Illinois Hospital Report Card

and Consumer Guide to Health Care

Northwestern Medicine Delnor Hospital

Patient Safety - CDI & MRSA

Clostridioides difficile infections (CDI) and Methicillin-resistant Staphylococcus aureus (MRSA) bloodstream infections

Facility-wide Healthcare Facility Onset Incidence Rates for CDI and MRSA are presented below. These rates are based on results of laboratory tests that were obtained on or after day four of an inpatient stay and do not consider presence or timing of clinical signs or symptoms. The Standardized Infection Ratio (SIR) is presented, which is a summary measure used to determine if rates of CDI and MRSA bloodstream infections are statistically different from the national average. Statewide summaries of CDI and MRSA data arranged by hospital are also included. Note: Starting with 2016 data, new methods for risk adjustment were used.

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
117	Complete Reporting: Zero infections. Number of reported events is not significantly different than predicted

Healthcare Facility Onset Incidence Rate	Result	SIR
Methicillin-resistant Staphylococcus aureus (MRSA) blood stream infections Q1 2023 - Q4 2023 Result 0 infections, 46049 patient days Rating SIR: 0.00	0 infections, 46049 patient days	0.00
Description Methicillin-resistant Staphylococcus aureus infections summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2022 - Q4 2022 Result 1 infections, 46728 patient days Rating SIR: 0.52	1 infections, 46728 patient days	0.52
Q1 2021 - Q4 2021 Result 0 infections, 45635 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 45635 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2020 - Q4 2020 Result 0 infections, 41397 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 41397 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2019 - Q4 2019 Result 0 infections, 42606 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 42606 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2018 - Q4 2018 Result 0 infections, 42002 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 42002 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2017 - Q4 2017 Result 0 infections, 32333 patient days ⁴⁵ Rating SIR: N/A ⁴⁵	0 infections, 32333 patient days ⁴⁵	N/A ⁴⁵
Q1 2016 - Q4 2016 Result 0 infections, 32284 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 32284 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2015 - Q4 2015 Result 0 infections, 34219 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 34219 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2014 - Q4 2014 Result 0 infections, 33349 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 33349 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2013 - Q4 2013 Result 0 infections, 32586 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 32586 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2012 - Q4 2012 Result 0 infections, 32663 patient days ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 32663 patient days ¹¹⁷	0.00 ¹¹⁷
Q1 2012 - Q2 2012 Result 0 infections, 16078 patient days Rating SIR: 0.00	0 infections, 16078 patient days	0.00
Clostridioides difficile infections (CDI) Q1 2023 - Q4 2023 Result 9 infections, 43395 patient days Rating SIR: 0.50	9 infections, 43395 patient days	0.50
Description Clostridium difficile infections summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2022 - Q4 2022 Result 7 infections, 43494 patient days Rating SIR: 0.37	7 infections, 43494 patient days	0.37
Q1 2021 - Q4 2021 Result 7 infections, 42003 patient days Rating SIR: 0.32	7 infections, 42003 patient days	0.32
Q1 2020 - Q4 2020 Result 20 infections, 38171 patient days Rating SIR: 0.86	20 infections, 38171 patient days	0.86
Q1 2019 - Q4 2019 Result 14 infections, 37872 patient days Rating SIR: 0.57	14 infections, 37872 patient days	0.57
Q1 2018 - Q4 2018 Result 19 infections, 37869 patient days Rating SIR: 0.79	19 infections, 37869 patient days	0.79
Q1 2017 - Q4 2017 Result 19 infections, 28793 patient days Rating SIR: 0.99	19 infections, 28793 patient days	0.99
Q1 2016 - Q4 2016 Result 37 infections, 28634 patient days Rating SIR: 1.54	37 infections, 28634 patient days	1.54
Q1 2015 - Q4 2015 Result 44 infections, 30303 patient days Rating SIR: 1.91	44 infections, 30303 patient days	1.91
Q1 2014 - Q4 2014 Result 26 infections, 27314 patient days Rating SIR: 1.17	26 infections, 27314 patient days	1.17
Q1 2013 - Q4 2013 Result 25 infections, 28699 patient days Rating SIR: 1.23	25 infections, 28699 patient days	1.23
Q1 2012 - Q4 2012 Result 29 infections, 28450 patient days Rating SIR: 1.36	29 infections, 28450 patient days	1.36