Illinois Hospital Report Card

and Consumer Guide to Health Care

Northwestern Medicine Central Dupage 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 2024 - Q4 2024 Result 0 infections, 332 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 332 procedures ¹¹⁷	0.00 ¹¹⁷
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 2 infections, 300 procedures Rating SIR: 1.67	2 infections, 300 procedures	1.67
Q1 2022 - Q4 2022 Result 2 infections, 330 procedures Rating SIR: 1.35	2 infections, 330 procedures	1.35
Q1 2021 - Q4 2021 Result 2 infections, 363 procedures Rating SIR: 1.28	2 infections, 363 procedures	1.28
Q1 2020 - Q4 2020 Result 0 infections, 324 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 324 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2019 - Q4 2019 Result 1 infections, 676 procedures Rating SIR: 0.39	1 infections, 676 procedures	0.39
Q1 2018 - Q4 2018 Result 0 infections, 876 procedures Rating SIR: 0.00	0 infections, 876 procedures	0.00
Q1 2017 - Q4 2017 Result 0 infections, 1087 procedures Rating SIR: 0.00	0 infections, 1087 procedures	0.00
Q1 2016 - Q4 2016 Result 0 infections, 1181 procedures Rating SIR: 0.00	0 infections, 1181 procedures	0.00
Q1 2015 - Q4 2015 Result 2 infections, 1217 procedures Rating SIR: 0.27	2 infections, 1217 procedures	0.27
Q1 2014 - Q4 2014 Result 0 infections, 1130 procedures Rating SIR: 0.00	0 infections, 1130 procedures	0.00
Q3 2013 - Q2 2014 Result 1 infections, 1122 procedures Rating SIR: 0.14	1 infections, 1122 procedures	0.14
Q3 2012 - Q2 2013 Result 4 infections, 1136 procedures Rating SIR: 0.57	4 infections, 1136 procedures	0.57
Q3 2011 - Q2 2012 Result 5 infections, 1113 procedures Rating SIR: 0.71	5 infections, 1113 procedures	0.71
Q3 2010 - Q2 2011 Result 3 infections, 1240 procedures Rating SIR: 0.40	3 infections, 1240 procedures	0.40
Coronary Artery Bypass Graft Surgery Q1 2024 - Q4 2024 Result 0 infections, 308 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 308 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 2023 - Q4 2023 Result 0 infections, 243 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 243 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2022 - Q4 2022 Result 0 infections, 251 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 251 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2021 - Q4 2021 Result 1 infections, 239 procedures Rating SIR: 0.45	1 infections, 239 procedures	0.45
Q1 2020 - Q4 2020 Result 0 infections, 193 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 193 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2019 - Q4 2019 Result 1 infections, 227 procedures Rating SIR: 0.46	1 infections, 227 procedures	0.46
Q1 2018 - Q4 2018 Result 1 infections, 228 procedures Rating SIR: 0.47	1 infections, 228 procedures	0.47
Q1 2016 - Q4 2016 Result 0 infections, 170 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 170 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2015 - Q4 2015 Result 0 infections, 170 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 170 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2014 - Q4 2014 Result 0 infections, 172 procedures Rating SIR: 0.00	0 infections, 172 procedures	0.00
Q3 2013 - Q2 2014 Result 0 infections, 160 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 160 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2012 - Q2 2013 Result 0 infections, 164 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 164 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2011 - Q2 2012 Result 0 infections, 214 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 214 procedures ⁴⁶	0.00 ⁴⁶
Q3 2010 - Q2 2011 Result 0 infections, 183 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 183 procedures ⁴⁶	0.00 ⁴⁶