Attachment K: Clinical Outcomes Data for Surgical Services

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AHRQ Safety Program for MRSA Prevention
Clinical Outcomes Data for Surgical Services
Data reported quarterly and results broken down by month

This will be an online data reporting form.

    1. Surgical site infection (SSI) events and causative organisms - monthly

Causative organisms – monthly 
Month, Year
Surgical Service
(Selected from below)
    • Orthopedic
    • Cardiac
    • Neurosurgical
Type of surgical procedure
(Choices dependent on Setting)
    • (Ortho): Hip/Knee replacement/Spinal fusion/laminectomy
    • (Cardiac): CABG, Cardiac valve
    • (Neuro): Craniotomy/Spinal fusion/laminectomy
Count of SSIs by each causative organism
Organism – selected from dropdown menu
(See List of Organisms, page 3)









































    2. Number of surgical procedures performed, by type of surgical procedure – monthly

Month, Year
Surgical Service
(Selected from below)
    • Orthopedic
    • Cardiac
    • Neurosurgical
Type of surgical procedure
(Choices dependent on Setting)
    • (Ortho): Hip/Knee replacement/Spinal fusion/laminectomy
    • (Cardiac): CABG, Cardiac valve
    • (Neuro): Craniotomy/Spinal fusion/laminectomy
Count of surgical procedures performed in the given period






















List of Organisms
Staphylococcus aureus 
Methicillin-resistant (MRSA) 
Methicillin-susceptible (MSSA) 
Coagulase-Negative Staphylococcus 
Candida 
Candida albicans 
Candida glabrata 
Candida parapsilosis 
Candida tropicalis 
Candida krusei 
Candida lusitaniae 
Candida sp.(unspeciated) 
Enterococcus 
Enterococcus faecalis 
Enterococcus faecium 
Enterococcus sp. 
Klebsiella 
Klebsiella pneumoniae 
Klebsiella oxytoca 
Escherichia coli 
Enterobacter 
Enterobacter cloacae 
Enterobacter aerogenes 
Enterobacter agglomerans 
Enterobacter sp.
Pseudomonas 
Pseudomonas aeruginosa 
Pseudomonas sp. 
Streptococcus 
Streptococcus viridans grp
Streptococcus, Group B 
Streptococcus pneumoniae 
Streptococcus, Group A 
Streptococcus, Group C 
Streptococcus anginosis grp 
Streptococcus, Group F 
Streptococcus, Group G 
Acinetobacter 
Acinetobacter baumannii 
Acinetobacter lwoffii 
Serratia 
Serratia marcescens 
Serratia sp. 
Bacteroides 
Bacteroides fragilis 
Bacteroides, other sp. 
Proteus mirabilis 
Stenotrophomonas maltophilia 
Clostridium 
Citrobacter 
Citrobacter freundii 
Citrobacter koseri 
Morganella morganii 
Achromobacter sp. 
Providencia stuartii 
Alcaligenes xylosoxidans 
Pantoea agglomerans 
Other