (incision)"
- AND: "Medication administered: Hospital Measures-IV Cardiac or Vascular antibiotics (route: 'IV')" <= 24 hour(s) starts after
end of "Instance A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general
or neuraxial anesthesia"
- AND:
- AND: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Hip arthroplasty (incision)"
- AND:
- OR: "Diagnosis active: Hospital Measures-MRSA colonization or infection" starts before start of "Instance A of Procedure performed:
Hospital Measures-Hip arthroplasty (incision)"
- OR: "Encounter: Hospital Measures-Encounter Inpatient (discharge)" <= 1 year(s) starts before start of "Instance A of Encounter:
Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge)" <= 1 year(s) starts before start of
"Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Hip arthroplasty (incision)"
- OR: "Intervention performed: Hospital Measures-Chronic wound care" < 1 year(s) starts before start of "Instance A of Procedure
performed: Hospital Measures-Hip arthroplasty (incision)"
- OR: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (admission)" > 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Hip arthroplasty (incision)"
- AND:
- AND: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts after end of ("Instance
A of Procedure performed: Hospital Measures-Hip arthroplasty (incision)" during "Instance A of Encounter: Hospital Measures-Encounter
Inpatient")
- AND:
- OR: "Diagnosis active: Hospital Measures-MRSA colonization or infection" starts before start of "Instance A of Procedure performed:
Hospital Measures-Hip arthroplasty (incision)"
- OR: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (discharge)" <= 1 year(s) starts before start of "Instance
A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge)" <= 1 year(s) starts before start of
"Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Hip arthroplasty (incision)"
- OR: "Intervention performed: Hospital Measures-Chronic wound care" < 1 year(s) starts before start of "Instance A of Procedure
performed: Hospital Measures-Hip arthroplasty (incision)"
- OR: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (admission)" > 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Hip arthroplasty (incision)"
- AND:
- AND: "Medication allergy: Hospital Measures-IV Beta lactams" starts before start of "Instance A of Procedure performed: Hospital
Measures-Hip arthroplasty"
- AND:
- OR: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Hip arthroplasty (incision)"
- OR: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Hip arthroplasty (incision)"
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of ("Instance
A of Procedure performed: Hospital Measures-Hip arthroplasty (incision)" during "Instance A of Encounter: Hospital Measures-Encounter
Inpatient")
- AND:
- AND NOT:
- OR: "Diagnosis active: Hospital Measures-MRSA colonization or infection" starts before start of ("Instance A of Procedure
performed: Hospital Measures-Hip arthroplasty (incision)" during "Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- OR: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (discharge)" <= 1 year(s) starts before start of "Instance
A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge)" <= 1 year(s) starts before start of
"Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Hip arthroplasty (incision)"
- OR: "Intervention performed: Hospital Measures-Chronic wound care" <= 1 year(s) starts before start of "Instance A of Procedure
performed: Hospital Measures-Hip arthroplasty (incision)"
- OR: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (admission)" > 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Hip arthroplasty (incision)"
- OR: "Procedure performed: Hospital Measures-Cardiac valve surgery" starts before start of "Instance A of Procedure performed:
Hospital Measures-Hip arthroplasty (incision)"
- OR: "Medication allergy: Hospital Measures-IV Beta lactams" starts before start of "Instance A of Procedure performed: Hospital
Measures-Hip arthroplasty"
-
Exclusions 3 =
- OR: "Patient characteristic: Clinical trial participant" during "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR:
- AND: "Patient characteristic: Expired" starts after start of ("Procedure performed: Hospital Measures-Hip arthroplasty" during
"Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: "Patient characteristic: Expired" <= 6 hour starts after end of "Instance A of Procedure performed: Hospital Measures-Joint
Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
------
Population Criteria 4
------
-
Initial Patient Population 4 =
- AND: "Patient characteristic: birth date" >= 18 year(s) starts before start of "Instance A of Encounter: Hospital Measures-Encounter
Inpatient"
- AND: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (discharge)" during "Measurement period"
- AND: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (duration <= 120 days)"
-
Denominator 4=
- AND: "Initial Patient Population 4"
- AND: "Instance A of Procedure performed: Hospital Measures-Knee arthroplasty (ordinality: 'principal')" during "Instance A
of Encounter: Hospital Measures-Encounter Inpatient"
- AND: NOT "Diagnosis active: Hospital Measures-Infection diagnosis (ordinality: 'principal')" starts before or during ("Instance
A of Procedure performed: Hospital Measures-Knee arthroplasty (ordinality: 'principal')" during "Instance A of Encounter:
Hospital Measures-Encounter Inpatient")
- AND: NOT "Diagnosis active: Hospital Measures - Any infection" >= 1 minute(s) starts before start of ("Instance A of Procedure
performed: Hospital Measures-Knee arthroplasty (incision)" during "Instance A of Procedure performed: Hospital Measures-Knee
arthroplasty")
- AND: NOT "Medication administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'IV, IM, oral')" > 24
hour(s) starts before start of ("Instance A of Procedure performed: Hospital Measures-Knee arthroplasty (incision)" during
"Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: NOT "Medication active: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'IV, IM, oral')" <= 24 hour(s)
starts before start of "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: NOT "Instance 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 "Instance A of Procedure performed: Hospital Measures-Knee
arthroplasty (incision)"
- AND: NOT "Instance 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 "Instance 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 "Instance
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 "Instance 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 "Instance
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 "Instance A of Procedure performed: Hospital Measures-Knee arthroplasty"
-
Numerator 4.1 =
- AND: "Medication administered: Hospital Measures-IV Cardiac or Vascular antibiotics (route: 'IV')" <= 24 hour(s) starts before
start of "Instance A of Procedure performed: Hospital Measures-Knee arthroplasty (incision)"
- AND: "Medication administered: Hospital Measures-IV Cardiac or Vascular antibiotics (route: 'IV')" <= 24 hour(s) starts after
end of "Instance A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general
or neuraxial anesthesia"
- AND:
- AND: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Knee arthroplasty (incision)"
- AND:
- OR: "Diagnosis active: Hospital Measures-MRSA colonization or infection" starts before start of "Instance A of Procedure performed:
Hospital Measures-Knee arthroplasty (incision)"
- OR: "Encounter: Hospital Measures-Encounter Inpatient (discharge)" <= 1 year(s) starts before start of "Instance A of Encounter:
Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge)" <= 1 year(s) starts before start of
"Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Knee arthroplasty (incision)"
- OR: "Intervention performed: Hospital Measures-Chronic wound care" < 24 hour(s) starts before start of "Instance A of Procedure
performed: Hospital Measures-Knee arthroplasty (incision)"
- OR: "Encounter: Hospital Measures-Encounter Inpatient (admission)" > 24 hour(s) starts before start of "Instance A of Procedure
performed: Hospital Measures-Knee arthroplasty (incision)"
- AND:
- AND: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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 "Instance A of Procedure performed:
Hospital Measures-Knee arthroplasty (incision)"
- OR: "Encounter: Hospital Measures-Encounter Inpatient (discharge)" <= 1 year(s) starts before start of "Instance A of Encounter:
Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge)" <= 1 year(s) starts before start of
"Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Knee arthroplasty (incision)"
- OR: "Intervention performed: Hospital Measures-Chronic wound care" < 24 hour(s) starts before start of "Instance A of Procedure
performed: Hospital Measures-Knee arthroplasty (incision)"
- OR: "Encounter: Hospital Measures-Encounter Inpatient (admission)" > 24 hour(s) starts before start of "Instance A of Procedure
performed: Hospital Measures-Knee arthroplasty (incision)"
- AND:
- AND: "Medication allergy: Hospital Measures-IV Beta lactams" starts before start of "Instance A of Procedure performed: Hospital
Measures-Knee arthroplasty"
- AND:
- OR: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Knee arthroplasty (incision)"
- OR: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Knee arthroplasty (incision)"
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of
- AND:
- AND NOT:
- OR: "Diagnosis active: Hospital Measures-MRSA colonization or infection" starts before start of "Instance A of Procedure performed:
Hospital Measures-Knee arthroplasty (incision)"
- OR: "Encounter: Hospital Measures-Encounter Inpatient (discharge)" <= 1 year(s) starts before start of "Instance A of Encounter:
Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge)" <= 1 year(s) starts before start of
"Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Knee arthroplasty (incision)"
- OR: "Intervention performed: Hospital Measures-Chronic wound care" <= 1 year(s) starts before start of "Instance A of Procedure
performed: Hospital Measures-Knee arthroplasty (incision)"
- OR: "ANY Encounter: Hospital Measures-Encounter Inpatient (admission)" > 24 hour(s) starts before start of "Instance A of
Procedure performed: Hospital Measures-Knee arthroplasty (incision)"
- OR: "Procedure performed: Hospital Measures-Cardiac valve surgery" starts before start of "Instance A of Procedure performed:
Hospital Measures-Knee arthroplasty (incision)"
- OR: "Medication allergy: Hospital Measures-IV Beta lactams" starts before start of "Instance A of Procedure performed: Hospital
Measures-Knee arthroplasty"
-
Exclusions 4 =
