Illinois Hospital Report Card

and Consumer Guide to Health Care

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

SSI Measure	Result	SIR
Total Knee Replacement Surgery Q1 2020 - Q4 2020 Result 1 infections, 615 procedures Rating SIR: 0.62	1 infections, 615 procedures	0.62
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 6 infections, 796 procedures Rating SIR: 3.45	6 infections, 796 procedures	3.45
Q1 2018 - Q4 2018 Result 5 infections, 821 procedures Rating SIR: 2.61	5 infections, 821 procedures	2.61
Q1 2017 - Q4 2017 Result 1 infections, 740 procedures Rating SIR: 0.56	1 infections, 740 procedures	0.56
Q1 2016 - Q4 2016 Result 4 infections, 723 procedures Rating SIR: 2.28	4 infections, 723 procedures	2.28
Q1 2015 - Q4 2015 Result 0 infections, 658 procedures Rating SIR: 0.00	0 infections, 658 procedures	0.00
Q1 2014 - Q4 2014 Result 0 infections, 556 procedures Rating SIR: 0.00	0 infections, 556 procedures	0.00
Q3 2013 - Q2 2014 Result 1 infections, 581 procedures Rating SIR: 0.33	1 infections, 581 procedures	0.33
Q3 2012 - Q2 2013 Result 0 infections, 496 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 496 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2011 - Q2 2012 Result 4 infections, 553 procedures Rating SIR: 1.41	4 infections, 553 procedures	1.41
Q3 2010 - Q2 2011 Result 2 infections, 569 procedures Rating SIR: 0.68	2 infections, 569 procedures	0.68
Coronary Artery Bypass Graft Surgery Q1 2020 - Q4 2020 Result 0 infections, 176 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 176 procedures ¹¹⁷	0.00 ¹¹⁷
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 1 infections, 189 procedures Rating SIR: 0.78	1 infections, 189 procedures	0.78
Q1 2018 - Q4 2018 Result 0 infections, 219 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 219 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2016 - Q4 2016 Result 0 infections, 197 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 197 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2015 - Q4 2015 Result 2 infections, 170 procedures Rating SIR: 1.13	2 infections, 170 procedures	1.13
Q1 2014 - Q4 2014 Result 0 infections, 193 procedures Rating SIR: 0.00	0 infections, 193 procedures	0.00
Q3 2013 - Q2 2014 Result 0 infections, 189 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 189 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2012 - Q2 2013 Result 0 infections, 170 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 170 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2011 - Q2 2012 Result 0 infections, 168 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 168 procedures ⁴⁶	0.00 ⁴⁶
Q3 2010 - Q2 2011 Result 0 infections, 163 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 163 procedures ⁴⁶	0.00 ⁴⁶