Washington Hospital Quality
A service of the Washington State Hospital Association

Cascade Valley Hospital & Clinics

Snohomish County | 98223 | View Hospital »

Surgery | Surgical Infections

Infections: Cardiac Surgery - Cardiac Surgery Infection ?
This measure does not apply to this hospital for this reporting period.
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Infections: Cardiac Surgery - Infection in a Heart Bypass w/ Donor Site ?
This measure does not apply to this hospital for this reporting period.
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Infections: Cardiac Surgery - Infection in a Heart Bypass ?
This measure does not apply to this hospital for this reporting period.
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Colon Surgery Infection ?
3.6
Goal: 0.0 Avg: 5.6 Min: 0
Sample Size: 28
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: Ortho Surgery - Hip Replacement Infection ?
0.0
Goal: 0.0 Avg: 1.4 Min: 0
Sample Size: 15
from 4/1/2015 to 3/31/2016
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Infections: Ortho Surgery - Knee Replacement Infection ?
0.0
Goal: 0.0 Avg: 0.5 Min: 0
Sample Size: 33
from 4/1/2015 to 3/31/2016
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Infections: Hysterectomy - Abdominal Hysterectomy Infection ?
0.0
Goal: 0.0 Avg: 0.8 Min: 0
Sample Size: 20
from 4/1/2015 to 3/31/2016
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Surgery | Hips

Surgical Care - Antibiotic Before Incision ?
100%
Goal: 100 Avg: 99 Min: 0
Sample Size: 17/17
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 ?
100%
Goal: 100 Avg: 98 Min: 0
Sample Size: 17/17
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 ?
81%
Goal: 100 Avg: 98 Min: 0
Sample Size: 13/16
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: 14/14
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: 28/28
from 10/1/2013 to 9/30/2014
Results are based on a shorter time period than required.
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Surgical Care - Patients on Beta Blockers ?
The number of cases/patients is too few to report. Results are based on a shorter time period than required.
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Infections: Ortho Surgery - Hip Replacement Infection ?
0.0
Goal: 0.0 Avg: 1.4 Min: 0
Sample Size: 15
from 4/1/2015 to 3/31/2016
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Surgical Complications - Serious Complications ?
2.3
Goal: 0.0 Avg: 2.3 Min: 0
from 7/1/2013 to 6/30/2015
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Surgical Complications - Complications for Hip/Knee Replacement ?
2.6%
Goal: 0.0 Avg: 2.9 Min: 0
from 4/1/2012 to 3/31/2015
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30-Day Outcomes - Hip/Knee Readmit ?
4.4%
Avg: 4.3 Min: 0
Sample Size: 2/43
from 7/1/2012 to 6/30/2015
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Infections: CLABSI - Central Line Bloodstream Infection in the ICU ?
0.0
Goal: 0.0 Avg: 0.6 Min: 0
Sample Size: 340
from 7/1/2015 to 6/30/2016
Results are based on a shorter time period than required.
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Infections: CLABSI - Central Line Bloodstream Infection outside the ICU ?
2.1
Goal: 0.0 Avg: 0.5 Min: 0
Sample Size: 476
from 7/1/2015 to 6/30/2016
Results are based on a shorter time period than required.
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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: 150
from 7/1/2015 to 6/30/2016
Results are based on a shorter time period than required.
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Infections: CAUTI - Catheter-Associated Urinary Tract Infections outside of the ICU ?
0.0
Goal: 0.0 Avg: 1.1 Min: 0
Sample Size: 188
from 7/1/2015 to 6/30/2016
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: 18/18
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 - Blood Clot Development and No Preventive Treatment Provided ?
87%
Goal: 0 Avg: 96 Min: 0
Sample Size: 13/15
from 10/1/2014 to 9/30/2015
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Blood Clot Prevention - Patients with Blood Clots Who Got Recommended Treatment ?
The number of cases/patients is too few to report.
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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: 15/15
from 10/1/2014 to 9/30/2015
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Blood Clot Prevention - Patients Discharged with Written Instructions ?
No cases met the criteria for this measure.
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Surgery | Knees