- OR: "Patient characteristic: Clinical trial participant" during "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR:
- AND: "Patient characteristic: Expired" starts after start of ("Instance A of Procedure performed: Hospital Measures-Knee arthroplasty"
during "Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: "Patient characteristic: Expired" <= 6 hour starts after end of "Instance A of Procedure performed: Hospital Measures-Joint
Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
------
Population Criteria 5
------
-
Initial Patient Population 5 =
- AND: "Patient characteristic: birth date" >= 18 year(s) starts before start of "Instance A of Encounter: Hospital Measures-Encounter
Inpatient"
- AND: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (discharge)" during "Measurement period"
- AND: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (duration <= 120 days)"
-
Denominator 5=
- AND: "Initial Patient Population 5"
- AND: "Instance A of Procedure performed: Hospital Measures-Colon surgery (ordinality: 'principal')" during "Instance A of
Encounter: Hospital Measures-Encounter Inpatient"
- AND: NOT "Diagnosis active: Hospital Measures-Infection diagnosis (ordinality: 'principal')" starts before or during ("Instance
A of Procedure performed: Hospital Measures-Colon surgery (ordinality: 'principal')" during "Instance A of Encounter: Hospital
Measures-Encounter Inpatient")
- AND: NOT "Diagnosis active: Hospital Measures - Any infection" >= 1 minute(s) starts before start of ("Instance A of Procedure
performed: Hospital Measures-Colon surgery (incision)" during "Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- AND:
- AND NOT:
- AND: "Medication administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'IV, IM, oral')" > 24 hour(s)
starts before start of ("Instance A of Procedure performed: Hospital Measures-Colon surgery (incision)" during "Instance A
of Encounter: Hospital Measures-Encounter Inpatient")
- AND:
- AND NOT:
- AND: "Medication administered: Hospital Measures-PO Neomycin sulfate (route: 'oral')" > 24 hour(s) starts before start of
("Instance A of Procedure performed: Hospital Measures-Colon surgery (incision)" during "Instance A of Encounter: Hospital
Measures-Encounter Inpatient")
- AND: "Medication administered: Hospital Measures-PO Colon and Hysterectomy Antibiotics (route: 'oral')" > 24 hour(s) starts
before start of ("Instance A of Procedure performed: Hospital Measures-Colon surgery (incision)" during "Instance A of Encounter:
Hospital Measures-Encounter Inpatient")
- AND:
- AND NOT:
- AND: "Medication administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'IV, IM, oral')" <= 24 hour(s)
starts before start of "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- AND:
- AND NOT:
- AND: "Medication administered: Hospital Measures-PO Neomycin sulfate (route: 'oral')" <= 24 hour(s) starts before start of
"Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: "Medication administered: Hospital Measures-PO Colon and Hysterectomy Antibiotics (route: 'oral')" <= 24 hour(s) starts
before start of "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: NOT "Instance 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 "Instance A of Procedure performed: Hospital Measures-Colon
surgery (incision)"
- AND: NOT "Instance 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 "Instance 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 "Instance
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 "Instance 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 "Instance
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 "Instance A of Procedure performed: Hospital Measures-Colon surgery"
-
Numerator 5 =
- AND: "Medication administered: Hospital Measures-IV Colon-Antibiotics (route: 'IV')" <= 24 hour(s) starts before start of
"Instance A of Procedure performed: Hospital Measures-Colon surgery (incision)"
- AND: "Medication administered: Hospital Measures-IV Colon-Antibiotics (route: 'IV')" <= 24 hour(s) starts after end of "Instance
A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND: "Medication administered: Hospital Measures-IV Ertapenem (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Colon surgery (incision)"
- AND: "Medication administered: Hospital Measures-IV Ertapenem (route: 'IV')" <= 24 hour(s) starts after end of "Instance
A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND:
- AND:
- OR: "Medication administered: Hospital Measures-IV Arthroplasty and Colon – Antibiotics (route: 'IV')" <= 24 hour(s) starts
before start of "Instance A of Procedure performed: Hospital Measures-Colon surgery (incision)"
- OR: "Medication administered: Hospital Measures-IV Arthroplasty and Colon – Antibiotics (route: 'IV')" <= 24 hour(s) starts
after end of "Instance 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: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Colon surgery (incision)"
- OR: "Medication administered: Hospital Measures-IV Metronidazole (route: 'IV')" <= 24 hour(s) starts after end of "Instance
A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND:
- AND: "Medication allergy: Hospital Measures-IV Beta lactams" starts before start of "Instance A of Procedure performed: Hospital
Measures-Colon surgery"
- AND:
- OR:
- AND:
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Colon surgery (incision)"
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Colon surgery (incision)"
