------ Population Criteria 1 ------
- Initial Population =
- AND: Age >= 18 year(s) at: Occurrence A of $EncounterInpatient
- AND: "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia" during Occurrence A of $EncounterInpatient
- AND: "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure (ordinality: Principal)" during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Denominator =
- AND: "Occurrence A of Procedure, Performed: CABG Surgeries (ordinality: Principal)" during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Denominator Exclusions =
- OR: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" satisfies all
- starts before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- overlaps "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Expired : Patient Characteristic Expired" satisfies all
- starts after start of "Occurrence A of Procedure, Performed: CABG Surgeries (incision datetime)"
- satisfies any
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- < 6 hour(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IM or PO Antimicrobial medications (route: Intramuscular or PO route)" during Occurrence A of $EncounterInpatient
- AND NOT: "Medication, Administered: IV Antimicrobial medication (route: Substance or Medication Administration Route IV)" during Occurrence A of $EncounterInpatient
- OR: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" > 1440 minute(s) starts before start of ("Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia" during Occurrence A of $EncounterInpatient )
- OR:
- AND: "Medication, Active: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" <= 24 hour(s) starts before start of Occurrence A of $EncounterInpatient
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" during Occurrence A of $EncounterInpatient
- OR: "Procedure, Performed: Pocketed Device Implantation Procedures" satisfies any
- <= 4 day(s) ends before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- <= 4 day(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Procedure, Performed: General or Neuraxial Anesthesia" satisfies any
- <= 4 day(s) ends before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- <= 4 day(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Occurrence A of Diagnosis, Active: Any infection (ordinality: Principal)" during Occurrence A of $EncounterInpatient
- Numerator =
- AND:
- OR:
- AND: "Medication, Allergy: Beta Lactams for Allergy Determination" starts before start of "Occurrence A of Procedure, Performed: CABG Surgeries"
- AND:
- OR: "Medication, Administered: IV Vancomycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: CABG Surgeries (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Medication, Administered: IV Clindamycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: CABG Surgeries (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Vancomycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: CABG Surgeries (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND:
- OR: Union of:
- "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 365 day(s) ends before start of Occurrence A of $EncounterInpatient
- "Procedure, Performed: Hemodialysis or Peritoneal Dialysis" <= 365 day(s) starts before start of "Occurrence A of Procedure, Performed: CABG Surgeries (incision datetime)"
- Occurrence A of $EncounterInpatient > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: CABG Surgeries (incision datetime)"
- "Occurrence A of Diagnosis, Resolved: History of MRSA Colonization or Infection" satisfies all
- starts before start of "Occurrence A of Procedure, Performed: CABG Surgeries (incision datetime)"
- overlaps "Occurrence A of Procedure, Performed: CABG Surgeries (incision datetime)"
- "Occurrence A of Intervention, Performed: Chronic Wound Care" satisfies all
- starts before start of "Occurrence A of Procedure, Performed: CABG Surgeries (incision datetime)"
- overlaps "Occurrence A of Procedure, Performed: CABG Surgeries (incision datetime)"
- "Occurrence A of Procedure, Performed: Cardiac Valve Surgery" satisfies all
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- during Occurrence A of $EncounterInpatient
- OR:
- AND: "Transfer From: Acute care hospital" < 24 hour(s) ends before start of Occurrence A of $EncounterInpatient
- AND: "Encounter, Performed: Acute care hospital Inpatient Encounter (length of stay >= 3 day(s))" < 24 hour(s) ends before start of Occurrence A of $EncounterInpatient
- OR: "Medication, Administered: Cefuroxime and Cefazolin Antibiotics for IV Administration" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: CABG Surgeries (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Medication, Order: IV Vancomycin" satisfies all
- (reason: Request of physician)
- (route: Substance or Medication Administration Route IV)
- <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: CABG Surgeries (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Numerator Exclusions =
- Denominator Exceptions =
- Stratification =
------ Population Criteria 2 ------
- Initial Population =
- AND: Age >= 18 year(s) at: Occurrence A of $EncounterInpatient
- AND: "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia" during Occurrence A of $EncounterInpatient
- AND: "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure (ordinality: Principal)" during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Denominator =
- AND: "Occurrence A of Procedure, Performed: Cardiac Surgery Other Than CABG (ordinality: Principal)" during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Denominator Exclusions =
