------
Population Criteria 1
------
-
Initial Patient Population 1 =
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay <= 120 day(s))"
- AND: "Occurrence A of Encounter, Performed: Encounter Inpatient" ends during "Measurement Period"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND: "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure (ordinality: 'Principal')" during "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
-
Denominator 1 =
- AND: "Initial Patient Population 1"
- AND: "Occurrence A of Procedure, Performed: Hospital measures-CABG (ordinality: 'Principal')" during "Occurrence A of Procedure,
Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial anesthesia"
-
Denominator Exclusions 1 =
- AND:
- OR:
- AND: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" starts before start of "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND NOT: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" ends before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR:
- AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during
"Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start
of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND: "Patient Characteristic Expired: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital measures-CABG
(incision datetime)"
- AND NOT: "Patient Characteristic Expired: Expired" >= 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: 'IM or PO route')" during "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- AND NOT: "Medication, Administered: IV Antimicrobial medication (route: 'Hospital measures-Route IV')" during "Occurrence
A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')" >
1440 minute(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter,
Performed: Encounter Inpatient")
- AND:
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
<= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
starts after start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
- OR:
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
<= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
starts after start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
- OR:
- AND: "Medication, Active: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')" <= 24 hour(s)
starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
during "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 4 day(s) starts
after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia"
- OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 4 day(s) ends
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia"
- OR: "Occurrence B of Procedure, Performed: General or Neuraxial Anesthesia" <= 4 day(s) ends before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR: "Occurrence B of Procedure, Performed: General or Neuraxial Anesthesia" <= 4 day(s) starts after end of "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR: "Occurrence A of Diagnosis, Active: Hospital Measures - Any infection (ordinality: 'Principal')" during "Encounter, Performed:
Encounter Inpatient"
-
Numerator 1 =
- AND:
- OR:
- AND: "Medication, Allergy: Hospital Measures-Beta lactams for allergy determination" starts before start of "Occurrence A
of Procedure, Performed: Hospital measures-CABG"
- AND:
- OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia"
- OR:
- AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s)
starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia"
- AND:
- OR: "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 1 year(s) ends before start of "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- OR: "Procedure, Performed: Hospital measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
- OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (admission datetime)" > 1440 minute(s) starts before start
of "Occurrence A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" starts before start of "Occurrence
A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
- AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" ends before start of "Occurrence
A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
- OR:
- AND: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" starts before start of "Occurrence A
of Procedure, Performed: Hospital measures-CABG (incision datetime)"
- AND NOT: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" ends before start of "Occurrence
A of Procedure, Performed: Hospital measures-CABG (incision datetime)"
- OR:
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" starts before or during "Occurrence A
of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" during "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- OR:
- AND: "Transfer From: Hospital Measures-Acute care hospital"
- AND: "Encounter, Performed: Hospital measures-Acute care hospital encounter (length of stay >= 3 day(s))"
- < 24 hour(s) ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR:
- OR: "Medication, Administered: Cefuroxime and Cefazolin Antibiotics for IV Administration (route: 'Hospital measures-Route
IV')"
- OR:
- AND: "Medication, Order: Hospital measures-IV Vancomycin (reason: 'Hospital measures - Request of physician')"
- AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia"
-
Denominator Exceptions 1=
------
Population Criteria 2
------
-
Initial Patient Population 2 =
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay <= 120 day(s))"
- AND: "Occurrence A of Encounter, Performed: Encounter Inpatient" ends during "Measurement Period"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND: "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure (ordinality: 'Principal')" during "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
-
Denominator 2 =
- AND: "Initial Patient Population 2"
- AND: "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (ordinality: 'Principal')" during "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
-
Denominator Exclusions 2 =
- AND:
- OR:
- AND: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" starts before start of "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND NOT: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" ends before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR:
- AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during
"Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start
of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND: "Patient Characteristic Expired: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital measures-Other
Cardiac Surgery (incision datetime)"
- AND NOT: "Patient Characteristic Expired: Expired" >= 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: 'IM or PO route')" during "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- AND NOT: "Medication, Administered: IV Antimicrobial medication (route: 'Hospital measures-Route IV')" during "Occurrence