- OR: "Medication administered: Hospital Measures-IV Aminoglycosides (route: 'IV')" <= 24 hour(s) starts after end of "Instance
A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND:
- AND:
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Colon surgery (incision)"
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts
before start of "Instance A of Procedure performed: Hospital Measures-Colon surgery (incision)"
- OR: "Medication administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'IV')" <= 24 hour(s) starts
after end of "Instance A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia"
- AND:
- AND:
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Colon surgery (incision)"
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Colon surgery (incision)"
- OR: "Medication administered: Hospital Measures-IV Aztreonam (route: 'IV')" <= 24 hour(s) starts after end of "Instance A
of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND:
- AND:
- OR: "Medication administered: Hospital Measures-IV Metronidazole (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Colon surgery (incision)"
- OR: "Medication administered: Hospital Measures-IV Metronidazole (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Colon surgery (incision)"
- OR: "Medication administered: Hospital Measures-IV Aminoglycosides (route: 'IV')" <= 24 hour(s) starts after end of "Instance
A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND:
- AND:
- OR: "Medication administered: Hospital Measures-IV Metronidazole (route: 'IV')" <= 24 hour(s) starts before start of "Instance
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: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts
before start of "Instance A of Procedure performed: Hospital Measures-Colon surgery (incision)"
- OR: "Medication administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'IV')" <= 24 hour(s) starts
after end of "Instance A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia"
-
Exclusions 5 =
- OR: "Patient characteristic: Clinical trial participant" during "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR:
- AND: "Patient characteristic: Expired" starts after start of "Instance A of Procedure performed: Hospital Measures-Colon surgery"
- AND: "Patient characteristic: Expired" <= 6 hour starts after end of "Instance A of Procedure performed: Hospital Measures-Joint
Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
------
Population Criteria 6
------
-
Initial Patient Population 6 =
- AND: "Patient characteristic: birth date" >= 18 year(s) starts before start of "Instance A of Encounter: Hospital Measures-Encounter
Inpatient"
- AND: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (discharge)" during "Measurement period"
- AND: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (duration <= 120 days)"
-
Denominator 6=
- AND: "Initial Patient Population 6"
- AND: "Instance A of Procedure performed: Hospital Measures - Abdominal hysterectomy (ordinality: 'principal')" during "Instance
A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: NOT "Instance A of Procedure performed: Hospital Measures - Caesarian section" starts before start of ("Instance A of
Procedure performed: Hospital Measures - Abdominal hysterectomy (ordinality: 'principal')" during "Instance A of Encounter:
Hospital Measures-Encounter Inpatient")
- AND: NOT "Diagnosis active: Hospital Measures-Infection diagnosis (ordinality: 'principal')" starts before or during ("Instance
A of Procedure performed: Hospital Measures - Abdominal hysterectomy (ordinality: 'principal')" during "Instance A of Encounter:
Hospital Measures-Encounter Inpatient")
- AND: NOT "Diagnosis active: Hospital Measures - Any infection" >= 1 minute(s) starts before start of ("Instance A of Procedure
performed: Hospital Measures - Abdominal hysterectomy (incision)" during "Instance A of Procedure performed: Hospital Measures
- Abdominal hysterectomy")
- AND: NOT "Medication administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'IV, IM, oral')" > 24
hour(s) starts before start of ("Instance A of Procedure performed: Hospital Measures - Abdominal hysterectomy (incision)"
during "Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: NOT "Medication active: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'IV, IM, oral')" <= 24 hour(s)
starts before start of "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: NOT "Instance 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 "Instance A of Procedure performed: Hospital Measures
- Abdominal hysterectomy (incision)"
- AND: NOT "Instance 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 "Instance 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 "Instance
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 "Instance 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 "Instance
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 "Instance A of Procedure performed: Hospital Measures - Abdominal hysterectomy"
-
Numerator 6 =
- AND: "Medication administered: Hospital Measures-IV Hysterectomy-Antibiotics (route: 'IV')" <= 24 hour(s) starts before start
of "Instance A of Procedure performed: Hospital Measures - Abdominal hysterectomy (incision)"
- AND: "Medication administered: Hospital Measures-IV Hysterectomy-Antibiotics (route: 'IV')" <= 24 hour(s) starts after end
