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Prophylactic Antibiotic Selection for Surgical Patients

CBE ID
0528
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 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