A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')" >
1440 minute(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter,
Performed: Encounter Inpatient")
- AND:
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
<= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
starts after start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
- OR:
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
<= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
starts after start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
- OR:
- AND: "Medication, Active: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')" <= 24 hour(s)
starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
during "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 4 day(s) starts
after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia"
- OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 4 day(s) ends
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia"
- OR: "Occurrence B of Procedure, Performed: General or Neuraxial Anesthesia" <= 4 day(s) ends before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR: "Occurrence B of Procedure, Performed: General or Neuraxial Anesthesia" <= 4 day(s) starts after end of "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR: "Occurrence A of Diagnosis, Active: Hospital Measures - Any infection (ordinality: 'Principal')" during "Encounter, Performed:
Encounter Inpatient"
-
Numerator 2 =
- AND:
- OR:
- AND: "Medication, Allergy: Hospital Measures-Beta lactams for allergy determination" starts before start of "Occurrence A
of Procedure, Performed: Hospital measures-Other Cardiac Surgery"
- AND:
- OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia"
- OR:
- AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s)
starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia"
- AND:
- OR: "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 1 year(s) ends before start of "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- OR: "Procedure, Performed: Hospital measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
- OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (admission datetime)" > 1440 minute(s) starts before start
of "Occurrence A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" starts before start of "Occurrence
A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
- AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" ends before start of "Occurrence
A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
- OR:
- AND: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" starts before start of "Occurrence A
of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
- AND NOT: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" ends before start of "Occurrence
A of Procedure, Performed: Hospital measures-Other Cardiac Surgery (incision datetime)"
- OR:
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" starts before or during "Occurrence A
of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" during "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- OR:
- AND: "Transfer From: Hospital Measures-Acute care hospital"
- AND: "Encounter, Performed: Hospital measures-Acute care hospital encounter (length of stay >= 3 day(s))"
- < 24 hour(s) ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR:
- OR: "Medication, Administered: Cefuroxime and Cefazolin Antibiotics for IV Administration (route: 'Hospital measures-Route
IV')"
- OR:
- AND: "Medication, Order: Hospital measures-IV Vancomycin (reason: 'Hospital measures - Request of physician')"
- AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia"
-
Denominator Exceptions 2=
------
Population Criteria 3
------
-
Initial Patient Population 3 =
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay <= 120 day(s))"
- AND: "Occurrence A of Encounter, Performed: Encounter Inpatient" ends during "Measurement Period"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND: "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure (ordinality: 'Principal')" during "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
-
Denominator 3 =
- AND: "Initial Patient Population 3"
- AND: "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (ordinality: 'Principal')" during "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
-
Denominator Exclusions 3 =
- AND:
- OR:
- AND: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" starts before start of "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND NOT: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" ends before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR:
- AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during
"Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start
of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND: "Patient Characteristic Expired: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital measures-Hip
arthroplasty (incision datetime)"
- AND NOT: "Patient Characteristic Expired: Expired" >= 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: 'IM or PO route')" during "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- AND NOT: "Medication, Administered: IV Antimicrobial medication (route: 'Hospital measures-Route IV')" during "Occurrence
A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')" >
1440 minute(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter,
Performed: Encounter Inpatient")
- AND:
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
<= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
starts after start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
- OR:
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
<= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
starts after start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
- OR:
- AND: "Medication, Active: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')" <= 24 hour(s)
starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
during "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) starts
after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia"
- OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) ends
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia"
- OR: "Occurrence B of Procedure, Performed: General or Neuraxial Anesthesia" <= 3 day(s) ends before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR: "Occurrence B of Procedure, Performed: General or Neuraxial Anesthesia" <= 3 day(s) starts after end of "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR: "Occurrence A of Diagnosis, Active: Hospital Measures - Any infection (ordinality: 'Principal')" during "Encounter, Performed:
Encounter Inpatient"
-
Numerator 3 =
- AND:
- OR:
- AND: "Medication, Allergy: Hospital Measures-Beta lactams for allergy determination" starts before start of "Occurrence A
of Procedure, Performed: Hospital measures-Hip arthroplasty"
- AND:
- OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia"
- OR:
- AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s)
starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia"
- AND:
- OR: "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 1 year(s) ends before start of "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- OR: "Procedure, Performed: Hospital measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
- OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (admission datetime)" > 1440 minute(s) starts before start
of "Occurrence A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" starts before start of "Occurrence
A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
- AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" ends before start of "Occurrence
A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
- OR:
- AND: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" starts before start of "Occurrence A
of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
- AND NOT: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" ends before start of "Occurrence
A of Procedure, Performed: Hospital measures-Hip arthroplasty (incision datetime)"
- OR:
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" starts before or during "Occurrence A
of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" during "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- OR:
- AND: "Transfer From: Hospital Measures-Acute care hospital"
- AND: "Encounter, Performed: Hospital measures-Acute care hospital encounter (length of stay >= 3 day(s))"
- < 24 hour(s) ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR:
- OR: "Medication, Administered: Cefuroxime and Cefazolin Antibiotics for IV Administration (route: 'Hospital measures-Route
IV')"
- OR:
- AND: "Medication, Order: Hospital measures-IV Vancomycin (reason: 'Hospital measures - Request of physician')"
- AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia"
-
Denominator Exceptions 3=
------
Population Criteria 4
------
-
Initial Patient Population 4 =
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay <= 120 day(s))"
- AND: "Occurrence A of Encounter, Performed: Encounter Inpatient" ends during "Measurement Period"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND: "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure (ordinality: 'Principal')" during "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
-
Denominator 4 =
- AND: "Initial Patient Population 4"
- AND: "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (ordinality: 'Principal')" during "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
-
Denominator Exclusions 4 =
- AND:
- OR:
- AND: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" starts before start of "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND NOT: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" ends before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR:
- AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during
"Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start
of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND: "Patient Characteristic Expired: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital measures-Knee
arthroplasty (incision datetime)"
- AND NOT: "Patient Characteristic Expired: Expired" >= 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: 'IM or PO route')" during "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- AND NOT: "Medication, Administered: IV Antimicrobial medication (route: 'Hospital measures-Route IV')" during "Occurrence
A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')" >
1440 minute(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter,
Performed: Encounter Inpatient")
- AND:
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
<= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
starts after start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
- OR:
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
<= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
starts after start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
- OR:
- AND: "Medication, Active: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')" <= 24 hour(s)
starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
during "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) starts
after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia"
- OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) ends
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia"
- OR: "Occurrence B of Procedure, Performed: General or Neuraxial Anesthesia" <= 3 day(s) ends before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR: "Occurrence B of Procedure, Performed: General or Neuraxial Anesthesia" <= 3 day(s) starts after end of "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR: "Occurrence A of Diagnosis, Active: Hospital Measures - Any infection (ordinality: 'Principal')" during "Encounter, Performed:
Encounter Inpatient"
-
Numerator 4 =
- AND:
- OR:
- AND: "Medication, Allergy: Hospital Measures-Beta lactams for allergy determination" starts before start of "Occurrence A
of Procedure, Performed: Hospital measures-Knee arthroplasty"
- AND:
- OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia"
- OR:
- AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s)
starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia"
- AND:
- OR: "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 1 year(s) ends before start of "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- OR: "Procedure, Performed: Hospital measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
- OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (admission datetime)" > 1440 minute(s) starts before start
of "Occurrence A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" starts before start of "Occurrence
A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
- AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" ends before start of "Occurrence
A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
- OR:
- AND: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" starts before start of "Occurrence A
of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
- AND NOT: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" ends before start of "Occurrence
A of Procedure, Performed: Hospital measures-Knee arthroplasty (incision datetime)"