- OR: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" satisfies all
- starts before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- overlaps "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Expired : Patient Characteristic Expired" satisfies all
- starts after start of "Occurrence A of Procedure, Performed: Cardiac Surgery Other Than CABG (incision datetime)"
- satisfies any
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- < 6 hour(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IM or PO Antimicrobial medications (route: Intramuscular or PO route)" during Occurrence A of $EncounterInpatient
- AND NOT: "Medication, Administered: IV Antimicrobial medication (route: Substance or Medication Administration Route IV)" during Occurrence A of $EncounterInpatient
- OR: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" > 1440 minute(s) starts before start of ("Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia" during Occurrence A of $EncounterInpatient )
- OR:
- AND: "Medication, Active: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" <= 24 hour(s) starts before start of Occurrence A of $EncounterInpatient
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" during Occurrence A of $EncounterInpatient
- OR: "Procedure, Performed: Pocketed Device Implantation Procedures" satisfies any
- <= 4 day(s) ends before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- <= 4 day(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Procedure, Performed: General or Neuraxial Anesthesia" satisfies any
- <= 4 day(s) ends before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- <= 4 day(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Occurrence A of Diagnosis, Active: Any infection (ordinality: Principal)" during Occurrence A of $EncounterInpatient
- Numerator =
- AND:
- OR:
- AND: "Medication, Allergy: Beta Lactams for Allergy Determination" starts before start of "Occurrence A of Procedure, Performed: Cardiac Surgery Other Than CABG"
- AND:
- OR: "Medication, Administered: IV Vancomycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Cardiac Surgery Other Than CABG (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Medication, Administered: IV Clindamycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Cardiac Surgery Other Than CABG (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Vancomycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Cardiac Surgery Other Than CABG (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND:
- OR: Union of:
- "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 365 day(s) ends before start of Occurrence A of $EncounterInpatient
- "Procedure, Performed: Hemodialysis or Peritoneal Dialysis" <= 365 day(s) starts before start of "Occurrence A of Procedure, Performed: Cardiac Surgery Other Than CABG (incision datetime)"
- Occurrence A of $EncounterInpatient > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Cardiac Surgery Other Than CABG (incision datetime)"
- "Occurrence A of Diagnosis, Resolved: History of MRSA Colonization or Infection" satisfies all
- starts before start of "Occurrence A of Procedure, Performed: Cardiac Surgery Other Than CABG (incision datetime)"
- overlaps "Occurrence A of Procedure, Performed: Cardiac Surgery Other Than CABG (incision datetime)"
- "Occurrence A of Intervention, Performed: Chronic Wound Care" satisfies all
- starts before start of "Occurrence A of Procedure, Performed: Cardiac Surgery Other Than CABG (incision datetime)"
- overlaps "Occurrence A of Procedure, Performed: Cardiac Surgery Other Than CABG (incision datetime)"
- "Occurrence A of Procedure, Performed: Cardiac Valve Surgery" satisfies all
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- during Occurrence A of $EncounterInpatient
- OR:
- AND: "Transfer From: Acute care hospital" < 24 hour(s) ends before start of Occurrence A of $EncounterInpatient
- AND: "Encounter, Performed: Acute care hospital Inpatient Encounter (length of stay >= 3 day(s))" < 24 hour(s) ends before start of Occurrence A of $EncounterInpatient
- OR: "Medication, Administered: Cefuroxime and Cefazolin Antibiotics for IV Administration" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Cardiac Surgery Other Than CABG (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Medication, Order: IV Vancomycin" satisfies all
- (reason: Request of physician)
- (route: Substance or Medication Administration Route IV)
- <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Cardiac Surgery Other Than CABG (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Numerator Exclusions =
- Denominator Exceptions =
- Stratification =
------ Population Criteria 3 ------
- Initial Population =
- AND: Age >= 18 year(s) at: Occurrence A of $EncounterInpatient
- AND: "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia" during Occurrence A of $EncounterInpatient
- AND: "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure (ordinality: Principal)" during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Denominator =
- AND: "Occurrence A of Procedure, Performed: Hip arthroplasty (ordinality: Principal)" during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Denominator Exclusions =
- OR: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" satisfies all
- starts before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- overlaps "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Expired : Patient Characteristic Expired" satisfies all
