Methods Applying AHRQ Quality Indicators to HCUP Data for the ...

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QI No.PSI 9PSI 10PSI 11PSI 12PSI 13PSI 14PSI 15PSI 16PSI 17PSI 18PSI 19PSI 20PSI 21DescriptionPostoperative hemorrhage or hematoma with surgical drainage or evacuation, not verifiable asfollowing surgery*, per 1,000 surgical discharges (excluding obstetrical admissions), age 18 years orolder* Postoperative hemorrhage or hematoma is not verifiable as following surgery because information onday of procedure is not available for all discharges. Also, excludes admissions specifically for suchproblems, such as cases from earlier admissions, from other hospitals, or from other settings.Postoperative physiologic and metabolic derangements per 1,000 elective surgical discharges(excluding some serious disease* and obstetric admissions), age 18 years and older* That is, excluding patients with diabetic coma and patients with renal failure who also werediagnosed with AMI, cardiac arrhythmia, cardiac arrest, shock, hemorrhage, or gastrointestinalhemorrhage.Postoperative respiratory failure per 1,000 elective surgical discharges with an operating roomprocedure (excluding patients with respiratory disease, circulatory disease, neuromuscular disorders,obstetric conditions, and admissions specifically for acute respiratory failure), age 18 years and olderPostoperative pulmonary embolus (PE) or deep vein thrombosis (DVT) per 1,000 surgical discharges(excluding patients admitted for DVT, obstetrics, and plication of vena cava before or after surgery*),age 18 years or older* Also excludes admissions specifically for such thromboembuli, such as cases from earlieradmissions, from other hospitals, or from other settings.Postoperative sepsis per 1,000 elective-surgery discharges with an operating room procedure(excluding patients admitted for infection; patients with cancer or immunocompromised states,obstetric conditions, stays under 4 days, and admissions specifically for sepsis), age 18 years or olderReclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgerydischarges (excluding immunocompromised patients, stays under 2 days, and obstetric conditions*),age 18 years or older* Also excludes admissions specifically for such wound dehiscence, such as cases from earlieradmissions or from other hospitals.Accidental puncture or laceration during procedures per 1,000 discharges (excluding obstetricadmissions*), age 18 years or older* Also excludes admissions specifically for such problems, such as cases from earlier admissions orfrom other hospitals.Transfusion reactions per 1,000 discharges, age 18 years or older or obstetric admissions** Also excludes admissions specifically for transfusion reactions, such as cases from earlieradmissions or from other hospitals.Birth trauma - injury to neonate per 1,000 live births (excluding preterm and osteogenesis imperfectabirths)Obstetric trauma with 3rd or 4th degree lacerations per 1,000 instrument-assisted vaginal deliveriesObstetric trauma with 3rd or 4th degree lacerations per 1,000 vaginal deliveries without instrumentassistanceObstetric trauma with 3rd or 4th degree lacerations per 1,000 Cesarean deliveriesForeign body accidentally left in during procedure* per 100,000 population, age 18 years or older orobstetric admissions* Includes admissions specifically for treatment of foreign body left, such as cases from earlieradmissions or from other hospitals.Methods for HCUP Data in the 2009 NHQR 12August 7, 2009
QI No.PSI 22PSI 23PSI 24PSI 25PSI 26PSI 27DescriptionIatrogenic pneumothorax cases* per 100,000 population (excluding obstetrical admissions, andpatients with trauma, thoracic surgery, lung or pleural biopsy, or cardiac surgery), age 18 years orolder* Includes admissions specifically for iatrogenic pneumothorax, such as cases from earlier admissionsor from other hospitals. Also, includes barotrauma (including acute respiratory distress syndrome) andcentral line placement.Selected infections due to medical care* per 100,000 population (excluding immunocompromised orcancer patients and neonates), age 18 years or older or obstetric admissions* Includes admissions specifically for such infections, such as cases from earlier admissions, fromother hospitals, or from other settings.Reclosure of postoperative abdominal wound dehiscence* (excluding immunocompromised andobstetric patients) per 100,000 population, age 18 years or older* Includes admissions specifically for such wound dehiscence, such as cases from earlier admissionsor from other hospitals.Accidental puncture or laceration during procedures* per 100,000 population (excluding obstetricadmissions), age 18 years or older* Includes admissions specifically for such problems, such as cases from earlier admissions or fromother hospitals.Transfusion reactions* per 100,000 population (excluding neonates), age 18 years or older or obstetricadmissions* Includes admissions specifically for transfusion reactions, such as cases from earlier admissions orfrom other hospitals.Postoperative hemorrhage or hematoma with surgical drainage or evacuation, not verifiable asfollowing surgery* (excluding obstetrical admissions), per 100,000 population, age 18 years or older* Postoperative hemorrhage or hematoma is not verifiable as following surgery because information onday of procedure is not available for all discharges. Also, includes admissions specifically for suchproblems, such as cases from earlier admissions or from other hospitals.Methods for HCUP Data in the 2009 NHQR 13August 7, 2009
Page 1 and 2: HCUP Methods Series
Page 3 and 4: Methods Applying AHRQ Quality Indic
Page 6 and 7: mortality or severity score using t
Page 8 and 9: diagnoses and procedures are unlike
Page 10 and 11: Table 1. AHRQ Quality Indicators Ap
Page 12 and 13: QI No.PDI 17DescriptionAdmissions w
Page 16 and 17: Table 2. Sources of HCUP Data for t
Page 18 and 19: Table 4. Number of diagnosis and pr
Page 20 and 21: ReferencesAgency for Healthcare Res
Page 22 and 23: C, Age Groupings for Risk Adjustmen
Page 24 and 25: weights equal to P ˆg , std. These
Page 26 and 27: data specify that the first-listed
Page 28 and 29: • No heart transplant procedure (
Page 30 and 31: State-Level Bivariate Analysis of A
Page 32 and 33: AHRQPreventionQualityIndicators(PQI
Page 34 and 35: AHRQPreventionQualityIndicators(PQI
Page 36: factors accounted for one-third (33

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