- OR:
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" starts before or during "Occurrence A
of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" during "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- OR:
- AND: "Transfer From: Hospital Measures-Acute care hospital"
- AND: "Encounter, Performed: Hospital measures-Acute care hospital encounter (length of stay >= 3 day(s))"
- < 24 hour(s) ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR:
- OR: "Medication, Administered: Cefuroxime and Cefazolin Antibiotics for IV Administration (route: 'Hospital measures-Route
IV')"
- OR:
- AND: "Medication, Order: Hospital measures-IV Vancomycin (reason: 'Hospital measures - Request of physician')"
- AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia"
-
Denominator Exceptions 4=
------
Population Criteria 5
------
-
Initial Patient Population 5 =
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay <= 120 day(s))"
- AND: "Occurrence A of Encounter, Performed: Encounter Inpatient" ends during "Measurement Period"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND: "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure (ordinality: 'Principal')" during "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
-
Denominator 5 =
- AND: "Initial Patient Population 5"
- AND: "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery (ordinality: 'Principal')" during "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
-
Denominator Exclusions 5 =
- AND:
- OR:
- AND: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" starts before start of "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND NOT: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" ends before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR:
- AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during
"Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start
of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND: "Patient Characteristic Expired: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital measures-
Colon surgery (incision datetime)"
- AND NOT: "Patient Characteristic Expired: Expired" >= 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: 'IM or PO route')" during "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- AND NOT: "Medication, Administered: IV Antimicrobial medication (route: 'Hospital measures-Route IV')" during "Occurrence
A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')" >
1440 minute(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter,
Performed: Encounter Inpatient")
- AND:
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
<= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
starts after start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
- OR:
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
<= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
starts after start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
- OR:
- AND: "Medication, Active: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')" <= 24 hour(s)
starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
during "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) starts
after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia"
- OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) ends
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia"
- OR: "Occurrence B of Procedure, Performed: General or Neuraxial Anesthesia" <= 3 day(s) ends before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR: "Occurrence B of Procedure, Performed: General or Neuraxial Anesthesia" <= 3 day(s) starts after end of "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR: "Occurrence A of Diagnosis, Active: Hospital Measures - Any infection (ordinality: 'Principal')" during "Encounter, Performed:
Encounter Inpatient"
-
Numerator 5 =
- AND:
- OR:
- AND: "Medication, Allergy: Hospital Measures-Beta lactams for allergy determination" starts before start of "Occurrence A
of Procedure, Performed: Hospital measures- Colon surgery"
- AND:
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Aztreonam (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia"
- OR:
- OR: "Medication, Administered: Hospital Measures-IV Colon-Antibiotics (route: 'Hospital measures-Route IV')"
- OR: "Medication, Administered: Hospital Measures-IV Ertapenem (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: IV Cefazolin (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: IV Ceftriaxone (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: IV Cefuroxime (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia (incision
datetime)"
-
Denominator Exceptions 5=
------
Population Criteria 6
------
-
Initial Patient Population 6 =
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay <= 120 day(s))"
- AND: "Occurrence A of Encounter, Performed: Encounter Inpatient" ends during "Measurement Period"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND: "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure (ordinality: 'Principal')" during "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
-
Denominator 6 =
- AND: "Initial Patient Population 6"
- AND: "Occurrence A of Procedure, Performed: Hospital measures-Abdominal hysterectomy (ordinality: 'Principal')" during "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
-
Denominator Exclusions 6 =
- AND:
- OR:
- AND: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" starts before start of "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND NOT: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" ends before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR:
- AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during
"Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start
of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND: "Patient Characteristic Expired: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital measures-Abdominal
hysterectomy (incision datetime)"
- AND NOT: "Patient Characteristic Expired: Expired" >= 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: 'IM or PO route')" during "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- AND NOT: "Medication, Administered: IV Antimicrobial medication (route: 'Hospital measures-Route IV')" during "Occurrence
A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')" >
1440 minute(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter,
Performed: Encounter Inpatient")
- AND:
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
<= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
starts after start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
- OR:
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
<= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
