Illinois Hospital Report Card

and Consumer Guide to Health Care

Decatur 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
49	Complete Reporting: 20 or Fewer 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
154	Complete Reporting: 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, 236 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 236 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 0 infections, 225 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 225 procedures ¹⁵³	N/A ¹⁵³
Q1 2018 - Q4 2018 Result 1 infections, 488 procedures Rating SIR: 0.68	1 infections, 488 procedures	0.68
Q1 2017 - Q4 2017 Result 0 infections, 524 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 524 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2016 - Q4 2016 Result 2 infections, 493 procedures Rating SIR: 1.44	2 infections, 493 procedures	1.44
Q1 2015 - Q4 2015 Result 3 infections, 499 procedures Rating SIR: 0.88	3 infections, 499 procedures	0.88
Q1 2014 - Q4 2014 Result 4 infections, 426 procedures Rating SIR: 1.37	4 infections, 426 procedures	1.37
Q3 2013 - Q2 2014 Result 3 infections, 412 procedures Rating SIR: 1.08	3 infections, 412 procedures	1.08
Q3 2012 - Q2 2013 Result 0 infections, 332 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 332 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2011 - Q2 2012 Result 2 infections, 423 procedures Rating SIR: 0.74	2 infections, 423 procedures	0.74
Q3 2010 - Q2 2011 Result 1 infections, 386 procedures Rating SIR: 0.41	1 infections, 386 procedures	0.41
Coronary Artery Bypass Graft Surgery Q1 2020 - Q4 2020 Result 0 infections, 4 procedures ⁴⁹ Rating SIR: N/A ⁴⁹	0 infections, 4 procedures ⁴⁹	N/A ⁴⁹
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 1 infections, 29 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 29 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2018 - Q4 2018 Result 0 infections, 49 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 49 procedures ¹⁵³	N/A ¹⁵³
Q1 2016 - Q4 2016 Result 0 infections, 47 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 47 procedures ¹⁵³	N/A ¹⁵³
Q1 2015 - Q4 2015 Result 1 infections, 62 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 62 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2014 - Q4 2014 Result 0 infections, 42 procedures Rating SIR: N/A	0 infections, 42 procedures	N/A
Q3 2013 - Q2 2014 Result 0 infections, 52 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 52 procedures ¹¹⁸	N/A ¹¹⁸
Q3 2012 - Q2 2013 Result 2 infections, 59 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	2 infections, 59 procedures ¹¹⁴	N/A ¹¹⁴
Q3 2011 - Q2 2012 Result 0 infections, 70 procedures ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 70 procedures ⁴⁵	N/A ⁴⁵
Q3 2010 - Q2 2011 Result 0 infections, 88 procedures ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 88 procedures ⁴⁵	N/A ⁴⁵