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Prophylactic Antibiotic Selection for Surgical Patients

CBE ID
0528
1.4 Project
Surgery Endorsement
Endorsement Status
Endorsed with Reserve Status
Previous Endorsement Cycle
Full Year 2013
Is Under Review
No
1.3 Measure Description

Surgical patients who received prophylactic antibiotics consistent with current guidelines (specific to each type of surgical procedure).

    • 1.14 Numerator

      Number of surgical patients who received prophylactic antibiotics recommended for their specific surgical procedure.

    • 1.15 Denominator

      All selected surgical patients with no evidence of prior infection.
      Included Populations:
      An ICD-9-CM Principal Procedure Code of selected surgeries (as defined in Appendix A, Table 5.10 for ICD-9-CM codes).
      AND
      An ICD-9-CM Principal Procedure Code of selected surgeries (as defined in Appendix A, Table 5.01-5.08 for ICD-9-CM codes).

    • Exclusions

      • 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 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 expired perioperatively
      • 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
      • Patients who did not receive any antibiotics within the timeframe 24 hours before Surgical Incision Date and Time (i.e., patient did not receive prophylactic antibiotics) through discharge
      • Patients who received antibiotics prior to arrival and did not receive any antibiotics during this hospitalization
      • Patients who received ONLY oral or intramuscular (IM) antibiotics or the route was unable to be determined
      • Patients who received ALL antibiotics greater than 1440 minutes prior to Surgical Incision Date and Time

    • Most Recent Endorsement Activity
      Endorsed with Reserve Status Surgery Endorsement Project 2013-2015
      Initial Endorsement
      Last Updated
    • Steward
      Centers for Medicare & Medicaid Services
      Steward Organization POC Email
      [email protected]
      Steward Organization Copyright

      N/A