Illinois Hospital Report Card

and Consumer Guide to Health Care

Endeavor Elmhurst 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 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
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 2024 - Q4 2024 Result 0 infections, 939 procedures Rating SIR: 0.00	0 infections, 939 procedures	0.00
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 1 infections, 1186 procedures Rating SIR: 0.24	1 infections, 1186 procedures	0.24
Q1 2022 - Q4 2022 Result 0 infections, 979 procedures Rating SIR: 0.00	0 infections, 979 procedures	0.00
Q1 2021 - Q4 2021 Result 2 infections, 925 procedures Rating SIR: 0.61	2 infections, 925 procedures	0.61
Q1 2020 - Q4 2020 Result 0 infections, 847 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 847 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2019 - Q4 2019 Result 1 infections, 791 procedures Rating SIR: 0.34	1 infections, 791 procedures	0.34
Q1 2018 - Q4 2018 Result 5 infections, 1135 procedures Rating SIR: 1.22	5 infections, 1135 procedures	1.22
Q1 2017 - Q4 2017 Result 1 infections, 862 procedures Rating SIR: 0.31	1 infections, 862 procedures	0.31
Q1 2016 - Q4 2016 Result 1 infections, 95 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 95 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2015 - Q4 2015 Result 2 infections, 226 procedures Rating SIR: 1.33	2 infections, 226 procedures	1.33
Q1 2014 - Q4 2014 Result 2 infections, 330 procedures Rating SIR: 0.87	2 infections, 330 procedures	0.87
Q3 2013 - Q2 2014 Result 2 infections, 395 procedures Rating SIR: 0.73	2 infections, 395 procedures	0.73
Q3 2012 - Q2 2013 Result 0 infections, 376 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 376 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2011 - Q2 2012 Result 1 infections, 223 procedures Rating SIR: 0.62	1 infections, 223 procedures	0.62
Q3 2010 - Q2 2011 Result 0 infections, 247 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 247 procedures ⁴⁶	0.00 ⁴⁶
Coronary Artery Bypass Graft Surgery Q1 2024 - Q4 2024 Result 0 infections, 125 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 125 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 2023 - Q4 2023 Result 0 infections, 156 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 156 procedures ¹¹⁸	N/A ¹¹⁸
Q1 2022 - Q4 2022 Result 0 infections, 109 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 109 procedures ¹¹⁸	N/A ¹¹⁸
Q1 2021 - Q4 2021 Result 1 infections, 38 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 38 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2020 - Q4 2020 Result 0 infections, 25 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 25 procedures ¹¹⁸	N/A ¹¹⁸
Q1 2019 - Q4 2019 Result 0 infections, 90 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 90 procedures ¹⁵³	N/A ¹⁵³
Q1 2018 - Q4 2018 Result 1 infections, 132 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 132 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2016 - Q4 2016 Result 0 infections, 30 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 30 procedures ¹⁵³	N/A ¹⁵³
Q1 2015 - Q4 2015 Result 1 infections, 55 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 55 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2014 - Q4 2014 Result 0 infections, 54 procedures Rating SIR: N/A	0 infections, 54 procedures	N/A
Q3 2013 - Q2 2014 Result 0 infections, 43 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 43 procedures ¹¹⁸	N/A ¹¹⁸
Q3 2012 - Q2 2013 Result 1 infections, 75 procedures Rating SIR: 0.79	1 infections, 75 procedures	0.79
Q3 2011 - Q2 2012 Result 1 infections, 67 procedures ⁴⁶ Rating SIR: 0.98 ⁴⁶	1 infections, 67 procedures ⁴⁶	0.98 ⁴⁶
Q3 2010 - Q2 2011 Result 0 infections, 77 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 77 procedures ⁴⁶	0.00 ⁴⁶