Washington Hospital Quality
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Grays Harbor Community Hospital

Grays Harbor County | 98520 | 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 ?
23.8
Goal: 0.0 Avg: 5.6 Min: 0
Sample Size: 21
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: 33
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: 42
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: 7
from 4/1/2015 to 3/31/2016
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Surgery | Hips

Surgical Care - Antibiotic Before Incision ?
97%
Goal: 100 Avg: 99 Min: 0
Sample Size: 29/30
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: 30/30
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 ?
93%
Goal: 100 Avg: 98 Min: 0
Sample Size: 28/30
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 ?
93%
Goal: 100 Avg: 96 Min: 0
Sample Size: 27/29
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 ?
97%
Goal: 100 Avg: 100 Min: 0
Sample Size: 58/60
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 ?
82%
Goal: 100 Avg: 97 Min: 0
Sample Size: 9/11
from 10/1/2014 to 9/30/2015
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: 33
from 4/1/2015 to 3/31/2016
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Surgical Complications - Serious Complications ?
2.2
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 ?
2.5%
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 ?
3.6%
Avg: 4.3 Min: 0
Sample Size: 6/168
from 7/1/2012 to 6/30/2015
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Infections: CLABSI - Central Line Bloodstream Infection in the ICU ?
1.7
Goal: 0.0 Avg: 0.6 Min: 0
Sample Size: 603
from 7/1/2015 to 6/30/2016
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Infections: CLABSI - Central Line Bloodstream Infection outside the ICU ?
0.0
Goal: 0.0 Avg: 0.5 Min: 0
Sample Size: 1195
from 7/1/2015 to 6/30/2016
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Infections: CAUTI - Catheter-Associated Urinary Tract Infections in the ICU ?
0.9
Goal: 0.0 Avg: 0.8 Min: 0
Sample Size: 1170
from 7/1/2015 to 6/30/2016
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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: 2487
from 7/1/2015 to 6/30/2016
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Surgical Care - Blood Clot Prevention ?
100%
Goal: 100 Avg: 100 Min: 0
Sample Size: 34/34
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 ?
84%
Goal: 0 Avg: 96 Min: 0
Sample Size: 64/76
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. 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 ?
98%
Goal: 100 Avg: 90 Min: 0
Sample Size: 50/51
from 10/1/2014 to 9/30/2015
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Blood Clot Prevention - Patients Discharged with Written Instructions ?
The number of cases/patients is too few to report.
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Surgery | Knees

Surgical Care - Antibiotic Before Incision ?
97%
Goal: 100 Avg: 99 Min: 0
Sample Size: 29/30
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: 30/30
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 ?
93%
Goal: 100 Avg: 98 Min: 0
Sample Size: 28/30
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 ?
93%
Goal: 100 Avg: 96 Min: 0
Sample Size: 27/29
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 ?
97%
Goal: 100 Avg: 100 Min: 0
Sample Size: 58/60
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 ?
82%
Goal: 100 Avg: 97 Min: 0
Sample Size: 9/11
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 ?
95%
Goal: 100 Avg: 98 Min: 0
Sample Size: 81/85
from 10/1/2013 to 9/30/2014
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Surgical Care - OP antibiotic selection ?
74%
Goal: 100 Avg: 98 Min: 0
Sample Size: 62/84
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: 42
from 4/1/2015 to 3/31/2016
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Surgical Complications - Serious Complications ?
2.2
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 ?
2.5%
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 ?
1.7
Goal: 0.0 Avg: 0.6 Min: 0
Sample Size: 603
from 7/1/2015 to 6/30/2016
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Infections: CLABSI - Central Line Bloodstream Infection outside the ICU ?
0.0
Goal: 0.0 Avg: 0.5 Min: 0
Sample Size: 1195
from 7/1/2015 to 6/30/2016
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Infections: CAUTI - Catheter-Associated Urinary Tract Infections in the ICU ?
0.9
Goal: 0.0 Avg: 0.8 Min: 0
Sample Size: 1170
from 7/1/2015 to 6/30/2016
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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: 2487
from 7/1/2015 to 6/30/2016
more info >
30-Day Outcomes - Hip/Knee Readmit ?
3.6%
Avg: 4.3 Min: 0
Sample Size: 6/168
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: 34/34
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 ?
84%
Goal: 0 Avg: 96 Min: 0
Sample Size: 64/76
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. Results are based on a shorter time period than required.
more info >
Blood Clot Prevention - Patients with Blood Clot Checked for Risk of Increased Bleeding ?
98%
Goal: 100 Avg: 90 Min: 0
Sample Size: 50/51
from 10/1/2014 to 9/30/2015
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Blood Clot Prevention - Patients Discharged with Written Instructions ?
The number of cases/patients is too few to report.
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Surgery | Hysterectomy