- starts after start of "Occurrence A of Procedure, Performed: Hip arthroplasty (incision datetime)"
- satisfies any
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- < 6 hour(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IM or PO Antimicrobial medications (route: Intramuscular or PO route)" during Occurrence A of $EncounterInpatient
- AND NOT: "Medication, Administered: IV Antimicrobial medication (route: Substance or Medication Administration Route IV)" during Occurrence A of $EncounterInpatient
- OR: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" > 1440 minute(s) starts before start of ("Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia" during Occurrence A of $EncounterInpatient )
- OR:
- AND: "Medication, Active: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" <= 24 hour(s) starts before start of Occurrence A of $EncounterInpatient
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" during Occurrence A of $EncounterInpatient
- OR: "Procedure, Performed: Pocketed Device Implantation Procedures" satisfies any
- <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Procedure, Performed: General or Neuraxial Anesthesia" satisfies any
- <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Occurrence A of Diagnosis, Active: Any infection (ordinality: Principal)" during Occurrence A of $EncounterInpatient
- Numerator =
- AND:
- OR:
- AND: "Medication, Allergy: Beta Lactams for Allergy Determination" starts before start of "Occurrence A of Procedure, Performed: Hip arthroplasty"
- AND:
- OR: "Medication, Administered: IV Vancomycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Hip arthroplasty (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Medication, Administered: IV Clindamycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Hip arthroplasty (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Vancomycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Hip arthroplasty (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND:
- OR: Union of:
- "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 365 day(s) ends before start of Occurrence A of $EncounterInpatient
- "Procedure, Performed: Hemodialysis or Peritoneal Dialysis" <= 365 day(s) starts before start of "Occurrence A of Procedure, Performed: Hip arthroplasty (incision datetime)"
- Occurrence A of $EncounterInpatient > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hip arthroplasty (incision datetime)"
- "Occurrence A of Diagnosis, Resolved: History of MRSA Colonization or Infection" satisfies all
- starts before start of "Occurrence A of Procedure, Performed: Hip arthroplasty (incision datetime)"
- overlaps "Occurrence A of Procedure, Performed: Hip arthroplasty (incision datetime)"
- "Occurrence A of Intervention, Performed: Chronic Wound Care" satisfies all
- starts before start of "Occurrence A of Procedure, Performed: Hip arthroplasty (incision datetime)"
- overlaps "Occurrence A of Procedure, Performed: Hip arthroplasty (incision datetime)"
- "Occurrence A of Procedure, Performed: Cardiac Valve Surgery" satisfies all
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- during Occurrence A of $EncounterInpatient
- OR:
- AND: "Transfer From: Acute care hospital" < 24 hour(s) ends before start of Occurrence A of $EncounterInpatient
- AND: "Encounter, Performed: Acute care hospital Inpatient Encounter (length of stay >= 3 day(s))" < 24 hour(s) ends before start of Occurrence A of $EncounterInpatient
- OR: "Medication, Administered: Cefuroxime and Cefazolin Antibiotics for IV Administration" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Hip arthroplasty (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Medication, Order: IV Vancomycin" satisfies all
- (reason: Request of physician)
- (route: Substance or Medication Administration Route IV)
- <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Hip arthroplasty (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Numerator Exclusions =
- Denominator Exceptions =
- Stratification =
------ Population Criteria 4 ------
- Initial Population =
- AND: Age >= 18 year(s) at: Occurrence A of $EncounterInpatient
- AND: "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia" during Occurrence A of $EncounterInpatient
- AND: "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure (ordinality: Principal)" during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Denominator =
- AND: "Occurrence A of Procedure, Performed: Knee Arthroplasty Surgery (ordinality: Principal)" during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Denominator Exclusions =
- OR: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" satisfies all
- starts before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- overlaps "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Expired : Patient Characteristic Expired" satisfies all
- starts after start of "Occurrence A of Procedure, Performed: Knee Arthroplasty Surgery (incision datetime)"
- satisfies any
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- < 6 hour(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IM or PO Antimicrobial medications (route: Intramuscular or PO route)" during Occurrence A of $EncounterInpatient
- AND NOT: "Medication, Administered: IV Antimicrobial medication (route: Substance or Medication Administration Route IV)" during Occurrence A of $EncounterInpatient
