Illinois Hospital Report Card

and Consumer Guide to Health Care

HSHS St. Elizabeth's 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
46	Complete Reporting: Zero infections. Number of reported events is not significantly different than predicted
47	Complete Reporting: Number of predicted LabID events too low to calculate a precise SIR
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, 138 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 138 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, 133 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 133 procedures ¹⁵³	N/A ¹⁵³
Q1 2018 - Q4 2018 Result 0 infections, 93 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 93 procedures ¹⁵³	N/A ¹⁵³
Q1 2017 - Q4 2017 Result 1 infections, 108 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 108 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2016 - Q4 2016 Result 0 infections, 89 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 89 procedures ¹⁵³	N/A ¹⁵³
Q1 2015 - Q4 2015 Result 0 infections, 117 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 117 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2014 - Q4 2014 Result 0 infections, 108 procedures Rating SIR: N/A	0 infections, 108 procedures	N/A
Q3 2013 - Q2 2014 Result 1 infections, 138 procedures Rating SIR: 0.86	1 infections, 138 procedures	0.86
Q3 2012 - Q2 2013 Result 0 infections, 89 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 89 procedures ¹¹⁸	N/A ¹¹⁸
Q3 2011 - Q2 2012 Result 0 infections, 97 procedures ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 97 procedures ⁴⁵	N/A ⁴⁵
Q3 2010 - Q2 2011 Result 1 infections, 77 procedures ⁴⁷ Rating SIR: N/A ⁴⁷	1 infections, 77 procedures ⁴⁷	N/A ⁴⁷
Coronary Artery Bypass Graft Surgery Q1 2020 - Q4 2020 Result 0 infections, 91 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 91 procedures ¹¹⁸	N/A ¹¹⁸
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 2 infections, 140 procedures Rating SIR: 1.78	2 infections, 140 procedures	1.78
Q1 2018 - Q4 2018 Result 0 infections, 155 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 155 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2016 - Q4 2016 Result 1 infections, 119 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 119 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2015 - Q4 2015 Result 2 infections, 113 procedures Rating SIR: 1.15	2 infections, 113 procedures	1.15
Q1 2014 - Q4 2014 Result 0 infections, 122 procedures Rating SIR: 0.00	0 infections, 122 procedures	0.00
Q3 2013 - Q2 2014 Result 1 infections, 130 procedures Rating SIR: 0.51	1 infections, 130 procedures	0.51
Q3 2012 - Q2 2013 Result 0 infections, 105 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 105 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2011 - Q2 2012 Result 0 infections, 89 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 89 procedures ⁴⁶	0.00 ⁴⁶
Q3 2010 - Q2 2011 Result 1 infections, 106 procedures Rating SIR: 0.64	1 infections, 106 procedures	0.64