SCIP-INF-1 Prophylactic Antibiotic Received within 1 Hour Prior to Surgical Incision

Surgical patients with prophylactic antibiotics initiated within one hour prior to surgical incision. Patients who received Vancomycin or a Fluoroquinolone for prophylactic antibiotics should have the antibiotics initiated within 2 hours prior to surgical incision. Due to the longer infusion time required for Vancomycin or a Fluoroquinolone, it is acceptable to start these antibiotics within 2 hours prior to incision time. 

 

Measure Steward

CMS/OFMQ

 

Measure Numerator

Number of surgical patients with prophylactic antibiotics initiated within one hour prior to surgical incision (two hours if receiving vancomycin, in Appendix C, Table 3.8, or a fluoroquinolone, in Appendix C, Table 3.10). 

 

Measure Denominator

All selected surgical patients 18 years of age and older with no evidence of prior infection with an ICD-9- CM Principal Procedure Code of selected surgeries.

Denominator for population 1 – Coronary artery bypass graft (CABG) procedures

Denominator for population 2 – Other cardiac surgery

Denominator for population 3 – Hip arthroplasty

Denominator for population 4 – Knee arthroplasty

Denominator for population 5 – Colon surgery

Denominator for population 6 – Abdominal hysterectomy

Denominator for population 7 – Vaginal hysterectomy

Denominator for population 8 – Vascular surgery