Illinois Hospital Report Card

and Consumer Guide to Health Care

Memorial Hospital of Carbondale

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 the national average or performing at the best possible rate

Not statistically significantly better or worse than the national average

Statistically significantly worse than the national average

Key	Description
46	Complete Reporting: Zero infections. Number of reported events is not significantly different than predicted
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
154	Complete Reporting: Number of predicted events too low to calculate a precise SIR

SSI Measure	Result	SIR
Total Knee Replacement Surgery Q1 2025 - Q4 2025 Result 0 infections, 2 procedures ⁴⁹ Rating SIR: N/A ⁴⁹	0 infections, 2 procedures ⁴⁹	N/A ⁴⁹
Description Surgical Site Infections Associated with Total Knee Replacement Surgery Summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2023 - Q4 2023 Result 0 infections, 1 procedures ⁴⁹ Rating SIR: N/A ⁴⁹	0 infections, 1 procedures ⁴⁹	N/A ⁴⁹
Q1 2022 - Q4 2022 Result 0 infections, 4 procedures ⁴⁹ Rating SIR: N/A ⁴⁹	0 infections, 4 procedures ⁴⁹	N/A ⁴⁹
Q1 2021 - Q4 2021 Result 0 infections, 19 procedures ⁴⁹ Rating SIR: N/A ⁴⁹	0 infections, 19 procedures ⁴⁹	N/A ⁴⁹
Q1 2020 - Q4 2020 Result 0 infections, 39 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 39 procedures ¹¹⁸	N/A ¹¹⁸
Q1 2019 - Q4 2019 Result 1 infections, 234 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 234 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2018 - Q4 2018 Result 1 infections, 240 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 240 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2017 - Q4 2017 Result 1 infections, 279 procedures Rating SIR: 0.96	1 infections, 279 procedures	0.96
Q1 2016 - Q4 2016 Result 1 infections, 348 procedures Rating SIR: 0.89	1 infections, 348 procedures	0.89
Q1 2015 - Q4 2015 Result 1 infections, 334 procedures Rating SIR: 0.55	1 infections, 334 procedures	0.55
Q1 2014 - Q4 2014 Result 1 infections, 332 procedures Rating SIR: 0.53	1 infections, 332 procedures	0.53
Q3 2013 - Q2 2014 Result 0 infections, 347 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 347 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2012 - Q2 2013 Result 0 infections, 324 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 324 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2011 - Q2 2012 Result 1 infections, 279 procedures Rating SIR: 0.60	1 infections, 279 procedures	0.60
Q3 2010 - Q2 2011 Result 0 infections, 329 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 329 procedures ⁴⁶	0.00 ⁴⁶
Coronary Artery Bypass Graft Surgery Q1 2025 - Q4 2025 Result 2 infections, 90 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	2 infections, 90 procedures ¹⁵⁴	N/A ¹⁵⁴
Description Surgical Site Infections Associated with Coronary Artery Bypass Graft Surgery Summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2024 - Q4 2024 Result 3 infections, 38 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	3 infections, 38 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2023 - Q4 2023 Result 5 infections, 79 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	5 infections, 79 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2022 - Q4 2022 Result 1 infections, 98 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 98 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2021 - Q4 2021 Result 2 infections, 92 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	2 infections, 92 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2020 - Q4 2020 Result 1 infections, 49 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 49 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2019 - Q4 2019 Result 2 infections, 148 procedures Rating SIR: 1.72	2 infections, 148 procedures	1.72
Q1 2018 - Q4 2018 Result 4 infections, 170 procedures Rating SIR: 3.15	4 infections, 170 procedures	3.15
Q1 2016 - Q4 2016 Result 1 infections, 164 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 164 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2015 - Q4 2015 Result 0 infections, 186 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 186 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2014 - Q4 2014 Result 0 infections, 170 procedures Rating SIR: 0.00	0 infections, 170 procedures	0.00
Q3 2013 - Q2 2014 Result 0 infections, 159 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 159 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2012 - Q2 2013 Result 0 infections, 157 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 157 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2011 - Q2 2012 Result 0 infections, 117 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 117 procedures ⁴⁶	0.00 ⁴⁶
Q3 2010 - Q2 2011 Result 0 infections, 180 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 180 procedures ⁴⁶	0.00 ⁴⁶