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Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision

CBE ID
0527
1.4 Project
Surgery Endorsement
Endorsed
Endorsement Status
Endorsed with Reserve Status
E&M Cycle
Full Year 2013
Is Under Review
No
1.3 Measure Description

Surgical patients with prophylactic antibiotics initiated within one hour prior to surgical incision. Patients who received vancomycin or a fluoroquinolone for prophylactic antibiotics should have the antibiotics initiated within two hours prior to surgical incision. Due to the longer infusion time required for vancomycin or a fluoroquinolone, it is acceptable to start these antibiotics within two hours prior to incision time.

    • 1.14 Numerator

      Number of surgical patients with prophylactic antibiotics initiated within one hour prior to surgical incision (two hours if receiving vancomycin, in Appendix C, Table 3.8, or a fluoroquinolone, in Appendix C, Table 3.10).

    • 1.15 Denominator

      All selected surgical patients with no evidence of prior infection.

    • Exclusions

      Excluded Populations:
      • Patients less than 18 years of age
      • Patients who have a length of stay greater than 120 days
      • Patients whose Principal Procedure was on Table 5.25
      • Patients who had a hysterectomy and a caesarean section performed during this hospitalization
      • Patients who had a principal diagnosis suggestive of preoperative infectious diseases (as defined in Appendix A, Table 5.09 for ICD-9-CM codes)
      • Patients enrolled in clinical trials
      • Patients whose ICD-9-CM principal procedure occurred prior to the date of admission
      • Patients with physician/advanced practice nurse/physician assistant (physician/APN/PA) documented infection prior to surgical procedure of interest
      • Patients who had other procedures requiring general or spinal anesthesia that occurred within 3 days (4 days for CABG or Other Cardiac Surgery) prior to or after the procedure of interest (during separate surgical episodes) during this hospital stay

    • Most Recent Endorsement Activity
      Endorsed with Reserve Status Surgery Endorsement Project 2013-2015
      Initial Endorsement
      Last Updated