- OR: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" > 1440 minute(s) starts before start of ("Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia" during Occurrence A of $EncounterInpatient )
- OR:
- AND: "Medication, Active: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" <= 24 hour(s) starts before start of Occurrence A of $EncounterInpatient
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" during Occurrence A of $EncounterInpatient
- OR: "Procedure, Performed: Pocketed Device Implantation Procedures" satisfies any
- <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Procedure, Performed: General or Neuraxial Anesthesia" satisfies any
- <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Occurrence A of Diagnosis, Active: Any infection (ordinality: Principal)" during Occurrence A of $EncounterInpatient
- Numerator =
- AND:
- OR:
- AND: "Medication, Allergy: Beta Lactams for Allergy Determination" starts before start of "Occurrence A of Procedure, Performed: Knee Arthroplasty Surgery"
- AND:
- OR: "Medication, Administered: IV Vancomycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Knee Arthroplasty Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Medication, Administered: IV Clindamycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Knee Arthroplasty Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Vancomycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Knee Arthroplasty Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND:
- OR: Union of:
- "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 365 day(s) ends before start of Occurrence A of $EncounterInpatient
- "Procedure, Performed: Hemodialysis or Peritoneal Dialysis" <= 365 day(s) starts before start of "Occurrence A of Procedure, Performed: Knee Arthroplasty Surgery (incision datetime)"
- Occurrence A of $EncounterInpatient > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Knee Arthroplasty Surgery (incision datetime)"
- "Occurrence A of Diagnosis, Resolved: History of MRSA Colonization or Infection" satisfies all
- starts before start of "Occurrence A of Procedure, Performed: Knee Arthroplasty Surgery (incision datetime)"
- overlaps "Occurrence A of Procedure, Performed: Knee Arthroplasty Surgery (incision datetime)"
- "Occurrence A of Intervention, Performed: Chronic Wound Care" satisfies all
- starts before start of "Occurrence A of Procedure, Performed: Knee Arthroplasty Surgery (incision datetime)"
- overlaps "Occurrence A of Procedure, Performed: Knee Arthroplasty Surgery (incision datetime)"
- "Occurrence A of Procedure, Performed: Cardiac Valve Surgery" satisfies all
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- during Occurrence A of $EncounterInpatient
- OR:
- AND: "Transfer From: Acute care hospital" < 24 hour(s) ends before start of Occurrence A of $EncounterInpatient
- AND: "Encounter, Performed: Acute care hospital Inpatient Encounter (length of stay >= 3 day(s))" < 24 hour(s) ends before start of Occurrence A of $EncounterInpatient
- OR: "Medication, Administered: Cefuroxime and Cefazolin Antibiotics for IV Administration" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Knee Arthroplasty Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Medication, Order: IV Vancomycin" satisfies all
- (reason: Request of physician)
- (route: Substance or Medication Administration Route IV)
- <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Knee Arthroplasty Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Numerator Exclusions =
- Denominator Exceptions =
- Stratification =
------ Population Criteria 5 ------
- Initial Population =
- AND: Age >= 18 year(s) at: Occurrence A of $EncounterInpatient
- AND: "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia" during Occurrence A of $EncounterInpatient
- AND: "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure (ordinality: Principal)" during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Denominator =
- AND: "Occurrence A of Procedure, Performed: Colon Surgery (ordinality: Principal)" during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Denominator Exclusions =
- OR: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" satisfies all
- starts before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- overlaps "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Expired : Patient Characteristic Expired" satisfies all
- starts after start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- satisfies any
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- < 6 hour(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IM or PO Antimicrobial medications (route: Intramuscular or PO route)" during Occurrence A of $EncounterInpatient
- AND NOT: "Medication, Administered: IV Antimicrobial medication (route: Substance or Medication Administration Route IV)" during Occurrence A of $EncounterInpatient
- OR: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" > 1440 minute(s) starts before start of ("Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia" during Occurrence A of $EncounterInpatient )
- OR:
- AND: "Medication, Active: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" <= 24 hour(s) starts before start of Occurrence A of $EncounterInpatient
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" during Occurrence A of $EncounterInpatient
- OR: "Procedure, Performed: Pocketed Device Implantation Procedures" satisfies any
- <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Procedure, Performed: General or Neuraxial Anesthesia" satisfies any
