Illinois Hospital Report Card

and Consumer Guide to Health Care

Loyola University Medical Center

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 4 infections, 250 procedures Rating SIR: 1.78	4 infections, 250 procedures	1.78
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, 285 procedures Rating SIR: 0.87	2 infections, 285 procedures	0.87
Q1 2022 - Q4 2022 Result 2 infections, 249 procedures Rating SIR: 1.13	2 infections, 249 procedures	1.13
Q1 2021 - Q4 2021 Result 0 infections, 212 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 212 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2020 - Q4 2020 Result 0 infections, 131 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 131 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2019 - Q4 2019 Result 2 infections, 277 procedures Rating SIR: 1.07	2 infections, 277 procedures	1.07
Q1 2018 - Q4 2018 Result 0 infections, 235 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 235 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2017 - Q4 2017 Result 0 infections, 204 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 204 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2016 - Q4 2016 Result 2 infections, 244 procedures Rating SIR: 1.18	2 infections, 244 procedures	1.18
Q1 2015 - Q4 2015 Result 1 infections, 240 procedures Rating SIR: 0.50	1 infections, 240 procedures	0.50
Q1 2014 - Q4 2014 Result 0 infections, 202 procedures Rating SIR: 0.00	0 infections, 202 procedures	0.00
Q3 2013 - Q2 2014 Result 1 infections, 202 procedures Rating SIR: 0.51	1 infections, 202 procedures	0.51
Q3 2012 - Q2 2013 Result 0 infections, 161 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 161 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2011 - Q2 2012 Result 0 infections, 155 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 155 procedures ⁴⁶	0.00 ⁴⁶
Q3 2010 - Q2 2011 Result 5 infections, 150 procedures Rating SIR: 3.71	5 infections, 150 procedures	3.71
Coronary Artery Bypass Graft Surgery Q1 2024 - Q4 2024 Result 0 infections, 248 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 248 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, 282 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 282 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2022 - Q4 2022 Result 5 infections, 274 procedures Rating SIR: 1.66	5 infections, 274 procedures	1.66
Q1 2021 - Q4 2021 Result 1 infections, 314 procedures Rating SIR: 0.30	1 infections, 314 procedures	0.30
Q1 2020 - Q4 2020 Result 0 infections, 133 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 133 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2019 - Q4 2019 Result 1 infections, 297 procedures Rating SIR: 0.33	1 infections, 297 procedures	0.33
Q1 2018 - Q4 2018 Result 3 infections, 256 procedures Rating SIR: 1.19	3 infections, 256 procedures	1.19
Q1 2016 - Q4 2016 Result 8 infections, 266 procedures Rating SIR: 2.72	8 infections, 266 procedures	2.72
Q1 2015 - Q4 2015 Result 3 infections, 323 procedures Rating SIR: 0.53	3 infections, 323 procedures	0.53
Q1 2014 - Q4 2014 Result 3 infections, 322 procedures Rating SIR: 0.52	3 infections, 322 procedures	0.52
Q3 2013 - Q2 2014 Result 2 infections, 297 procedures Rating SIR: 0.37	2 infections, 297 procedures	0.37
Q3 2012 - Q2 2013 Result 6 infections, 307 procedures Rating SIR: 1.22	6 infections, 307 procedures	1.22
Q3 2011 - Q2 2012 Result 1 infections, 255 procedures Rating SIR: 0.25	1 infections, 255 procedures	0.25
Q3 2010 - Q2 2011 Result 3 infections, 253 procedures Rating SIR: 0.80	3 infections, 253 procedures	0.80