starts after start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
- OR:
- AND: "Medication, Active: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')" <= 24 hour(s)
starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
during "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) starts
after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia"
- OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) ends
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia"
- OR: "Occurrence B of Procedure, Performed: General or Neuraxial Anesthesia" <= 3 day(s) ends before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR: "Occurrence B of Procedure, Performed: General or Neuraxial Anesthesia" <= 3 day(s) starts after end of "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR: "Occurrence A of Diagnosis, Active: Hospital Measures - Any infection (ordinality: 'Principal')" during "Encounter, Performed:
Encounter Inpatient"
-
Numerator 6 =
- AND:
- OR:
- AND: "Medication, Allergy: Hospital Measures-Beta lactams for allergy determination" starts before start of "Occurrence A
of Procedure, Performed: Hospital measures-Abdominal hysterectomy"
- AND:
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Aztreonam (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Aztreonam (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Medication, Administered: Antibiotics for Prophylaxis for Hysterectomy Surgeries (route: 'Hospital measures-Route IV')"
<= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia"
- OR:
- AND: "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery" during "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- AND: "Medication, Administered: Hospital Measures-IV Ertapenem (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts
before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia"
-
Denominator Exceptions 6=
------
Population Criteria 7
------
-
Initial Patient Population 7 =
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay <= 120 day(s))"
- AND: "Occurrence A of Encounter, Performed: Encounter Inpatient" ends during "Measurement Period"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND: "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure (ordinality: 'Principal')" during "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
-
Denominator 7 =
- AND: "Initial Patient Population 7"
- AND: "Occurrence A of Procedure, Performed: Hospital measures-Vaginal hysterectomy (ordinality: 'Principal')" during "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
-
Denominator Exclusions 7 =
- AND:
- OR:
- AND: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" starts before start of "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND NOT: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" ends before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR:
- AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during
"Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start
of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND: "Patient Characteristic Expired: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital measures-Vaginal
hysterectomy (incision datetime)"
- AND NOT: "Patient Characteristic Expired: Expired" >= 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: 'IM or PO route')" during "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- AND NOT: "Medication, Administered: IV Antimicrobial medication (route: 'Hospital measures-Route IV')" during "Occurrence
A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')" >
1440 minute(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter,
Performed: Encounter Inpatient")
- AND:
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
<= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
starts after start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
- OR:
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
<= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
starts after start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
- OR:
- AND: "Medication, Active: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')" <= 24 hour(s)
starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
during "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) starts
after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia"
- OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) ends
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia"
- OR: "Occurrence B of Procedure, Performed: General or Neuraxial Anesthesia" <= 3 day(s) ends before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR: "Occurrence B of Procedure, Performed: General or Neuraxial Anesthesia" <= 3 day(s) starts after end of "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR: "Occurrence A of Diagnosis, Active: Hospital Measures - Any infection (ordinality: 'Principal')" during "Encounter, Performed:
Encounter Inpatient"
-
Numerator 7 =
- AND:
- OR:
- AND: "Medication, Allergy: Hospital Measures-Beta lactams for allergy determination" starts before start of "Occurrence A
of Procedure, Performed: Hospital measures-Vaginal hysterectomy"
- AND:
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Aztreonam (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: Hospital Measures-IV Metronidazole (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Aminoglycosides (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Aztreonam (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR:
- AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')"
- AND: "Medication, Administered: Hospital Measures-IV Hysterectomy and Colon Quinolones (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: General or Neuraxial Anesthesia"
- OR: "Medication, Administered: Antibiotics for Prophylaxis for Hysterectomy Surgeries (route: 'Hospital measures-Route IV')"
<= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia"
- OR:
- AND: "Occurrence A of Procedure, Performed: Hospital measures- Colon surgery" during "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- AND: "Medication, Administered: Hospital Measures-IV Ertapenem (route: 'Hospital measures-Route IV')" <= 1440 minute(s) starts
before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia"
-
Denominator Exceptions 7=
------
Population Criteria 8
------
-
Initial Patient Population 8 =
- AND: "Patient Characteristic Birthdate: birth date" >= 18 year(s) starts before start of "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- AND: "Occurrence A of Encounter, Performed: Encounter Inpatient (length of stay <= 120 day(s))"