of "Instance A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general
or neuraxial anesthesia"
- AND:
- AND: "Medication allergy: Hospital Measures-IV Beta lactams" starts before start of "Instance A of Procedure performed: Hospital
Measures - Abdominal hysterectomy"
- AND:
- OR:
- AND:
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures - Abdominal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures - Abdominal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Aminoglycosides (route: 'IV')" <= 24 hour(s) starts after end of "Instance
A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND:
- AND:
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures - Abdominal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts
before start of "Instance A of Procedure performed: Hospital Measures - Abdominal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'IV')" <= 24 hour(s) starts
after end of "Instance A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia"
- AND:
- AND:
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures - Abdominal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of ("Instance
A of Procedure performed: Hospital Measures - Abdominal hysterectomy (incision)" during "Instance A of Encounter: Hospital
Measures-Encounter Inpatient")
- OR: "Medication administered: Hospital Measures-IV Aztreonam (route: 'IV')" <= 24 hour(s) starts after end of "Instance A
of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND:
- AND:
- OR: "Medication administered: Hospital Measures-IV Metronidazole (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures - Abdominal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Metronidazole (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures - Abdominal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Aminoglycosides (route: 'IV')" <= 24 hour(s) starts after end of "Instance
A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND:
- AND:
- OR: "Medication administered: Hospital Measures-IV Metronidazole (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures - Abdominal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Metronidazole (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts
before start of "Instance A of Procedure performed: Hospital Measures - Abdominal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'IV')" <= 24 hour(s) starts
after end of "Instance A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia"
-
Exclusions 6 =
- OR: "Patient characteristic: Clinical trial participant" during "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR:
- AND: "Patient characteristic: Expired" starts after start of ("Instance A of Procedure performed: Hospital Measures - Abdominal
hysterectomy" during "Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: "Patient characteristic: Expired" <= 6 hour starts after end of "Instance A of Procedure performed: Hospital Measures-Joint
Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
------
Population Criteria 7
------
-
Initial Patient Population 7 =
- AND: "Patient characteristic: birth date" >= 18 year(s) starts before start of "Instance A of Encounter: Hospital Measures-Encounter
Inpatient"
- AND: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (discharge)" during "Measurement period"
- AND: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (duration <= 120 days)"
-
Denominator 7=
- AND: "Initial Patient Population 7"
- AND: "Instance A of Procedure performed: Hospital Measures-Vaginal hysterectomy (ordinality: 'principal')" during "Instance
A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: NOT "Instance A of Procedure performed: Hospital Measures - Caesarian section" starts before start of ("Instance A of
Procedure performed: Hospital Measures - Abdominal hysterectomy (ordinality: 'principal')" during "Instance A of Encounter:
Hospital Measures-Encounter Inpatient")
- AND: NOT "Diagnosis active: Hospital Measures-Infection diagnosis (ordinality: 'principal')" starts before or during ("Instance
A of Procedure performed: Hospital Measures-Vaginal hysterectomy (ordinality: 'principal')" during "Instance A of Encounter:
Hospital Measures-Encounter Inpatient")
- AND: NOT "Diagnosis active: Hospital Measures - Any infection" >= 1 minute(s) starts before start of ("Instance A of Procedure
performed: Hospital Measures-Vaginal hysterectomy (incision)" during "Instance A of Encounter: Hospital Measures-Encounter
Inpatient")
- AND: NOT "Medication administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'IV, IM, oral')" > 24
hour(s) starts before start of ("Instance A of Procedure performed: Hospital Measures-Vaginal hysterectomy (incision)" during
"Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: NOT "Medication active: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'IV, IM, oral')" <= 24 hour(s)
starts before start of "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: NOT "Instance 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 "Instance A of Procedure performed: Hospital Measures-Vaginal
hysterectomy (incision)"
- AND: NOT "Instance 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 "Instance 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 "Instance
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 "Instance 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 "Instance
