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qualityindicators.ahrq.gov/Downloads/Modules/V2023/AHRQ_QI_Indicators_List.pdf
October 01, 2023 - • PSI 19- Obstetric Trauma Rate - Vaginal Delivery
without Instrument
• PSI 90- Patient Safety and Adverse … Events Composite
Pediatric Quality Indicators (POis)
Hospital-Level Indicators
• NQI 03 - Neonatal
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/AHRQ_QI_Impact_Webinar.pdf
January 01, 2015 - 14
Enhancing the Lives of Those We Serve:
Better Quality Generating Better Margins
15
AHRQ Adverse … Higher than expected incidence of VAP in
SICU (BH)
Analysis:
VAP is considered a generally avoidable
adverse … Thrombosis (PSI 12)
• Participant in Bundled Payments
(orthopedic bundles)—better
utilization and adverse … accidental puncture or
laceration
Result = Essentia Health-Fargo reduced PSI 15 from a rate of 1.2
events … PSI/Complication/Quality Variation Indicator (QVI)
Better Quality Generating Better Margins
AHRQ Adverse
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V43/Composite_User_Technical_Specification_PSI_4.3.pdf
August 01, 2011 - Applying these criteria to the PSIs, one could advocate for separate composites based on the
type of adverse … reflects the amount of harm in the outcome of interest, in this case a potentially preventable
adverse … also use weights that reflect the amount of excess mortality or
complications associated with the adverse … event, or the amount of confidence one has in
identifying events (i.e., the positive predictive value
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2012/Appendix_1B_Details_of_Expert_Panel_Calls.pdf
January 01, 2012 - Alternatives to the Current Clinical Focus:
Examine adverse consequences of unmet needs. … Consider measures such as the Participant Experiences Survey (developed for CMS)
that focuses on adverse … some of her research has shown a link between self-
report of unmet needs for help in the home with adverse … Potential Adverse Consequences of the Indicators
Panelists brought up a limited number of concerns about … potential adverse consequences of the
proposed indicator set.
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qualityindicators.ahrq.gov/News/PSI_Retirement_Notice.pdf
September 01, 2016 - PSI 19: Obstetric Trauma Rate – Vaginal Delivery Without Instrument
PSI 90: Patient Safety and Adverse … Events Composite
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V50/PSI_Brochure.pdf
September 01, 2015 - ■ Include area-level indicators for potentially
preventable adverse events that occur during
a hospital
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2019/v2019_QI_Software_Release_Slides_080119.pdf
January 01, 2019 - procedures
• Risk-adjusted
Patient Safety
(PSIs)
• Potentially
avoidable
complications and
adverse … • Mortality rates for
pediatric surgical
procedures
• Potentially
avoidable
complications and
adverse … Limited evidence in the literature shows these are
not widely used for quality improvement
► Rarity of events … – some indicators measured events
that are so rare that the measure is no longer reliable
or relevant
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2016/AHRQ_QI_ICD10_Webinar.pdf
January 01, 2016 - for Selected Procedures)
► IQI 91 (Mortality for Selected Conditions)
► PSI 90 (Patient Safety and Adverse … Events Composite)
► PDI 19 (Pediatric Patient Safety for Selected Indicators) are not
in ICD-10 v6.0 … software
• Further information about forthcoming updated
ICD-9 PSI 90 composite (Patient Safety and
Adverse … Events Composite):
http://www.qualityindicators.ahrq.gov/News/
PSI90_Factsheet_FAQ.pdf
http://www.qualityindicators.ahrq.gov … displays indicator numerators, so users
running daily or weekly calculations can see what new
numerator events
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2006/AHRQ_QI_RAHM_Draft.doc
January 01, 2006 - Yijk is equal to one for patients who experience the adverse event, zero for patients captured within … the appropriate reference population but do not experience the adverse event, and is missing for all … events (after adjusting for age, gender, severity of illness, and risk of mortality) across participating … events) that are significantly different from each other.
2.4.1 Selection of IQIs to Investigate
The … The summary statistics include:
· The number of adverse events observed
· The number of patients in
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2013/Empirical_Methods_r.pdf
January 01, 2013 - hospitals, as well as
geographic areas, to focus on potentially avoidable complications and iatrogenic events … Table 2.2 lists the four count indicators for serious reportable events. … event, or the amount of
confidence one has in identifying events (i.e., the positive predictive value … Calculating the Probability of Rare Events: Why Settle for
an Approximation? … Write the predicted probabilities of an adverse outcome when " = 0 to the MCMC chain.