- AND: "Occurrence A of Encounter, Performed: Encounter Inpatient" ends during "Measurement Period"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia" during "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND: "Occurrence A of Procedure, Performed: SCIP Major Surgical Procedure (ordinality: 'Principal')" during "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
-
Denominator 8 =
- AND: "Initial Patient Population 8"
- AND: "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (ordinality: 'Principal')" during "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
-
Denominator Exclusions 8 =
- AND:
- OR:
- AND: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" starts before start of "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- AND NOT: "Occurrence A of Diagnosis, Active: Any Infection Prior to Anesthesia Concepts" ends before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR:
- AND: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" starts before or during
"Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Occurrence A of Patient Characteristic Clinical Trial Participant: Clinical Trial Participant" ends before start
of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND: "Patient Characteristic Expired: Expired" starts after start of "Occurrence A of Procedure, Performed: Hospital measures-Vascular
surgery (incision datetime)"
- AND NOT: "Patient Characteristic Expired: Expired" >= 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: 'IM or PO route')" during "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- AND NOT: "Medication, Administered: IV Antimicrobial medication (route: 'Hospital measures-Route IV')" during "Occurrence
A of Encounter, Performed: Encounter Inpatient"
- OR:
- AND: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')" >
1440 minute(s) starts before start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter,
Performed: Encounter Inpatient")
- AND:
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
<= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
starts after start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
- OR:
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
<= 1440 minute(s) starts before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia (incision datetime)"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
starts after start of ("Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia (incision datetime)" during "Occurrence A of Encounter, Performed: Encounter Inpatient")
- OR:
- AND: "Medication, Active: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')" <= 24 hour(s)
starts before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- AND NOT: "Medication, Administered: IV, IM, PO Antimicrobial Medications (route: 'Hospital measures-Route IV, oral or IM')"
during "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) starts
after end of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring
general or neuraxial anesthesia"
- OR: "Procedure, Performed: Hospital measures-Pacemaker or implantable defibrillator insertion procedure" <= 3 day(s) ends
before start of "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia"
- OR: "Occurrence B of Procedure, Performed: General or Neuraxial Anesthesia" <= 3 day(s) ends before start of "Occurrence
A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR: "Occurrence B of Procedure, Performed: General or Neuraxial Anesthesia" <= 3 day(s) starts after end of "Occurrence A
of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure requiring general or neuraxial
anesthesia"
- OR: "Occurrence A of Diagnosis, Active: Hospital Measures - Any infection (ordinality: 'Principal')" during "Encounter, Performed:
Encounter Inpatient"
-
Numerator 8 =
- AND:
- OR:
- AND: "Medication, Allergy: Hospital Measures-Beta lactams for allergy determination" starts before start of "Occurrence A
of Procedure, Performed: Hospital measures-Vascular surgery"
- AND:
- OR: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')"
- OR: "Medication, Administered: Hospital Measures-IV Clindamycin (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia"
- OR:
- AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')" <= 1440 minute(s)
starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence of a surgical procedure
requiring general or neuraxial anesthesia"
- AND:
- OR: "Encounter, Performed: Encounter Inpatient (discharge datetime)" <= 1 year(s) ends before start of "Occurrence A of Encounter,
Performed: Encounter Inpatient"
- OR: "Procedure, Performed: Hospital measures-Hemodialysis or peritoneal dialysis" <= 1 year(s) starts before start of "Occurrence
A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
- OR: "Occurrence A of Encounter, Performed: Encounter Inpatient (admission datetime)" > 1440 minute(s) starts before start
of "Occurrence A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
- OR:
- AND: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" starts before start of "Occurrence
A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
- AND NOT: "Occurrence A of Diagnosis, Active: Hospital Measures-MRSA Colonization or Infection" ends before start of "Occurrence
A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
- OR:
- AND: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" starts before start of "Occurrence A
of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
- AND NOT: "Occurrence A of Intervention, Performed: Hospital Measures-Chronic Wound Care" ends before start of "Occurrence
A of Procedure, Performed: Hospital measures-Vascular surgery (incision datetime)"
- OR:
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" starts before or during "Occurrence A
of Procedure, Performed: General or Neuraxial Anesthesia"
- AND: "Occurrence A of Procedure, Performed: Hospital Measures-Cardiac Valve Surgery" during "Occurrence A of Encounter, Performed:
Encounter Inpatient"
- OR:
- AND: "Transfer From: Hospital Measures-Acute care hospital"
- AND: "Encounter, Performed: Hospital measures-Acute care hospital encounter (length of stay >= 3 day(s))"
- < 24 hour(s) ends before start of "Occurrence A of Encounter, Performed: Encounter Inpatient"
- OR:
- OR: "Medication, Administered: Cefuroxime and Cefazolin Antibiotics for IV Administration (route: 'Hospital measures-Route
IV')"
- OR:
- AND: "Medication, Order: Hospital measures-IV Vancomycin (reason: 'Hospital measures - Request of physician')"
- AND: "Medication, Administered: Hospital measures-IV Vancomycin (route: 'Hospital measures-Route IV')"
- <= 1440 minute(s) starts before or during "Occurrence A of Procedure, Performed: Hospital Measures-Joint Commission Evidence
of a surgical procedure requiring general or neuraxial anesthesia"
-
Denominator Exceptions 8=


Enable HTTP and Websocket access to an O2 host.
