Illinois Hospital Report Card

and Consumer Guide to Health Care

Weiss Memorial 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
45	Complete Reporting: Zero infections. Number of predicted LabID events too low to calculate a precise SIR
48	No Target Procedures Performed
49	Complete Reporting: 20 or Fewer Procedures Performed
114	Complete Reporting: 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
154	Complete Reporting: Number of predicted events too low to calculate a precise SIR
155	Complete Reporting: 20 or Fewer Procedures Performed

SSI Measure	Result	SIR
Total Knee Replacement Surgery Q1 2020 - Q4 2020 Result 4 infections, 105 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	4 infections, 105 procedures ¹⁵⁴	N/A ¹⁵⁴
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 3 infections, 157 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	3 infections, 157 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2018 - Q4 2018 Result 3 infections, 184 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	3 infections, 184 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2017 - Q4 2017 Result 2 infections, 205 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	2 infections, 205 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2016 - Q4 2016 Result 1 infections, 207 procedures Rating SIR: 0.93	1 infections, 207 procedures	0.93
Q1 2015 - Q4 2015 Result 2 infections, 207 procedures Rating SIR: 1.23	2 infections, 207 procedures	1.23
Q1 2014 - Q4 2014 Result 3 infections, 206 procedures Rating SIR: 1.84	3 infections, 206 procedures	1.84
Q3 2013 - Q2 2014 Result 3 infections, 212 procedures Rating SIR: 1.72	3 infections, 212 procedures	1.72
Q3 2012 - Q2 2013 Result 2 infections, 211 procedures Rating SIR: 1.26	2 infections, 211 procedures	1.26
Q3 2011 - Q2 2012 Result 4 infections, 238 procedures Rating SIR: 2.24	4 infections, 238 procedures	2.24
Q3 2010 - Q2 2011 Result 5 infections, 327 procedures Rating SIR: 1.98	5 infections, 327 procedures	1.98
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, 1 procedures ¹⁵⁵ Rating SIR: N/A ¹⁵⁵	0 infections, 1 procedures ¹⁵⁵	N/A ¹⁵⁵
Q1 2016 - Q4 2016 Result 0 infections, 15 procedures ⁴⁹ Rating SIR: N/A ⁴⁹	0 infections, 15 procedures ⁴⁹	N/A ⁴⁹
Q1 2015 - Q4 2015 Result 0 infections, 25 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 25 procedures ¹⁵³	N/A ¹⁵³
Q1 2014 - Q4 2014 Result 0 infections, 21 procedures Rating SIR: N/A	0 infections, 21 procedures	N/A
Q3 2013 - Q2 2014 Result 0 infections, 12 procedures ⁴⁹ Rating SIR: N/A ⁴⁹	0 infections, 12 procedures ⁴⁹	N/A ⁴⁹
Q3 2012 - Q2 2013 Result 0 infections, 16 procedures ⁴⁹ Rating SIR: N/A ⁴⁹	0 infections, 16 procedures ⁴⁹	N/A ⁴⁹
Q3 2011 - Q2 2012 Result 0 infections, 12 procedures ⁴⁹ Rating SIR: N/A ⁴⁹	0 infections, 12 procedures ⁴⁹	N/A ⁴⁹
Q3 2010 - Q2 2011 Result 0 infections, 23 procedures ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 23 procedures ⁴⁵	N/A ⁴⁵