Washington Hospital Quality
A service of the Washington State Hospital Association

PeaceHealth St. Joseph Medical Center

Whatcom County | 98225 | View Hospital »

Surgery | Cardiac

Infections: Cardiac Surgery - Cardiac Surgery Infection ?
0.7
Goal: 0.0 Avg: 0.6 Min: 0
Sample Size: 135
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: 108
from 4/1/2015 to 3/31/2016
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Infections: Cardiac Surgery - Infection in a Heart Bypass ?
5.9
Goal: 0.0 Avg: 0.8 Min: 0
Sample Size: 17
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 ?
0.9
Goal: 0.0 Avg: 0.6 Min: 0
Sample Size: 3371
from 7/1/2015 to 6/30/2016
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Infections: CLABSI - Central Line Bloodstream Infection outside the ICU ?
0.7
Goal: 0.0 Avg: 0.5 Min: 0
Sample Size: 7714
from 7/1/2015 to 6/30/2016
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Infections: CAUTI - Catheter-Associated Urinary Tract Infections in the ICU ?
0.0
Goal: 0.0 Avg: 0.8 Min: 0
Sample Size: 3366
from 7/1/2015 to 6/30/2016
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Infections: CAUTI - Catheter-Associated Urinary Tract Infections outside of the ICU ?
0.8
Goal: 0.0 Avg: 1.1 Min: 0
Sample Size: 7588
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: 110/111
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 ?
99%
Goal: 100 Avg: 98 Min: 0
Sample Size: 110/111
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 ?
100%
Goal: 100 Avg: 98 Min: 0
Sample Size: 110/110
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 ?
100%
Goal: 100 Avg: 96 Min: 0
Sample Size: 62/62
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: 108/108
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: 83/83
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 ?
98%
Goal: 100 Avg: 97 Min: 0
Sample Size: 49/50
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: 482/487
from 10/1/2013 to 9/30/2014
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Surgical Care - OP antibiotic selection ?
99%
Goal: 100 Avg: 98 Min: 0
Sample Size: 479/484
from 10/1/2013 to 9/30/2014
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Surgical Complications - Serious Complications ?
2.0
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 ?
100%
Goal: 100 Avg: 96 Min: 0
Sample Size: 36/36
from 4/1/2013 to 3/31/2014
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Blood Clot Prevention - Blood Clot Development and No Preventive Treatment Provided ?
97%
Goal: 0 Avg: 96 Min: 0
Sample Size: 122/126
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: 115/115
from 10/1/2014 to 9/30/2015
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Blood Clot Prevention - Patients with Blood Clot Checked for Risk of Increased Bleeding ?
99%
Goal: 100 Avg: 90 Min: 0
Sample Size: 96/97
from 10/1/2014 to 9/30/2015
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Blood Clot Prevention - Patients Discharged with Written Instructions ?
8%
Goal: 100 Avg: 3 Min: 0
Sample Size: 1/13
from 10/1/2014 to 9/30/2015
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