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 "Instance A of Procedure performed: Hospital Measures-Vaginal hysterectomy"
-
Numerator 7 =
- AND: "Medication administered: Hospital Measures-IV Hysterectomy-Antibiotics (route: 'IV')" <= 24 hour(s) starts before start
of "Instance A of Procedure performed: Hospital Measures-Vaginal hysterectomy (incision)"
- AND: "Medication administered: Hospital Measures-IV Hysterectomy-Antibiotics (route: 'IV')" <= 24 hour(s) starts after end
of "Instance A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general
or neuraxial anesthesia"
- AND:
- AND: "Medication allergy: Hospital Measures-IV Beta lactams" starts before start of "Instance A of Procedure performed: Hospital
Measures-Vaginal hysterectomy"
- AND:
- OR:
- AND:
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Vaginal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Vaginal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Aminoglycosides (route: 'IV')" <= 24 hour(s) starts after end of "Instance
A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND:
- AND:
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Vaginal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts
before start of "Instance A of Procedure performed: Hospital Measures-Vaginal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'IV')" <= 24 hour(s) starts
after end of "Instance A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia"
- AND:
- AND:
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Vaginal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Vaginal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Aztreonam (route: 'IV')" <= 24 hour(s) starts after end of "Instance A
of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND:
- AND:
- OR: "Medication administered: Hospital Measures-IV Metronidazole (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Vaginal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Metronidazole (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Vaginal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Aminoglycosides (route: 'IV')" <= 24 hour(s) starts after end of "Instance
A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND:
- AND:
- OR: "Medication administered: Hospital Measures-IV Metronidazole (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Vaginal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Metronidazole (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts
before start of "Instance A of Procedure performed: Hospital Measures-Vaginal hysterectomy (incision)"
- OR: "Medication administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'IV')" <= 24 hour(s) starts
after end of "Instance A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia"
-
Exclusions 7 =
- OR: "Patient characteristic: Clinical trial participant" during "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR:
- AND: "Patient characteristic: Expired" starts after start of ("Procedure performed: Hospital Measures-Vaginal hysterectomy"
during "Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: "Patient characteristic: Expired" <= 6 hour starts after end of "Instance A of Procedure performed: Hospital Measures-Joint
Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
------
Population Criteria 8
------
-
Initial Patient Population 8 =
- AND: "Patient characteristic: birth date" >= 18 year(s) starts before start of "Instance A of Encounter: Hospital Measures-Encounter
Inpatient"
- AND: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (discharge)" during "Measurement period"
- AND: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (duration <= 120 days)"
-
Denominator 8=
- AND: "Initial Patient Population 8"
- AND: "Instance A of Procedure performed: Hospital Measures-Vascular surgery (ordinality: 'principal')" during "Instance A
of Encounter: Hospital Measures-Encounter Inpatient"
- AND: NOT "Diagnosis active: Hospital Measures-Infection diagnosis (ordinality: 'principal')" starts before or during ("Instance
A of Procedure performed: Hospital Measures-Vascular surgery (ordinality: 'principal')" during "Instance A of Encounter: Hospital
Measures-Encounter Inpatient")
- AND: NOT "Diagnosis active: Hospital Measures - Any infection" >= 1 minute(s) starts before start of ("Instance A of Procedure
performed: Hospital Measures-Vascular surgery (incision)" during "Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: NOT "Medication administered: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'IV, IM, oral')" > 24
hour(s) starts before start of ("Instance A of Procedure performed: Hospital Measures-Vascular surgery (incision)" during
"Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- AND: NOT "Medication active: Hospital Measures-IV, IM, PO Antimicrobial medications (route: 'IV, IM, oral')" <= 24 hour(s)
starts before start of "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- AND: NOT "Instance 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 "Instance A of Procedure performed: Hospital Measures-Vascular
surgery (incision)"
- AND: NOT "Instance 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 "Instance 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 "Instance
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 "Instance 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 "Instance