Surgical Care - Antibiotic Before Incision ?
100%
Goal: 100 Avg: 99 Min: 0
Sample Size: 17/17
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
more info >
Surgical Care - Correct Antibiotic For Surgery ?
100%
Goal: 100 Avg: 98 Min: 0
Sample Size: 17/17
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 ?
81%
Goal: 100 Avg: 98 Min: 0
Sample Size: 13/16
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: 14/14
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: 28/28
from 10/1/2013 to 9/30/2014
Results are based on a shorter time period than required.
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Surgical Care - Patients on Beta Blockers ?
The number of cases/patients is too few to report. Results are based on a shorter time period than required.
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Surgical Care - OP antibiotic timing ?
100%
Goal: 100 Avg: 98 Min: 0
Sample Size: 40/40
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: 39/40
from 10/1/2013 to 9/30/2014
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Infections: Ortho Surgery - Knee Replacement Infection ?
0.0
Goal: 0.0 Avg: 0.5 Min: 0
Sample Size: 33
from 4/1/2015 to 3/31/2016
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Surgical Complications - Serious Complications ?
2.3
Goal: 0.0 Avg: 2.3 Min: 0
from 7/1/2013 to 6/30/2015
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Surgical Complications - Complications for Hip/Knee Replacement ?
2.6%
Goal: 0.0 Avg: 2.9 Min: 0
from 4/1/2012 to 3/31/2015
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Infections: CLABSI - Central Line Bloodstream Infection in the ICU ?
0.0
Goal: 0.0 Avg: 0.6 Min: 0
Sample Size: 340
from 7/1/2015 to 6/30/2016
Results are based on a shorter time period than required.
more info >
Infections: CLABSI - Central Line Bloodstream Infection outside the ICU ?
2.1
Goal: 0.0 Avg: 0.5 Min: 0
Sample Size: 476
from 7/1/2015 to 6/30/2016
Results are based on a shorter time period than required.
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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: 150
from 7/1/2015 to 6/30/2016
Results are based on a shorter time period than required.
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Infections: CAUTI - Catheter-Associated Urinary Tract Infections outside of the ICU ?
0.0
Goal: 0.0 Avg: 1.1 Min: 0
Sample Size: 188
from 7/1/2015 to 6/30/2016
Results are based on a shorter time period than required.
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30-Day Outcomes - Hip/Knee Readmit ?
4.4%
Avg: 4.3 Min: 0
Sample Size: 2/43
from 7/1/2012 to 6/30/2015
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Surgical Care - Blood Clot Prevention ?
100%
Goal: 100 Avg: 100 Min: 0
Sample Size: 18/18
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 - Blood Clot Development and No Preventive Treatment Provided ?
87%
Goal: 0 Avg: 96 Min: 0
Sample Size: 13/15
from 10/1/2014 to 9/30/2015
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Blood Clot Prevention - Patients with Blood Clots Who Got Recommended Treatment ?
The number of cases/patients is too few to report.
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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: 15/15
from 10/1/2014 to 9/30/2015
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Blood Clot Prevention - Patients Discharged with Written Instructions ?
No cases met the criteria for this measure.
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Surgery | Hysterectomy

Surgical Care - Antibiotic Before Incision ?
100%
Goal: 100 Avg: 99 Min: 0
Sample Size: 17/17
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
more info >
Surgical Care - Correct Antibiotic For Surgery ?
100%
Goal: 100 Avg: 98 Min: 0
Sample Size: 17/17
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
more info >
Surgical Care - Antibiotic Stopped After Surgery ?
81%
Goal: 100 Avg: 98 Min: 0
Sample Size: 13/16
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
more info >
Surgical Care - Catheters Removed on Time ?
100%
Goal: 100 Avg: 96 Min: 0
Sample Size: 14/14
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
more info >
Surgical Care - Patient's Body Warm in Operating Room ?
100%
Goal: 100 Avg: 100 Min: 0
Sample Size: 28/28
from 10/1/2013 to 9/30/2014
Results are based on a shorter time period than required.
more info >
Surgical Care - Patients on Beta Blockers ?
The number of cases/patients is too few to report. Results are based on a shorter time period than required.
more info >
Surgical Care - OP antibiotic timing ?
100%
Goal: 100 Avg: 98 Min: 0
Sample Size: 40/40
from 10/1/2013 to 9/30/2014
more info >
Surgical Care - OP antibiotic selection ?
98%
Goal: 100 Avg: 98 Min: 0
Sample Size: 39/40
from 10/1/2013 to 9/30/2014
more info >
Infections: Hysterectomy - Abdominal Hysterectomy Infection ?
0.0
Goal: 0.0 Avg: 0.8 Min: 0
Sample Size: 20
from 4/1/2015 to 3/31/2016
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Surgical Complications - Serious Complications ?
2.3
Goal: 0.0 Avg: 2.3 Min: 0
from 7/1/2013 to 6/30/2015
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Infections: CLABSI - Central Line Bloodstream Infection in the ICU ?
0.0
Goal: 0.0 Avg: 0.6 Min: 0
Sample Size: 340
from 7/1/2015 to 6/30/2016
Results are based on a shorter time period than required.
more info >
Infections: CLABSI - Central Line Bloodstream Infection outside the ICU ?
2.1
Goal: 0.0 Avg: 0.5 Min: 0
Sample Size: 476
from 7/1/2015 to 6/30/2016
Results are based on a shorter time period than required.
more info >
Infections: CAUTI - Catheter-Associated Urinary Tract Infections in the ICU ?
0.0
Goal: 0.0 Avg: 0.8 Min: 0
Sample Size: 150
from 7/1/2015 to 6/30/2016
Results are based on a shorter time period than required.
more info >
Infections: CAUTI - Catheter-Associated Urinary Tract Infections outside of the ICU ?
0.0
Goal: 0.0 Avg: 1.1 Min: 0
Sample Size: 188
from 7/1/2015 to 6/30/2016
Results are based on a shorter time period than required.
more info >
Surgical Care - Blood Clot Prevention ?
100%
Goal: 100 Avg: 100 Min: 0
Sample Size: 18/18
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
more info >
Blood Clot Prevention - Blood Clot Development and No Preventive Treatment Provided ?
87%
Goal: 0 Avg: 96 Min: 0
Sample Size: 13/15
from 10/1/2014 to 9/30/2015
more info >
Blood Clot Prevention - Patients with Blood Clots Who Got Recommended Treatment ?
The number of cases/patients is too few to report.
more info >
Blood Clot Prevention - Patients with Blood Clot Checked for Risk of Increased Bleeding ?
100%
Goal: 100 Avg: 90 Min: 0
Sample Size: 15/15
from 10/1/2014 to 9/30/2015
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Blood Clot Prevention - Patients Discharged with Written Instructions ?
No cases met the criteria for this measure.
more info >

