Illinois Hospital Report Card

and Consumer Guide to Health Care

Advocate Good Shepherd 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
114	Complete Reporting: Number of predicted events too low to calculate a precise SIR
117	Complete Reporting: Zero infections. Number of reported events is not significantly different than predicted
118	Complete Reporting: Zero infections. Number of predicted events too low to calculate a precise SIR
153	Complete Reporting: Zero infections. Number of predicted events too low to calculate a precise SIR
154	Complete Reporting: Number of predicted events too low to calculate a precise SIR

SSI Measure	Result	SIR
Total Knee Replacement Surgery Q1 2024 - Q4 2024 Result 0 infections, 344 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 344 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 0 infections, 303 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 303 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2022 - Q4 2022 Result 1 infections, 245 procedures Rating SIR: 0.83	1 infections, 245 procedures	0.83
Q1 2021 - Q4 2021 Result 1 infections, 296 procedures Rating SIR: 0.69	1 infections, 296 procedures	0.69
Q1 2020 - Q4 2020 Result 1 infections, 271 procedures Rating SIR: 0.80	1 infections, 271 procedures	0.80
Q1 2019 - Q4 2019 Result 1 infections, 340 procedures Rating SIR: 0.61	1 infections, 340 procedures	0.61
Q1 2018 - Q4 2018 Result 3 infections, 328 procedures Rating SIR: 2.31	3 infections, 328 procedures	2.31
Q1 2017 - Q4 2017 Result 0 infections, 300 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 300 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2016 - Q4 2016 Result 0 infections, 301 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 301 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2015 - Q4 2015 Result 0 infections, 325 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 325 procedures ¹¹⁷	0.00 ¹¹⁷
Q1 2014 - Q4 2014 Result 2 infections, 256 procedures Rating SIR: 1.32	2 infections, 256 procedures	1.32
Q3 2013 - Q2 2014 Result 0 infections, 259 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 259 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2012 - Q2 2013 Result 0 infections, 206 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 206 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2011 - Q2 2012 Result 0 infections, 210 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 210 procedures ⁴⁶	0.00 ⁴⁶
Q3 2010 - Q2 2011 Result 0 infections, 179 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 179 procedures ⁴⁶	0.00 ⁴⁶
Coronary Artery Bypass Graft Surgery Q1 2024 - Q4 2024 Result 0 infections, 144 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 144 procedures ¹¹⁸	N/A ¹¹⁸
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 1 infections, 115 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	1 infections, 115 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2022 - Q4 2022 Result 2 infections, 130 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	2 infections, 130 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2021 - Q4 2021 Result 0 infections, 133 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 133 procedures ¹¹⁸	N/A ¹¹⁸
Q1 2020 - Q4 2020 Result 2 infections, 116 procedures ¹⁵⁴ Rating SIR: N/A ¹⁵⁴	2 infections, 116 procedures ¹⁵⁴	N/A ¹⁵⁴
Q1 2019 - Q4 2019 Result 1 infections, 122 procedures ¹¹⁴ Rating SIR: N/A ¹¹⁴	1 infections, 122 procedures ¹¹⁴	N/A ¹¹⁴
Q1 2018 - Q4 2018 Result 0 infections, 137 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 137 procedures ¹⁵³	N/A ¹⁵³
Q1 2016 - Q4 2016 Result 0 infections, 125 procedures ¹⁵³ Rating SIR: N/A ¹⁵³	0 infections, 125 procedures ¹⁵³	N/A ¹⁵³
Q1 2015 - Q4 2015 Result 5 infections, 152 procedures Rating SIR: 3.48	5 infections, 152 procedures	3.48
Q1 2014 - Q4 2014 Result 0 infections, 126 procedures Rating SIR: 0.00	0 infections, 126 procedures	0.00
Q3 2013 - Q2 2014 Result 0 infections, 121 procedures ¹¹⁷ Rating SIR: 0.00 ¹¹⁷	0 infections, 121 procedures ¹¹⁷	0.00 ¹¹⁷
Q3 2012 - Q2 2013 Result 0 infections, 97 procedures ¹¹⁸ Rating SIR: N/A ¹¹⁸	0 infections, 97 procedures ¹¹⁸	N/A ¹¹⁸
Q3 2011 - Q2 2012 Result 0 infections, 125 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 125 procedures ⁴⁶	0.00 ⁴⁶
Q3 2010 - Q2 2011 Result 0 infections, 147 procedures ⁴⁶ Rating SIR: 0.00 ⁴⁶	0 infections, 147 procedures ⁴⁶	0.00 ⁴⁶