Percentage of patients undergoing cervical spine radiographs in trauma who do not have neck pain, distracting pain, neurological deficits, reduced level of conciousness or intoxication.
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for prophylactic parenteral antibiotics, who have an order for prophylactic antibiotic to be given within one hour (if fluoroquinolone or vancomycin, two hours), prior to the surgical incision (or start of procedure when no incision is required)
Percentage of patients with pneumonia, age 65 and older, who were screened for pneumococcal vaccine status and were vaccinated prior to discharge, if indicated
This measure identifies pregnant women who had a HBsAg (hepatitis B) test during their pregnancy.
This measure identifies pregnant women who had a syphilis test during their pregnancy.
Annual procedural volume of three surgeries: isolated CABG surgery, valve surgery, and valve + CABG surgery.
Percentage of patients undergoing conventional (non-eversion) carotid endarterectomy who have patch closure of the arteriotomy..