- <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Occurrence A of Diagnosis, Active: Any infection (ordinality: Principal)" during Occurrence A of $EncounterInpatient
- Numerator =
- AND:
- OR:
- AND: "Medication, Allergy: Beta Lactams for Allergy Determination" starts before start of "Occurrence A of Procedure, Performed: Colon Surgery"
- AND:
- OR:
- AND: "Medication, Administered: IV Clindamycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Aminoglycosides" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Clindamycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Quinolones Used For Prophylaxis for Hysterectomy and Colon Surgery" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Clindamycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Aztreonam" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Metronidazole" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Aminoglycosides" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Metronidazole" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Quinolones Used For Prophylaxis for Hysterectomy and Colon Surgery" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Medication, Administered: IV Antibiotics Used For Prophylaxis for Colon Surgery" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Medication, Administered: IV Ertapenem" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Cefazolin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Metronidazole" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Metronidazole" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Ceftriaxone" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Metronidazole" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Cefuroxime" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Colon Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Numerator Exclusions =
- Denominator Exceptions =
- Stratification =
------ Population Criteria 6 ------
- Initial Population =
- AND: Age >= 18 year(s) at: Occurrence A of $EncounterInpatient
- AND: "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia" during Occurrence A of $EncounterInpatient
- AND: "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure (ordinality: Principal)" during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Denominator =
- AND: "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (ordinality: Principal)" during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Denominator Exclusions =
- OR: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" satisfies all
- starts before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- overlaps "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Expired : Patient Characteristic Expired" satisfies all
- starts after start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- satisfies any
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- < 6 hour(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IM or PO Antimicrobial medications (route: Intramuscular or PO route)" during Occurrence A of $EncounterInpatient
- AND NOT: "Medication, Administered: IV Antimicrobial medication (route: Substance or Medication Administration Route IV)" during Occurrence A of $EncounterInpatient
- OR: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" > 1440 minute(s) starts before start of ("Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia" during Occurrence A of $EncounterInpatient )
- OR:
- AND: "Medication, Active: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" <= 24 hour(s) starts before start of Occurrence A of $EncounterInpatient
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" during Occurrence A of $EncounterInpatient
- OR: "Procedure, Performed: Pocketed Device Implantation Procedures" satisfies any
- <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Procedure, Performed: General or Neuraxial Anesthesia" satisfies any
- <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Occurrence A of Diagnosis, Active: Any infection (ordinality: Principal)" during Occurrence A of $EncounterInpatient
- Numerator =
- AND:
- OR:
- AND: "Medication, Allergy: Beta Lactams for Allergy Determination" starts before start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy"
- AND:
- OR:
- AND: "Medication, Administered: IV Clindamycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Aminoglycosides" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Clindamycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Quinolones Used For Prophylaxis for Hysterectomy and Colon Surgery" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Clindamycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Aztreonam" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Metronidazole" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Aminoglycosides" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Metronidazole" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Quinolones Used For Prophylaxis for Hysterectomy and Colon Surgery" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Vancomycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Aminoglycosides" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Vancomycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Aztreonam" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Vancomycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Quinolones Used For Prophylaxis for Hysterectomy and Colon Surgery" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Medication, Administered: Antibiotics for Prophylaxis for Hysterectomy Surgeries" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Occurrence A of Procedure, Performed: Colon Surgery" during Occurrence A of $EncounterInpatient