An simple HTTP server is operated on the given port with support for web sockets. A name is set up with ZeroConf/Bonjour so that the server can be accessed with the url http://<ensname>.local:<port>
, where <ensname>
is the O2 ensemble name and <port>
is the port
parameter passed to this function. If other hosts are also offering an http service, the name may be changed by appending " (2)" etc. The server may also be reached via the host name which may already be published by ZeroConf/Bonjour, or by the IP address, which is necessary for Android devices that do not support .local. names through mDNS.
- Parameters
-
| port | The port number for the web server. If 0, then 8080 is used. |
| root | The path to the files to be served. E.g. if the file mypage.htm is in path , then the page will be served by a URL like http://o2.local:8080/mypage.htm . path can be a full path or relative path. If relative, it is relative to the current working directory of the current process. |
- Returns
- O2_SUCCESS if successful, O2_NOT_INITIALIZED if O2 is not initialized, or O2_NO_NETWORK if networking is disabled (see o2_network_enable) or no Internet connection was found.


The PersistentDataService
can be used to set and get data in localStorage
, Cookies
or sessionStorage
.
The service can be used to choose which to set or will attempt to use localStorage
by default, falling back to Cookies
if this fails.
The PersistentDataStorageType
enum is used when setting the storage type.
This method expects a key and value parameter as strings and can also accept a PersistentDataStorageType if you wish to set the storage type, otherwise it will follow default behaviour.
This method will accept a string parameter for the key and will return a string containing the value associated with that key. It will also accept a PersistentDataStorageType parameter which is required if this was used when setting the data.
This method will accept a string parameter for the key and will remove that item from Storage. It will also accept a PersistentDataStorageType parameter which is required if this was used when setting the data.
This method will clear the default storage type or a specific storage type if one is specified.
Below is an example of how the PersistentDataService
can be used:


Lorem ipsum dolor sit amet consectetur adipisicing elit. Vitae veniam, voluptates iste modi dicta vero amet. Necessitatibus tenetur error atque!
Explore a wide range of wonderful tech-blogs, personal blogs related to tech and so much more on this site.
Click on the link above to explore a library of wonderful articles submitted by students from all over the department.


Are you a restaurant business owner? Sign up to create an online menu for your restaurant to allow your customers to place online orders for food.


This is a demo page for using MongoDB as a cloud data store and Chart.js for charting.
Static routing page
This is being used to avoid some dynamic url problems. Current setup is NGINX/Gunicorn/Flask


-
Repo Parent/Repo #12345
System Reorg
- +1
- Subscribed
- 10 hours ago
-
Repo Parent/Repo #12345
HelperApp Addition
- +1
- Subscribed
- 10 hours ago
-
Repo Parent/Repo #12345
Suggestion: Use better code
- +1
- Subscribed
- 10 hours ago
-
Repo Parent/Repo #12345
Installation Script Rewrite
- +1
- Subscribed
- 10 hours ago
-
Repo Parent/Repo #12345
Feature Request: Make it better
- +1
- Subscribed
- 10 hours ago
-
Repo Parent/Repo #12345
Update Problems
- +1
- Subscribed
- 10 hours ago
-
Repo Parent/Repo #12345
Unable to install application into system folder
- +1
- Subscribed
- 10 hours ago


We can further filter by chaining additional conditions onto the query. Let’s find administrators that haven’t (yet) provided their ages.


{% include head.html %}
I like to make beautiful, useful things with code. I'm looking to work on something with meaning. Something that will make the world a better place.
Joining Zendesk was a big step up for me in my career. This is a truly large-scale enterprise, and I'm writing code that affects millions of people.
I've continued my habit of shaping the culture of the company around me by writing a chat bot that nudges people away from papercutting their colleagues. I've also had the opportunity to architect and develop a microservice system for conversations, which can handle all the scale that Zendesk demands.
When I joined Gridium, I was engineer number 6, and employee number 13. I had never worked at a company at this early stage, and the opportunity to shape the course of its history was very interesting to me.
I've found that being part of such a small team had some major advantages, among which is the ability to shape the culture and technological substrate. I helped to build the kind of company I want to work for. Working on a software system at the beginning of its life gave me the opportunity to apply all the lessons I've learned from working on more-mature applications. I've taught and learned a lot about being making remote teams work.
