Illinois Hospital Report Card

and Consumer Guide to Health Care

Endeavor Edward 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

Healthcare Facility Onset Incidence Rate	Result	SIR
Methicillin-resistant Staphylococcus aureus (MRSA) blood stream infections Q1 2023 - Q4 2023 Result 0 infections, 114361 patient days Rating SIR: 0.00	0 infections, 114361 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 3 infections, 111758 patient days Rating SIR: 0.62	3 infections, 111758 patient days	0.62
Q1 2021 - Q4 2021 Result 2 infections, 111419 patient days Rating SIR: 0.46	2 infections, 111419 patient days	0.46
Q1 2020 - Q4 2020 Result 5 infections, 104961 patient days Rating SIR: 0.98	5 infections, 104961 patient days	0.98
Q1 2019 - Q4 2019 Result 6 infections, 109385 patient days Rating SIR: 1.16	6 infections, 109385 patient days	1.16
Q1 2018 - Q4 2018 Result 4 infections, 107010 patient days Rating SIR: 0.96	4 infections, 107010 patient days	0.96
Q1 2017 - Q4 2017 Result 1 infections, 105590 patient days Rating SIR: 0.24	1 infections, 105590 patient days	0.24
Q1 2016 - Q4 2016 Result 4 infections, 103229 patient days Rating SIR: 1.00	4 infections, 103229 patient days	1.00
Q1 2015 - Q4 2015 Result 2 infections, 103552 patient days Rating SIR: 0.36	2 infections, 103552 patient days	0.36
Q1 2014 - Q4 2014 Result 7 infections, 100450 patient days Rating SIR: 1.18	7 infections, 100450 patient days	1.18
Q1 2013 - Q4 2013 Result 4 infections, 92567 patient days Rating SIR: 1.02	4 infections, 92567 patient days	1.02
Q1 2012 - Q4 2012 Result 3 infections, 95978 patient days Rating SIR: 0.70	3 infections, 95978 patient days	0.70
Q1 2012 - Q2 2012 Result 0 infections, 48164 patient days Rating SIR: 0.00	0 infections, 48164 patient days	0.00
Clostridioides difficile infections (CDI) Q1 2023 - Q4 2023 Result 31 infections, 100558 patient days Rating SIR: 0.41	31 infections, 100558 patient days	0.41
Description Clostridium difficile infections summarized as a Standardized Infection Ratio Historical Data
Measure	Result	Rating
Q1 2022 - Q4 2022 Result 67 infections, 97831 patient days Rating SIR: 0.72	67 infections, 97831 patient days	0.72
Q1 2021 - Q4 2021 Result 47 infections, 97701 patient days Rating SIR: 0.51	47 infections, 97701 patient days	0.51
Q1 2020 - Q4 2020 Result 62 infections, 92931 patient days Rating SIR: 0.66	62 infections, 92931 patient days	0.66
Q1 2019 - Q4 2019 Result 51 infections, 95116 patient days Rating SIR: 0.57	51 infections, 95116 patient days	0.57
Q1 2018 - Q4 2018 Result 66 infections, 93116 patient days Rating SIR: 0.82	66 infections, 93116 patient days	0.82
Q1 2017 - Q4 2017 Result 80 infections, 91498 patient days Rating SIR: 0.95	80 infections, 91498 patient days	0.95
Q1 2016 - Q4 2016 Result 83 infections, 90380 patient days Rating SIR: 0.91	83 infections, 90380 patient days	0.91
Q1 2015 - Q4 2015 Result 80 infections, 91178 patient days Rating SIR: 1.06	80 infections, 91178 patient days	1.06
Q1 2014 - Q4 2014 Result 94 infections, 86907 patient days Rating SIR: 1.24	94 infections, 86907 patient days	1.24
Q1 2013 - Q4 2013 Result 92 infections, 81207 patient days Rating SIR: 1.29	92 infections, 81207 patient days	1.29
Q1 2012 - Q4 2012 Result 65 infections, 82117 patient days Rating SIR: 0.92	65 infections, 82117 patient days	0.92