- AND: "Medication, Administered: IV Ertapenem" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Abdominal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Numerator Exclusions =
- Denominator Exceptions =
- Stratification =
------ Population Criteria 7 ------
- Initial Population =
- AND: Age >= 18 year(s) at: Occurrence A of $EncounterInpatient
- AND: "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia" during Occurrence A of $EncounterInpatient
- AND: "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure (ordinality: Principal)" during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Denominator =
- AND: "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (ordinality: Principal)" during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Denominator Exclusions =
- OR: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" satisfies all
- starts before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- overlaps "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Expired : Patient Characteristic Expired" satisfies all
- starts after start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- satisfies any
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- < 6 hour(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IM or PO Antimicrobial medications (route: Intramuscular or PO route)" during Occurrence A of $EncounterInpatient
- AND NOT: "Medication, Administered: IV Antimicrobial medication (route: Substance or Medication Administration Route IV)" during Occurrence A of $EncounterInpatient
- OR: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" > 1440 minute(s) starts before start of ("Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia" during Occurrence A of $EncounterInpatient )
- OR:
- AND: "Medication, Active: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" <= 24 hour(s) starts before start of Occurrence A of $EncounterInpatient
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" during Occurrence A of $EncounterInpatient
- OR: "Procedure, Performed: Pocketed Device Implantation Procedures" satisfies any
- <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Procedure, Performed: General or Neuraxial Anesthesia" satisfies any
- <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Occurrence A of Diagnosis, Active: Any infection (ordinality: Principal)" during Occurrence A of $EncounterInpatient
- Numerator =
- AND:
- OR:
- AND: "Medication, Allergy: Beta Lactams for Allergy Determination" starts before start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy"
- AND:
- OR:
- AND: "Medication, Administered: IV Clindamycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Aminoglycosides" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Clindamycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Quinolones Used For Prophylaxis for Hysterectomy and Colon Surgery" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Clindamycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Aztreonam" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Metronidazole" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Aminoglycosides" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Metronidazole" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Quinolones Used For Prophylaxis for Hysterectomy and Colon Surgery" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Vancomycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Aminoglycosides" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Vancomycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Aztreonam" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Vancomycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Medication, Administered: IV Quinolones Used For Prophylaxis for Hysterectomy and Colon Surgery" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Medication, Administered: Antibiotics for Prophylaxis for Hysterectomy Surgeries" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Occurrence A of Procedure, Performed: Colon Surgery" during Occurrence A of $EncounterInpatient
- AND: "Medication, Administered: IV Ertapenem" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vaginal Hysterectomy (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Numerator Exclusions =
- Denominator Exceptions =
- Stratification =
------ Population Criteria 8 ------
- Initial Population =
- AND: Age >= 18 year(s) at: Occurrence A of $EncounterInpatient
- AND: "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia" during Occurrence A of $EncounterInpatient
- AND: "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure (ordinality: Principal)" during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Denominator =
- AND: "Occurrence A of Procedure, Performed: Vascular Surgery (ordinality: Principal)" during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Denominator Exclusions =
- OR: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" satisfies all
- starts before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- overlaps "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Expired : Patient Characteristic Expired" satisfies all
- starts after start of "Occurrence A of Procedure, Performed: Vascular Surgery (incision datetime)"
- satisfies any