I worked on all parts of the web-application stack, from hosting in Docker to data storage to API design to Ember on the front end. I also hacked the culture with Hubot, and spreadg organizational, cultural, and technological wisdom by speaking at conferences.
GitHub had been on my I-need-to-work-here list since about 2009, and when I was offered a job there, I jumped at it. It was everything I had hoped for, and more.
This was where I found out what it is to be a citizen of the Internet in a real way. I traveled the world, speaking at conferences. I worked with some of my personal heroes. I was freed from having a commute. I learned what it was to help make a company.
My main focus was libgit2, an implementation of git with a nice API, and no dependencies on a UNIX environment. This led me to helping out with back-end systems, mainline git, and even the native clients (GitHub Desktop). I helped run an open-source project, wrote its documentation, and found out how I work best.
This is effectively the book on Git, and I was honored and excited when Scott asked me to co-author the second edition. It's now even better than it was when I read it as a younger engineer. The ability to help developers new and old become better at their craft is a point of pride for me, a strong reason why I do what I do.
I contributed two chapters to Chris Dawson's book on GitHub's API. This is like the missing manual for GitHub, and includes lots of examples of how to write code that works with source control, issues, and lots more. I wrote a chapter on the search API (in Python), and a chapter on the commit-status API (in C#).
I've been working with the Linux Foundation and its partners to provide on-premises training for Kubernetes. I've also been recording training videos on various topics:
I'd been thinking a lot about how automation can change a company's culture. The best example of this that I've seen is the addition of a robot to a team that uses chat. I gave this talk at Joy of Coding 2015 in Rotterdam, and also in an updated form at CascadiaFest 2015 in Blaine, Washington.
While I worked at GitHub on a Git implementation, I was very interested in teaching people about the tools they use every day. I found that just a little bit of knowledge about Git internals made people much more effective at using the tool. I gave a tips-and-tricks talk in various forms at many conferences over the course of two years:
I've written device drivers, cross-platform libraries, and GUI applications in C and C++. I've worked on production applications in C#, using both WPF for client-side apps and ASP.NET on the server. I've taught a course on converting from Python 2 to Python 3. I've done user experience work on front-end web applications using Ember, Angular, Knockout and Vanilla.js.
But that's just application code. I've automated deployments using bare shell scripts, Perl, Ansible manifests, and Kubernetes definitions. I've tinkered with Objective C, Swift, Lisp, and Haskell. I came close to writing a parser for an installer DSL, but settled for an Emacs syntax highlighter instead.
I've written code for OS X, Linux, and Windows, and I've written code that runs on all three. I've solved some of the same problems Docker solves. I've written device drivers, GUI applications, HTTP backends, and HTML/CSS/Javascript front ends, with and without frameworks.
I know the weird stuff too. I have a favorite source control tool. I have opinions on defect tracking. I know the difference between UCS-2 and UTF-16. I know what how you say what you say says about what you're saying. And I'd love to debate agile versus Agile.
I love to learn. Especially when it comes to technology.
Give me two weeks and a good book, and I'll help you find bugs in an iOS app, and I'll be happy doing it. Scala? Sounds like fun. COBOL? Well, we all have our limits.
This is what I bring. I'm really good at staying up to date, bringing in fresh ideas, and trying new things.
I took night classes to earn my master's degree in software engineering. It's been a long journey; taking classes part-time at 30 is a little different than when I was doing it full time. The benefits have been worth the cost and effort, for me and my employers.
This is where I cut my teeth, and where I got my first taste of professional engineering. I was part of an internship program, and had a full year of experience before I graduated.
Donut Locator is an open source node/ember app that lets users find donuts within a defined radius from their home.
DEUG is a local monthly meetup in Springfield where we share all the latest tips and tricks for dat donut lifestyle. I organize the group, and typically eat most of the donuts.
Awarded for stopping a nuclear meltdown, even though I also started it.
Honored by Duff Beer for being an outstanding customer several years straight. Qualifications included most beer consumed at a bar, most beer purchased, and most beer ralphed.
Specifically this prestigious awarded twice for stopping a robber with my belly.
Organized fund drives and participated in fundraising events for the benefit of families in third world countries without proper access to malt beverages.
Founding member of the local nuclear workers labor union.