Skip to main content

Appropriate Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision – Cesarean section.

CBE ID
0472
Project
Perinatal
Endorsed
New or Maintenance
Maintenance
Endorsement and Maintenance (E&M) Cycle
Full Year 2015
Is Under Review
No
Measure Description

Percentage of patients undergoing cesarean section who receive appropriate prophylactic antibiotics within 60 minutes of the start of the cesarean delivery, unless the patient is already receiving appropriate antibiotics

  • Measure Type
    Process
    Electronic Clinical Quality Measure (eCQM)
    No
    Level Of Analysis
    Facility
    Population: Regional and State
    Care Setting
    Inpatient/Hospital
    Numerator

    Percentage of women who receive recommended antibiotics within one hour before the start of cesarean section. This requires that (a) the antibiotic selection is consistent with current evidence and practice guidelines, and (b) that the antibiotics are given within an hour before delivery.

    If the patient is already receiving appropriate antibiotics, for example for chorioamnionitis, additonal dosing is not necessary.

    Denominator

    All patients undergoing cesarean section without evidence of prior infection or already receiving prophylactic antibiotics for other reasons. Patients with significant allergies to penicillin and/or cephalosporins AND allegies to gentamicin and/or clindamycin are also excluded.

    Exclusions

    Women with evidence of prior infection or already receiving prophylactic antibiotics for other reasons; or with significant allergies to penicillin and/or cephalosporins AND allegies to gentamicin and/or clindamycin.

    We do not exclude patients having emergency cesarean deliveries. We recognize that while in the case of most urgent and emergent cesarean deliveries administering timely antibiotic prophylaxis will be possible, very rarely clinical circumstances may not permit administration of antibiotic prophylaxis before skin incisions. Specifying these unusual circumstances, especially from readily abstracted medical record data, is not possible/feasible. Allowing a self-defined exclusion risks inappropriate definition. Instead we recognize that ideal performance on this measure may not be 100% given the small number of unusual emergencies and/or other circumstances. Providers/facilities should however target a 100% goal by, among other efforts, considering how antibiotic prophylaxis will be appropriately delivered even in the case of emergencies

    Testing Data Sources
    Claims Data
    Electronic Health Records: Electronic Health Records
    Other Data Source
    Paper Patient Medical Records
  • Most Recent Endorsement Activity
    Measure Retired and Endorsement Removed Perinatal Project 2015-2016
    Initial Endorsement
    Endorsement Status
    Endorsement Removed
    Last Updated
    Removal Date