Surgical Care - Antibiotic Before Incision ?
97%
Goal: 100 Avg: 99 Min: 0
Sample Size: 29/30
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: 30/30
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 ?
93%
Goal: 100 Avg: 98 Min: 0
Sample Size: 28/30
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 ?
93%
Goal: 100 Avg: 96 Min: 0
Sample Size: 27/29
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 ?
97%
Goal: 100 Avg: 100 Min: 0
Sample Size: 58/60
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 ?
82%
Goal: 100 Avg: 97 Min: 0
Sample Size: 9/11
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
more info >
Surgical Care - OP antibiotic timing ?
95%
Goal: 100 Avg: 98 Min: 0
Sample Size: 81/85
from 10/1/2013 to 9/30/2014
more info >
Surgical Care - OP antibiotic selection ?
74%
Goal: 100 Avg: 98 Min: 0
Sample Size: 62/84
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: 7
from 4/1/2015 to 3/31/2016
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Surgical Complications - Serious Complications ?
2.2
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 ?
1.7
Goal: 0.0 Avg: 0.6 Min: 0
Sample Size: 603
from 7/1/2015 to 6/30/2016
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Infections: CLABSI - Central Line Bloodstream Infection outside the ICU ?
0.0
Goal: 0.0 Avg: 0.5 Min: 0
Sample Size: 1195
from 7/1/2015 to 6/30/2016
more info >
Infections: CAUTI - Catheter-Associated Urinary Tract Infections in the ICU ?
0.9
Goal: 0.0 Avg: 0.8 Min: 0
Sample Size: 1170
from 7/1/2015 to 6/30/2016
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: 2487
from 7/1/2015 to 6/30/2016
more info >
Surgical Care - Blood Clot Prevention ?
100%
Goal: 100 Avg: 100 Min: 0
Sample Size: 34/34
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 ?
84%
Goal: 0 Avg: 96 Min: 0
Sample Size: 64/76
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. Results are based on a shorter time period than required.
more info >
Blood Clot Prevention - Patients with Blood Clot Checked for Risk of Increased Bleeding ?
98%
Goal: 100 Avg: 90 Min: 0
Sample Size: 50/51
from 10/1/2014 to 9/30/2015
more info >
Blood Clot Prevention - Patients Discharged with Written Instructions ?
The number of cases/patients is too few to report.
more info >

Surgery | Colon Surgery

Surgical Care - Antibiotic Before Incision ?
97%
Goal: 100 Avg: 99 Min: 0
Sample Size: 29/30
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: 30/30
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 ?
93%
Goal: 100 Avg: 98 Min: 0
Sample Size: 28/30
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 ?
93%
Goal: 100 Avg: 96 Min: 0
Sample Size: 27/29
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 ?
97%
Goal: 100 Avg: 100 Min: 0
Sample Size: 58/60
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 ?
82%
Goal: 100 Avg: 97 Min: 0
Sample Size: 9/11
from 10/1/2014 to 9/30/2015
Results are based on a shorter time period than required.
more info >
Colon Surgery Infection ?
23.8
Goal: 0.0 Avg: 5.6 Min: 0
Sample Size: 21
from 4/1/2015 to 3/31/2016
more info >
Infections: CLABSI - Central Line Bloodstream Infection in the ICU ?
1.7
Goal: 0.0 Avg: 0.6 Min: 0
Sample Size: 603
from 7/1/2015 to 6/30/2016
more info >
Infections: CLABSI - Central Line Bloodstream Infection outside the ICU ?
0.0
Goal: 0.0 Avg: 0.5 Min: 0
Sample Size: 1195
from 7/1/2015 to 6/30/2016
more info >
Infections: CAUTI - Catheter-Associated Urinary Tract Infections in the ICU ?
0.9
Goal: 0.0 Avg: 0.8 Min: 0
Sample Size: 1170
from 7/1/2015 to 6/30/2016
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: 2487
from 7/1/2015 to 6/30/2016
more info >
Surgical Complications - Serious Complications ?
2.2
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: 34/34
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 ?
84%
Goal: 0 Avg: 96 Min: 0
Sample Size: 64/76
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. Results are based on a shorter time period than required.
more info >
Blood Clot Prevention - Patients with Blood Clot Checked for Risk of Increased Bleeding ?
98%
Goal: 100 Avg: 90 Min: 0
Sample Size: 50/51
from 10/1/2014 to 9/30/2015
more info >
Blood Clot Prevention - Patients Discharged with Written Instructions ?
The number of cases/patients is too few to report.
more info >