Illinois Hospital Report Card

and Consumer Guide to Health Care

Loyola MacNeal Hospital

Patient Safety - Surgical Site Infections (SSIs)

Surgical Site Infections (SSIs)

Presented below are data for surgical site infections associated with coronary artery bypass graft surgery (CABG) and total knee replacement surgery (KPROs) using the Standardized Infection Ratio (SIR). Superficial and secondary surgical site infections are not included in the summary data below. Statewide summaries of surgical site infection data arranged by surgical procedure (CABG, KPRO) and hospital are also included.

Statistical Significance

Statistically significantly better than state average or performing at the best possible rate

Not statistically significantly better or worse than state average

Statistically significantly worse than state average

Footnotes

Key	Description
46	Complete Reporting: Zero infections. Number of reported events is not significantly different than predicted
48	No Target Procedures Performed
114	Complete Reporting: Number of predicted events too low to calculate a precise SIR
117	Complete Reporting: Zero infections. Number of reported events is not significantly different than predicted
118	Complete Reporting: Zero infections. Number of predicted events too low to calculate a precise SIR
153	Complete Reporting: Zero infections. Number of predicted events too low to calculate a precise SIR

SSI Measure	Result	SIR
Total Knee Replacement Surgery Q1 2020 - Q4 2020 Result 0 infections, 36 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 36 procedures ¹¹⁸	N/A ¹¹⁸
Description Surgical Site Infections Associated with Total Knee Replacement Surgery Summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2019 - Q4 2019 Result 1 infections, 132 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 132 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2018 - Q4 2018 Result 1 infections, 258 procedures Rating SIR: 0.66	1 infections, 258 procedures	0.66
Q1 2017 - Q4 2017 Result 0 infections, 309 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 309 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2016 - Q4 2016 Result 0 infections, 245 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 245 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2015 - Q4 2015 Result 0 infections, 274 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 274 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2014 - Q4 2014 Result 0 infections, 258 procedures Rating SIR: 0.00	0 infections, 258 procedures	0.00
Q3 2013 - Q2 2014 Result 0 infections, 259 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 259 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2012 - Q2 2013 Result 2 infections, 198 procedures Rating SIR: 1.07	2 infections, 198 procedures	1.07
Q3 2011 - Q2 2012 Result 0 infections, 209 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 209 procedures ⁴⁶	0.00 ⁴⁶
Q3 2010 - Q2 2011 Result 2 infections, 267 procedures Rating SIR: 0.87	2 infections, 267 procedures	0.87
Coronary Artery Bypass Graft Surgery Q1 2020 - Q4 2020 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Description Surgical Site Infections Associated with Coronary Artery Bypass Graft Surgery Summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2019 - Q4 2019 Result N/A infections, N/A procedures ⁴⁸ Rating SIR: N/A ⁴⁸	N/A infections, N/A procedures ⁴⁸	N/A ⁴⁸
Q1 2018 - Q4 2018 Result 0 infections, 35 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 35 procedures ¹⁵³	N/A ¹⁵³
Q1 2016 - Q4 2016 Result 0 infections, 86 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 86 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2015 - Q4 2015 Result 0 infections, 86 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 86 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2014 - Q4 2014 Result 0 infections, 73 procedures Rating SIR: 0.00	0 infections, 73 procedures	0.00
Q3 2013 - Q2 2014 Result 0 infections, 59 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 59 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2012 - Q2 2013 Result 1 infections, 82 procedures Rating SIR: 0.58	1 infections, 82 procedures	0.58
Q3 2011 - Q2 2012 Result 1 infections, 65 procedures Rating SIR: 0.71	1 infections, 65 procedures	0.71
Q3 2010 - Q2 2011 Result 2 infections, 75 procedures Rating SIR: 1.45	2 infections, 75 procedures	1.45