1. Perioperative Enterprise Committee Surgical Site Infection Report
May 21, 2009

2. Procedure Cardiac (Q4 Data) Colorectal Vascular 0.4 100% 1.71 0.2 3.3
Rate Q1 2009
Rate Q1 2008
% Change from 1 yr
CDC Benchmark
O/E Infection Rate*
Cardiac (Q4 Data)
Cardiac surgery (non-CABG)
0.4
100%
1.71
0.2
Coronary bypass w/chest and donor incision
3.3
4.1
-20%
4.88
0.7
Coronary bypass graft with chest incision 0%
2.88
0.0
Cardiac surgery (pediatric, primary closure)
Colorectal
Colon
18.5
17.3 7%
10.8
1.7
Rectal
30.2
18.9
60%
4.3
7.0
Vascular
AAA Repair
14.3
-100%
5.2
CEA
0.42
Peripheral Bypass
7.1
6.7

3. Procedure Orthopedic Craniotomy OB/GYN Pediatric VP shunts 4.4 -100%
Rate Q1 2009
Rate Q1 2008
% Change from 1 yr
CDC Benchmark
O/E Infection Rate*
Orthopedic
 Total Hip
4.4
-100%
2.97
0.0
 Total Knee 1
100%
1.82
0.5
Craniotomy 
3.3
6.4
-48%
4.68
0.7
OB/GYN
Hyst - Vaginal 4
9.1
-56%
1.26
3.2
Hyst - Abdominal 11
3.8
189%
4.37
2.5
 C-sections
3.4
11.8
-71%
2.64
1.3
Pediatric VP shunts 
9.4 18
5.16
1.8

4. C-Section Hysterectomy
Pod 1
C-Section
Hysterectomy

5. Cesarean Section SSIs
3.4%
2.64%

6. Abdominal Hysterectomy SSIs
11%
4.37%

7. Vaginal Hysterectomy SSIs8%
1.3%

8. Details Hysterectomy First quarter rates have increased
Many of the patients were obese, experienced prolonged OR time, or diabetic
Antibiotic timing was per protocol including re-dosing
Will investigate further regarding other operative issues including skin prep, hair removal, etc.

9. Pod 3
Colorectal Surgery

10. Colon Surgery SSIs
18.5%
10.86%

11. Rectal Surgery SSIs
30.2%
2.85%

12. Pod 6
Orthopedic Surgery

13. Total Hip Arthroplasty SSIs
2.97% 0%

14. Total Knee Arthroplasty SSIs
1.82%
1.0%

15. Pod 8
Neurosurgery

16. Craniotomy SSI
4.68%
3.3%

17. Cardiac Surgery Vascular Surgery
Pod 10
Cardiac Surgery
Vascular Surgery

18. Adult CABG (Procedures w/ Sternotomy + Donor Site) SSIs
4.88%
3.3%

19. Adult CABG (Sternotomy-Only Procedures) SSIs
2.88% 0%

20. Adult Cardiac (non-CABG) SSIs
1.71%
0.4%

21. Abdominal Aortic Aneurysm SSI
5.2% 0%

22. Carotid Endarterectomy SSI
0.42% 0%

23. Peripheral Vascular Bypass SSI
6.7% 0%

24. Pediatric Cardiac Pediatric V Shunt
VCH ORs
Pediatric Cardiac
Pediatric V Shunt

25. Pediatric Cardiac SSIs
1.71% 0%

26. Pediatric VP Shunt SSI
9.4%
5.16%

29. Total Knee Arthroplasty without Megaprothesis
INCORRECT
1.82% 0%