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- < 6 hour(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IM or PO Antimicrobial medications (route: Intramuscular or PO route)" during Occurrence A of $EncounterInpatient
- AND NOT: "Medication, Administered: IV Antimicrobial medication (route: Substance or Medication Administration Route IV)" during Occurrence A of $EncounterInpatient
- OR: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" > 1440 minute(s) starts before start of ("Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia" during Occurrence A of $EncounterInpatient )
- OR:
- AND: "Medication, Active: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" <= 24 hour(s) starts before start of Occurrence A of $EncounterInpatient
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: Substance or Medication Administration Route IV, oral or IM)" during Occurrence A of $EncounterInpatient
- OR: "Procedure, Performed: Pocketed Device Implantation Procedures" satisfies any
- <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Procedure, Performed: General or Neuraxial Anesthesia" satisfies any
- <= 3 day(s) ends before start of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- <= 3 day(s) starts after end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Occurrence A of Diagnosis, Active: Any infection (ordinality: Principal)" during Occurrence A of $EncounterInpatient
- Numerator =
- AND:
- OR:
- AND: "Medication, Allergy: Beta Lactams for Allergy Determination" starts before start of "Occurrence A of Procedure, Performed: Vascular Surgery"
- AND:
- OR: "Medication, Administered: IV Vancomycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vascular Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Medication, Administered: IV Clindamycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vascular Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Vancomycin" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vascular Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- AND:
- OR: Union of:
- "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 365 day(s) ends before start of Occurrence A of $EncounterInpatient
- "Procedure, Performed: Hemodialysis or Peritoneal Dialysis" <= 365 day(s) starts before start of "Occurrence A of Procedure, Performed: Vascular Surgery (incision datetime)"
- Occurrence A of $EncounterInpatient > 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Vascular Surgery (incision datetime)"
- "Occurrence A of Diagnosis, Resolved: History of MRSA Colonization or Infection" satisfies all
- starts before start of "Occurrence A of Procedure, Performed: Vascular Surgery (incision datetime)"
- overlaps "Occurrence A of Procedure, Performed: Vascular Surgery (incision datetime)"
- "Occurrence A of Intervention, Performed: Chronic Wound Care" satisfies all
- starts before start of "Occurrence A of Procedure, Performed: Vascular Surgery (incision datetime)"
- overlaps "Occurrence A of Procedure, Performed: Vascular Surgery (incision datetime)"
- "Occurrence A of Procedure, Performed: Cardiac Valve Surgery" satisfies all
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- during Occurrence A of $EncounterInpatient
- OR:
- AND: "Transfer From: Acute care hospital" < 24 hour(s) ends before start of Occurrence A of $EncounterInpatient
- AND: "Encounter, Performed: Acute care hospital Inpatient Encounter (length of stay >= 3 day(s))" < 24 hour(s) ends before start of Occurrence A of $EncounterInpatient
- OR: "Medication, Administered: Cefuroxime and Cefazolin Antibiotics for IV Administration" satisfies all
- (route: Substance or Medication Administration Route IV) <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vascular Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Medication, Order: IV Vancomycin" satisfies all
- (reason: Request of physician)
- (route: Substance or Medication Administration Route IV)
- <= 1440 minute(s) starts before or concurrent with start of "Occurrence A of Procedure, Performed: Vascular Surgery (incision datetime)"
- starts before end of "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- Numerator Exclusions =
- Denominator Exceptions =
- Stratification =
- $EncounterInpatient =
- "Encounter, Performed: Encounter Inpatient" satisfies all
- (length of stay <= 120 day(s))
- ends during "Measurement Period"
- "Diagnosis, Active: Any infection" using "Any infection Grouping Value Set (2.16.840.1.113883.3.666.5.696)"
- "Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" using "Any Infection Prior to Anesthesia Concepts Grouping Value Set (2.16.840.1.113883.3.666.5.2256)"
- "Diagnosis, Resolved: History of MRSA Colonization or Infection" using "History of MRSA Colonization or Infection Grouping Value Set (2.16.840.1.113762.1.4.1111.8)"
- "Encounter, Performed: Acute care hospital Inpatient Encounter" using "Acute care hospital Inpatient Encounter SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.2289)"
- "Encounter, Performed: Encounter Inpatient" using "Encounter Inpatient SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.307)"
- "Intervention, Performed: Chronic Wound Care" using "Chronic Wound Care SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.719)"
- "Medication, Active: IV, IM, PO Antimicrobial Medications" using "IV, IM, PO Antimicrobial Medications RXNORM Value Set (2.16.840.1.113883.3.666.5.693)"
- "Medication, Administered: Antibiotics for Prophylaxis for Hysterectomy Surgeries" using "Antibiotics for Prophylaxis for Hysterectomy Surgeries RXNORM Value Set (2.16.840.1.113883.3.666.5.729)"