Surgery | Colon Surgery

Surgical Care - Antibiotic Before Incision ?
100%
Goal: 100 Avg: 99 Min: 0
Sample Size: 17/17
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
more info >
Surgical Care - Correct Antibiotic For Surgery ?
100%
Goal: 100 Avg: 98 Min: 0
Sample Size: 17/17
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
more info >
Surgical Care - Antibiotic Stopped After Surgery ?
81%
Goal: 100 Avg: 98 Min: 0
Sample Size: 13/16
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
more info >
Surgical Care - Catheters Removed on Time ?
100%
Goal: 100 Avg: 96 Min: 0
Sample Size: 14/14
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
more info >
Surgical Care - Patient's Body Warm in Operating Room ?
100%
Goal: 100 Avg: 100 Min: 0
Sample Size: 28/28
from 10/1/2013 to 9/30/2014
Results are based on a shorter time period than required.
more info >
Surgical Care - Patients on Beta Blockers ?
The number of cases/patients is too few to report. Results are based on a shorter time period than required.
more info >
Colon Surgery Infection ?
3.6
Goal: 0.0 Avg: 5.6 Min: 0
Sample Size: 28
from 4/1/2015 to 3/31/2016
more info >
Infections: CLABSI - Central Line Bloodstream Infection in the ICU ?
0.0
Goal: 0.0 Avg: 0.6 Min: 0
Sample Size: 340
from 7/1/2015 to 6/30/2016
Results are based on a shorter time period than required.
more info >
Infections: CLABSI - Central Line Bloodstream Infection outside the ICU ?
2.1
Goal: 0.0 Avg: 0.5 Min: 0
Sample Size: 476
from 7/1/2015 to 6/30/2016
Results are based on a shorter time period than required.
more info >
Infections: CAUTI - Catheter-Associated Urinary Tract Infections in the ICU ?
0.0
Goal: 0.0 Avg: 0.8 Min: 0
Sample Size: 150
from 7/1/2015 to 6/30/2016
Results are based on a shorter time period than required.
more info >
Infections: CAUTI - Catheter-Associated Urinary Tract Infections outside of the ICU ?
0.0
Goal: 0.0 Avg: 1.1 Min: 0
Sample Size: 188
from 7/1/2015 to 6/30/2016
Results are based on a shorter time period than required.
more info >
Surgical Complications - Serious Complications ?
2.3
Goal: 0.0 Avg: 2.3 Min: 0
from 7/1/2013 to 6/30/2015
more info >
Surgical Care - Blood Clot Prevention ?
100%
Goal: 100 Avg: 100 Min: 0
Sample Size: 18/18
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
more info >
Blood Clot Prevention - Blood Clot Development and No Preventive Treatment Provided ?
87%
Goal: 0 Avg: 96 Min: 0
Sample Size: 13/15
from 10/1/2014 to 9/30/2015
more info >
Blood Clot Prevention - Patients with Blood Clots Who Got Recommended Treatment ?
The number of cases/patients is too few to report.
more info >
Blood Clot Prevention - Patients with Blood Clot Checked for Risk of Increased Bleeding ?
100%
Goal: 100 Avg: 90 Min: 0
Sample Size: 15/15
from 10/1/2014 to 9/30/2015
more info >
Blood Clot Prevention - Patients Discharged with Written Instructions ?
No cases met the criteria for this measure.
more info >