Antibiotic timing

What It Means
The median time between hospital arrival and the first dose of antibiotics for a patient with pneumonia. The lower the median, the better.

Why It Is Important
Clinical evidence shows that if a pneumonia patient is given antibiotics within the first 4 hours or 240 minutes after admission to the hospital, that patient will have a better chance of survival. Achieving a rate lower than the National rate is our goal.

Measurement Statement
The time, in minutes, from hospital arrival to administration of the first dose of antibiotics in the hospital for patients 18 years of age and older with pneumonia

Denominator Excluded Populations

  • Patients receiving Comfort Measures Only
  • Patients who expired in the hospital
  • Patients who left against medical advice (AMA)
  • Patients discharged to hospice
  • Patients who transferred to a federal hospital
  • Patients transferred to another short term general hospital for inpatient care
  • Patients less than 18 years of age
  • Patients who had no chest x-ray or CT scan that indicated abnormal findings within 24 hours prior to hospital arrival or anytime during this hospitalization
  • Patients with Cystic Fibrosis (Appendix A, Table 3.4)
  • Patients involved in clinical trials
  • Patients who have a Length of Stay >120 days

    Close Window