Washington Hospital Quality
A service of the Washington State Hospital Association

Deaconess Hospital

Spokane County | 99210 | View Hospital »

Surgery | Cardiac

Infections: Cardiac Surgery - Cardiac Surgery Infection ?
1.6
Goal: 0.0 Avg: 0.6 Min: 0
Sample Size: 62
from 4/1/2015 to 3/31/2016
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Infections: Cardiac Surgery - Infection in a Heart Bypass w/ Donor Site ?
0.9
Goal: 0.0 Avg: 1.1 Min: 0
Sample Size: 112
from 4/1/2015 to 3/31/2016
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Infections: Cardiac Surgery - Infection in a Heart Bypass ?
0.0
Goal: 0.0 Avg: 0.8 Min: 0
Sample Size: 4
from 4/1/2015 to 3/31/2016
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Infections: Cardiac Surgery - Heart Transplant Infection ?
This measure does not apply to this hospital for this reporting period.
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Infections: CLABSI - Central Line Bloodstream Infection in the ICU ?
0.3
Goal: 0.0 Avg: 0.6 Min: 0
Sample Size: 3343
from 7/1/2015 to 6/30/2016
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Infections: CLABSI - Central Line Bloodstream Infection outside the ICU ?
0.6
Goal: 0.0 Avg: 0.5 Min: 0
Sample Size: 8209
from 7/1/2015 to 6/30/2016
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Infections: CAUTI - Catheter-Associated Urinary Tract Infections in the ICU ?
1.0
Goal: 0.0 Avg: 0.8 Min: 0
Sample Size: 2885
from 7/1/2015 to 6/30/2016
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Infections: CAUTI - Catheter-Associated Urinary Tract Infections outside of the ICU ?
0.9
Goal: 0.0 Avg: 1.1 Min: 0
Sample Size: 6537
from 7/1/2015 to 6/30/2016
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Surgical Care - Antibiotic Before Incision ?
99%
Goal: 100 Avg: 99 Min: 0
Sample Size: 168/170
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
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Surgical Care - Correct Antibiotic For Surgery ?
98%
Goal: 100 Avg: 98 Min: 0
Sample Size: 167/170
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
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Surgical Care - Antibiotic Stopped After Surgery ?
98%
Goal: 100 Avg: 98 Min: 0
Sample Size: 162/165
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
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Surgical Care - Catheters Removed on Time ?
99%
Goal: 100 Avg: 96 Min: 0
Sample Size: 180/182
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
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Surgical Care - Patient's Body Warm in Operating Room ?
100%
Goal: 100 Avg: 100 Min: 0
Sample Size: 278/278
from 10/1/2013 to 9/30/2014
Results are based on a shorter time period than required.
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Surgical Care - Blood Clot Prevention ?
100%
Goal: 100 Avg: 100 Min: 0
Sample Size: 232/232
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
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Surgical Care - Patients on Beta Blockers ?
97%
Goal: 100 Avg: 97 Min: 0
Sample Size: 71/73
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
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Surgical Care - OP antibiotic timing ?
99%
Goal: 100 Avg: 98 Min: 0
Sample Size: 407/411
from 10/1/2013 to 9/30/2014
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Surgical Care - OP antibiotic selection ?
98%
Goal: 100 Avg: 98 Min: 0
Sample Size: 404/412
from 10/1/2013 to 9/30/2014
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Surgical Complications - Serious Complications ?
2.7
Goal: 0.0 Avg: 2.3 Min: 0
from 7/1/2013 to 6/30/2015
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Surgical Care - Blood Sugar Under Control After Heart Surgery ?
95%
Goal: 100 Avg: 96 Min: 0
Sample Size: 36/38
from 4/1/2013 to 3/31/2014
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Blood Clot Prevention - Blood Clot Development and No Preventive Treatment Provided ?
94%
Goal: 0 Avg: 96 Min: 0
Sample Size: 92/98
from 10/1/2014 to 9/30/2015
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Blood Clot Prevention - Patients with Blood Clots Who Got Recommended Treatment ?
100%
Goal: 100 Avg: 99 Min: 0
Sample Size: 16/16
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
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Blood Clot Prevention - Patients with Blood Clot Checked for Risk of Increased Bleeding ?
100%
Goal: 100 Avg: 90 Min: 0
Sample Size: 72/72
from 10/1/2014 to 9/30/2015
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Blood Clot Prevention - Patients Discharged with Written Instructions ?
6%
Goal: 100 Avg: 3 Min: 0
Sample Size: 1/18
from 10/1/2014 to 9/30/2015
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