6.
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qualityindicators.ahrq.gov/Downloads/Modules/PDI/PDI_Composite_Development.pdf
March 01, 2008 - There are 13 provider-level PDIs for various types
of quality and adverse events, making it difficult … Table 1 shows the
reference population, including the incidence rate for each adverse event. … Foreign Body Left During Procedure (PDI #03) and Transfusion Reaction (PDI #13) are serious reportable events … (i.e., “never events”) and are reported as counts. … event, or the amount of confidence one has in identifying events (i.e.,
the positive predictive value
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2020/v2020%20QI%20Software%20Release_Final-08032020.pdf
January 01, 2020 - surgical procedures
• Risk-adjusted
Patient Safety
(PSIs)
• Potentially avoidable
complications and
adverse … • Mortality rates for
pediatric surgical
procedures
• Potentially avoidable
complications and
adverse … surgical procedures•Risk-adjusted
Patient Safety (PSIs)
•Potentially avoidable complications and adverse … (PDIs)
•Mortality rates for pediatric surgical procedures•Potentially avoidable complications and adverse
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/PSI_Composite_Development.pdf
March 01, 2008 - There are 20 provider-level PSIs for various types
of adverse events, making it difficult to formulate … (i.e., “never
events”) and are reported as counts.
5 Release 3.1 (fiscal year 2007) of the AHRQ QI … event, or the amount of confidence one has in identifying events (i.e.,
the positive predictive value … There are 20 provider-level PSIs for various types of adverse events, making it difficult to formulate … (i.e., “never events”) and are reported as counts.
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qualityindicators.ahrq.gov/Archive/News2009.aspx
January 27, 2010 - Participation in the events is free of charge. … The composites are Mortality for Selected Conditions, Patient Safety and Adverse Events Composite and
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qualityindicators.ahrq.gov/Archive/News2003.aspx
December 23, 2003 - tool to help health
system leaders identify potentially preventable complications and iatrogenic events … tool to help
health system leaders identify potentially preventable complications and iatrogenic events … tool to help health system leaders identify potentially preventable
complications and iatrogenic events … The software can be used to help hospitals screen for adverse events that patients
experience as a … result of exposure to the health care system; these events are likely amenable to
prevention by changes
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qualityindicators.ahrq.gov/News/ICD10_v70_FAQ.pdf
September 01, 2017 - discharge-level results to determine if evidence in the administrative record indicates occurrence
of an adverse
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qualityindicators.ahrq.gov/Downloads/Resources/Publications/2011/QI_Measure_Development_Implementation_Maintenance_Retirement_Full_5-3-11.pdf
January 01, 2011 - The identification of
observable events is usually part of Phase I development efforts. … reliability, criterion validity, construct validity, bias and risk adjustment, usability,
including adverse … and variation
Usability • Does the measure foster true
quality improvement instead of
gaming or adverse … • Structured Panel Review: Assessment of
adverse consequences and overall usefulness
• Literature … Are there adverse outcomes that could result from implementing this indicator?
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qualityindicators.ahrq.gov/FAQS_Support/FAQ_Software.aspx
November 02, 2015 - They are designed to measure specific events (the numerator) for specific populations that are at risk … 20, 2015
▲
Specific Codes and Indicators
PSI 90 Fact Sheet - Patient Safety and Adverse … Cases that are flagged are considered never events (events that should not occur) like transfusion reaction … However, in the real world the lines between never events and potentially preventable events are not … A study of adverse occurrence and failure to rescue. Med Care 1992;30(7):615-29.
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qualityindicators.ahrq.gov/FAQs_Support/FAQ_Software.aspx
November 02, 2015 - They are designed to measure specific events (the numerator) for specific populations that are at risk … 20, 2015
▲
Specific Codes and Indicators
PSI 90 Fact Sheet - Patient Safety and Adverse … Cases that are flagged are considered never events (events that should not occur) like transfusion reaction … However, in the real world the lines between never events and potentially preventable events are not … A study of adverse occurrence and failure to rescue. Med Care 1992;30(7):615-29.
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2021/v2021%20QI%20Software%20Release.pdf
January 01, 2021 - procedures
• Risk-adjusted
Patient Safety
(PSIs)
• Potentially avoidable
complications and
adverse … )
• Mortality rates for
pediatric surgical
procedures
• Potentially avoidable
complications and
adverse … surgical procedures • Risk-adjusted
Patient Safety(PSIs)
• Potentially avoidable complications and adverse