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 "Instance A of Procedure performed: Hospital Measures-Vascular surgery"
-
Numerator 8.1 =
- AND: "Medication administered: Hospital Measures-IV Cardiac or Vascular antibiotics (route: 'IV')" <= 24 hour(s) starts before
start of "Instance A of Procedure performed: Hospital Measures-Vascular surgery (incision)"
- AND: "Medication administered: Hospital Measures-IV Cardiac or Vascular antibiotics (route: 'IV')" <= 24 hour(s) starts after
end of "Instance A of Procedure performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general
or neuraxial anesthesia"
- AND:
- AND: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Vascular surgery (incision)"
- AND:
- OR: "Diagnosis active: Hospital Measures-MRSA colonization or infection" starts before start of ("Instance A of Procedure
performed: Hospital Measures-Vascular surgery (incision)" during "Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- OR: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (discharge)" <= 1 year(s) starts before start of "Instance
A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge)" <= 1 year(s) starts before start of
"Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Vascular surgery (incision)"
- OR: "Intervention performed: Hospital Measures-Chronic wound care" <= 1 year(s) starts before start of "Instance A of Procedure
performed: Hospital Measures-Vascular surgery (incision)"
- OR: "ANY Encounter: Hospital Measures-Encounter Inpatient (admission)" > 24 hour(s) starts before start of "Instance A of
Procedure performed: Hospital Measures-Vascular surgery (incision)"
- AND:
- AND: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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 ("Instance A of Procedure
performed: Hospital Measures-Vascular surgery (incision)" during "Instance A of Encounter: Hospital Measures-Encounter Inpatient")
- OR: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (discharge)" <= 1 year(s) starts before start of "Instance
A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge)" <= 1 year(s) starts before start of
"Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR: "Procedure performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Vascular surgery (incision)"
- OR: "Intervention performed: Hospital Measures-Chronic wound care" <= 1 year(s) starts before start of "Instance A of Procedure
performed: Hospital Measures-Vascular surgery (incision)"
- OR: "ANY Encounter: Hospital Measures-Encounter Inpatient (admission)" > 24 hour(s) starts before start of "Instance A of
Procedure performed: Hospital Measures-Vascular surgery (incision)"
- AND:
- AND: "Medication allergy: Hospital Measures-IV Beta lactams" starts before start of "Instance A of Procedure performed: Hospital
Measures-Vascular surgery"
- AND:
- OR: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Vascular surgery (incision)"
- OR: "Medication administered: Hospital Measures-IV Vancomycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of "Instance
A of Procedure performed: Hospital Measures-Hip arthroplasty (incision)"
- OR: "Medication administered: Hospital Measures-IV Clindamycin (route: 'IV')" <= 24 hour(s) starts after end of "Instance
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: 'IV')" <= 24 hour(s) starts before start of ("Instance
A of Procedure performed: Hospital Measures - CABG (incision)" during "Instance A of Encounter: Hospital Measures-Encounter
Inpatient")
- AND:
- OR NOT: "Diagnosis active: Hospital Measures-MRSA colonization or infection" starts before start of "Instance A of Procedure
performed: Hospital Measures-Vascular surgery (incision)"
- OR NOT: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (discharge)" <= 1 year(s) starts before start of
"Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR NOT: "Encounter: Hospital Measures-Nursing home or extended care facility (discharge)" <= 1 year(s) starts before start
of "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR NOT: "Procedure performed: Hospital Measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of
"Instance A of Procedure performed: Hospital Measures-Vascular surgery (incision)"
- OR NOT: "Intervention performed: Hospital Measures-Chronic wound care" <= 1 year(s) starts before start of "Instance A of
Procedure performed: Hospital Measures-Vascular surgery (incision)"
- OR NOT: "Instance A of Encounter: Hospital Measures-Encounter Inpatient (admission)" > 24 hour(s) starts before start of
"Instance A of Procedure performed: Hospital Measures-Vascular surgery (incision)"
- OR NOT: "Procedure performed: Hospital Measures-Cardiac valve surgery" starts before start of "Instance A of Procedure performed:
Hospital Measures-Vascular surgery (incision)"
- OR NOT: "Medication allergy: Hospital Measures-IV Beta lactams" starts before start of "Instance A of Procedure performed:
Hospital Measures-Vascular surgery"
-
Exclusions 8 =
- OR: "Patient characteristic: Clinical trial participant" during "Instance A of Encounter: Hospital Measures-Encounter Inpatient"
- OR:
- AND: "Patient characteristic: Expired" starts after start of "Instance A of Procedure performed: Hospital Measures-Vascular
surgery (incision)"
- AND: "Patient characteristic: Expired" <= 6 hour starts after end of "Instance A of Procedure performed: Hospital Measures-Joint
Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"