- "Medication, Administered: Cefuroxime and Cefazolin Antibiotics for IV Administration" using "Cefuroxime and Cefazolin Antibiotics for IV Administration RXNORM Value Set (2.16.840.1.113883.3.666.5.768)"
- "Medication, Administered: IM or PO Antimicrobial medications" using "IM or PO Antimicrobial medications RXNORM Value Set (2.16.840.1.113762.1.4.1045.5)"
- "Medication, Administered: IV Aminoglycosides" using "IV Aminoglycosides RXNORM Value Set (2.16.840.1.113883.3.666.5.727)"
- "Medication, Administered: IV Antibiotics Used For Prophylaxis for Colon Surgery" using "IV Antibiotics Used For Prophylaxis for Colon Surgery RXNORM Value Set (2.16.840.1.113883.3.666.5.724)"
- "Medication, Administered: IV Antimicrobial medication" using "IV Antimicrobial medication RXNORM Value Set (2.16.840.1.113883.3.666.5.765)"
- "Medication, Administered: IV Aztreonam" using "IV Aztreonam RXNORM Value Set (2.16.840.1.113883.3.666.5.728)"
- "Medication, Administered: IV Cefazolin" using "IV Cefazolin RXNORM Value Set (2.16.840.1.113762.1.4.1045.7)"
- "Medication, Administered: IV Ceftriaxone" using "IV Ceftriaxone RXNORM Value Set (2.16.840.1.113762.1.4.1045.3)"
- "Medication, Administered: IV Cefuroxime" using "IV Cefuroxime RXNORM Value Set (2.16.840.1.113762.1.4.1045.8)"
- "Medication, Administered: IV Clindamycin" using "IV Clindamycin RXNORM Value Set (2.16.840.1.113883.3.666.5.893)"
- "Medication, Administered: IV Ertapenem" using "IV Ertapenem RXNORM Value Set (2.16.840.1.113883.3.666.5.725)"
- "Medication, Administered: IV Metronidazole" using "IV Metronidazole RXNORM Value Set (2.16.840.1.113883.3.666.5.708)"
- "Medication, Administered: IV Quinolones Used For Prophylaxis for Hysterectomy and Colon Surgery" using "IV Quinolones Used For Prophylaxis for Hysterectomy and Colon Surgery RXNORM Value Set (2.16.840.1.113883.3.666.5.767)"
- "Medication, Administered: IV Vancomycin" using "IV Vancomycin RXNORM Value Set (2.16.840.1.113883.3.666.5.766)"
- "Medication, Administered: IV, IM, PO Antimicrobial Medications" using "IV, IM, PO Antimicrobial Medications RXNORM Value Set (2.16.840.1.113883.3.666.5.693)"
- "Medication, Allergy: Beta Lactams for Allergy Determination" using "Beta Lactams for Allergy Determination RXNORM Value Set (2.16.840.1.113883.3.666.5.1058)"
- "Medication, Order: IV Vancomycin" using "IV Vancomycin RXNORM Value Set (2.16.840.1.113883.3.666.5.766)"
- "Procedure, Performed: Abdominal Hysterectomy" using "Abdominal Hysterectomy Grouping Value Set (2.16.840.1.113883.3.666.5.710)"
- "Procedure, Performed: CABG Surgeries" using "CABG Surgeries Grouping Value Set (2.16.840.1.113883.3.666.5.694)"
- "Procedure, Performed: Cardiac Surgery Other Than CABG" using "Cardiac Surgery Other Than CABG Grouping Value Set (2.16.840.1.113883.3.666.5.701)"
- "Procedure, Performed: Cardiac Valve Surgery" using "Cardiac Valve Surgery Grouping Value Set (2.16.840.1.113883.3.666.5.2275)"
- "Procedure, Performed: Colon Surgery" using "Colon Surgery Grouping Value Set (2.16.840.1.113883.3.666.5.705)"
- "Procedure, Performed: General or Neuraxial Anesthesia" using "General or Neuraxial Anesthesia Grouping Value Set (2.16.840.1.113883.3.666.5.1743)"
- "Procedure, Performed: Hemodialysis or Peritoneal Dialysis" using "Hemodialysis or Peritoneal Dialysis Grouping Value Set (2.16.840.1.113883.3.666.5.2282)"
- "Procedure, Performed: Hip arthroplasty" using "Hip arthroplasty Grouping Value Set (2.16.840.1.113883.3.666.5.703)"
- "Procedure, Performed: Knee Arthroplasty Surgery" using "Knee Arthroplasty Surgery Grouping Value Set (2.16.840.1.113883.3.666.5.1816)"
- "Procedure, Performed: Pocketed Device Implantation Procedures " using "Pocketed Device Implantation Procedures Grouping Value Set (2.16.840.1.113883.3.666.5.1741)"
- "Procedure, Performed: SCIP Major Surgical Procedure" using "SCIP Major Surgical Procedure Grouping Value Set (2.16.840.1.113883.3.117.1.7.1.2)"
- "Procedure, Performed: Vaginal Hysterectomy" using "Vaginal Hysterectomy Grouping Value Set (2.16.840.1.113883.3.666.5.712)"
- "Procedure, Performed: Vascular Surgery" using "Vascular Surgery Grouping Value Set (2.16.840.1.113883.3.666.5.713)"
- "Transfer From: Acute care hospital" using "Acute care hospital SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.684)"
- Attribute: "Route: Substance or Medication Administration Route IV" using "Substance or Medication Administration Route IV SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.1108)"
- Attribute: "Route: Substance or Medication Administration Route IV, oral or IM" using "Substance or Medication Administration Route IV, oral or IM SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.1111)"
- Attribute: "Route: Intramuscular or PO route" using "Intramuscular or PO route SNOMEDCT Value Set (2.16.840.1.113762.1.4.1045.6)"
- Attribute: "Reason: Request of physician" using "Request of physician SNOMEDCT Value Set (2.16.840.1.113883.3.666.5.2254)"
- Attribute: "Ordinality: Principal" using "Principal SNOMEDCT Value Set (2.16.840.1.113883.3.117.1.7.1.14)"
- "Patient Characteristic Ethnicity: Ethnicity" using "Ethnicity CDCREC Value Set (2.16.840.1.114222.4.11.837)"
- "Patient Characteristic Payer: Payer" using "Payer SOP Value Set (2.16.840.1.114222.4.11.3591)"
- "Patient Characteristic Race: Race" using "Race CDCREC Value Set (2.16.840.1.114222.4.11.836)"
- "Patient Characteristic Sex: ONC Administrative Sex" using "ONC Administrative Sex AdministrativeGender Value Set (2.16.840.1.113762.1.4.1)"