AQI69 Intraoperative Antibiotic Redosing

Measure ID

AQI69

Measure Title

Intraoperative Antibiotic Redosing

Measure Description

Percentage of patients, aged 18 years and older, who received preoperative antibiotic prophylaxis within 60 minutes prior to incision (if fluoroquinolone or vancomycin, two hours) and undergo a procedure greater than two hours duration who received intraoperative antibiotic redosing at a maximum interval of two half-lives of the selected prophylactic antibiotic.

Denominator

All patients, aged 18 years and older, who received preoperative antibiotic prophylaxis within 60 minutes prior to incision (if fluoroquinolone or vancomycin, two hours) and undergo a procedure greater than two hours duration

Denominator Definition: For the purpose of this measure, preoperative antibiotic prophylaxis includes, but is not limited to, prophylaxis with the following antimicrobial agents:
• Ampicillin-sulbactam
• Ampicillin
• Aztreonam
• Cefazolin
• Cefuroxime
• Cefotaxime
• Cefoxitin
• Cefotetan
• Clindamycin
• Piperacillin-tazobactam

Numerator

Patients who received intraoperative redosing of prophylactic antibiotics at a maximum interval of two half-lives of the selected prophylactic antibiotic

Numerator Note: If multiple redosing windows pass during a procedure, the recommended redosing window is the maximum amount of time that can pass between any two doses in order to meet this measure. Information on dosing and redosing should reflect clinical practice guidelines, local hospital policy, manufacturer guidance, and other materials imperative to safe practice. Antibiotic redosing should occur prior to closing the surgical incision.

Denominator Exclusions

•Acute Renal failure
•Chronic kidney disease
•Procedure duration less than 2 half-lives of selected prophylactic antibiotic

Denominator Exceptions

None

Numerator Exclusions

None

NQF ID

N/A

NQS Domain

Patient Safety

High Priority Measure

Yes

High Priority Type

Patient Safety

Measure Type

Process

Telehealth

No

Meaningful Measure Area

Healthcare-associated infections

Inverse Measure

No

Proportional Measure

Yes

Continuous Variable Measure

No

Ratio Measure

No

Range of the score(s) if Continuous Variable and/or Ratio

N/A

Number of performance rates to be calculated and submitted

1

Performance Rate Description(s)

This measure consists of a single performance rate that describes the percentage of patients, aged 18 years and older, who received preoperative antibiotic prophylaxis within 60 minutes prior to incision and undergo a procedure greater than two hours duration who received intraoperative antibiotic redosing at a maximum interval of two half-lives of the selected prophylactic antibiotic. A provider may also receive credit for this measure if the patient received an intraoperative redosing of prophylactic antibiotics according to the facility’s antibiotic steward program.

Overall Performance Rate

1st Performance Rate

Risk-Adjusted Status

No

Risk-Adjusted Score

N/A

Care Setting

Hospital

Additional Care Setting Information

N/A