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  1. PSI 90 Fact Sheet (pdf file)

    qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v1.pdf
    August 31, 2016 - and the harm associated with the adverse event … These excess harm probabilities were estimated by comparing patients with a safety-related event to … the discharge during which the index event happened. … Ongoing need for dialysis for up to 6-months after discharge following a PSI event. … of discharge after a PSI 12 event, related to recurrent or extended thrombosis.
  2. PSI 90 Fact Sheet (pdf file)

    qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_V1.pdf
    August 31, 2016 - and the harm associated with the adverse event … These excess harm probabilities were estimated by comparing patients with a safety-related event to … the discharge during which the index event happened. … Ongoing need for dialysis for up to 6-months after discharge following a PSI event. … of discharge after a PSI 12 event, related to recurrent or extended thrombosis.
  3. Psi90 Factsheet Faq (pdf file)

    qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ.pdf
    August 31, 2016 - and the harm associated with the adverse event … These excess harm probabilities were estimated by comparing patients with a safety-related event to … the discharge during which the index event happened. … Ongoing need for dialysis for up to 6-months after discharge following a PSI event. … of discharge after a PSI 12 event, related to recurrent or extended thrombosis.
  4. qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_V2.pdf
    October 05, 2016 - and Adverse Events Composite” to capture the concept of patient harm resulting from a patient safety event … and the harm associated with the adverse event … These excess harm probabilities were estimated by comparing patients with a safety-related event to … very similar, otherwise eligible patients without that safety-related event over up to one year after … the discharge during which the index event happened.
  5. qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v2.pdf
    October 05, 2016 - and Adverse Events Composite” to capture the concept of patient harm resulting from a patient safety event … and the harm associated with the adverse event … These excess harm probabilities were estimated by comparing patients with a safety-related event to … very similar, otherwise eligible patients without that safety-related event over up to one year after … the discharge during which the index event happened.
  6. qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2020/PSI_Composite_Development.pdf
    July 01, 2020 - One could advocate for separate composites based on the type of adverse event (e.g., postoperative) … Excess harms are estimated using statistical models comparing patients with a safety event to those … without a safety event in a Centers for Medicare and Medicaid (CMS) Medicare fee-for- service sample … and the harm associated with the adverse event. … the discharge during which the index event happened.
  7. qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2021/PSI_Composite_Measures.pdf
    July 01, 2021 - One could advocate for separate composites based on the type of adverse event (e.g., postoperative). … Excess harms are estimated using statistical models comparing patients with a safety event to those … and the harm associated with the adverse event. … These excess harm probabilities were estimated by comparing patients with a safety-related event to … the discharge during which the index event happened.
  8. U (doc file)

    qualityindicators.ahrq.gov/Downloads/Resources/Publications/2004/General%20Overview%20of%20the%20Conferences%20for%20Health%20Care%20Purchasers%20and%20Providers.doc
    January 01, 2004 - #1: “Paying for Performance” Thursday, October 21 2004 3:00-4:30pm EDT This event will look at … All presentation slides will be available for downloading one to two days prior to the event. … Please visit www.academyhealth.org/ahrq/valuepurchasing to sign up this event. … Please visit www.xxxxxxxxx to sign up this event. … Please visit www.academyhealth.org/ahrq/valuepurchasing to sign up this event.
  9. qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2020/TechSpecs/PSI%2090%20Patient%20Safety%20and%20Adverse%20Events%20Composite.pdf
    July 01, 2020 - weights of the individual component indicators are based on two concepts: the volume of the adverse event … and the harm associated with the adverse event. … multiplying empirical estimates of the probability of excess harms associated with each patient safety event
  10. qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2021/TechSpecs/PSI%2090%20Patient%20Safety%20and%20Adverse%20Events%20Composite.pdf
    July 01, 2021 - weights of the individual component indicators are based on two concepts: the volume of the adverse event … and the harm associated with the adverse event. … multiplying empirical estimates of the probability of excess harms associated with each patient safety event
  11. Overview (doc file)

    qualityindicators.ahrq.gov/downloads/resources/publications/2006/ahrqqi_cvp.doc
    January 01, 2006 - would address the question of whether cases flagged by the AHRQ PSI did or did not have the clinical event … Data collection would focus on characterizing that event (e.g., what, when, where, etc.). … · An In-depth Review would further address the potential preventability of the clinical event. … Data collection would focus on explicit processes of care that either led to the event or might have … prevented the event. · A Supplemental Review would augment either of the previous levels, and focus on
  12. qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2019/TechSpecs/PSI%2090%20Patient%20Safety%20and%20Adverse%20Events%20Composite.pdf
    December 01, 2013 - weights of the individual component indicators are based on two concepts: the volume of the adverse event … and the harm associated with the adverse event. … multiplying empirical estimates of the probability of excess harms associated with each patient safety event
  13. qualityindicators.ahrq.gov/Downloads/News/AHRQ%20April%2021%20Announcement.pdf
    January 01, 2021 - 2:00-3:30pm EST: Toll Free Number: 1-877-601-3553; passcode: AHRQ POA Participants can join the event … 2:00-3:30pm EST Toll Free Number: 1-877-939-8827; passcode: AHRQ POA Participants can join the event
  14. U (doc file)

    qualityindicators.ahrq.gov/Downloads/Resources/Publications/2004/Narrative%20Agenda%20of%20the%20Conferences%20for%20Health%20Care%20Purchasers%20and%20Providers.doc
    January 01, 2004 - A Series of Two Free Web Conferences for Health Care Purchasers and Providers Narrative Agenda Event … Narrative Agenda Event #2: Using AHRQ Quality Indicators for Hospital-Level Public Reporting and Payment … Please visit www.academyhealth.org/ahrq/valuepurchasing to sign up this event. … Please visit www.academyhealth.org/ahrq/valuepurchasing to sign up this event.
  15. qualityindicators.ahrq.gov/Downloads/News/Listserv_100120_QI41S2Webinar.pdf
    January 27, 2010 - 2:00-4:00pm EST: Toll Free Number: 1-877-939-8827; passcode: AHRQ QI Participants can join the event … , 2:00-4:00pm EST Toll Free Number: 1-877-939-8827; passcode: AHRQ QI Participants can join the event
  16. qualityindicators.ahrq.gov/Downloads/News/Listserv_100107_QI41Webinar.pdf
    January 14, 2010 - nc/join/ Conference number: PW1217838 Audience passcode: AHRQ QI Participants can join the event … nc/join/ Conference number: PW1217940 Audience passcode: AHRQ QI Participants can join the event
  17. I (pdf file)

    qualityindicators.ahrq.gov/Downloads/News/AHRQ_QI_Guide_to_Comparative_Reporting_v10.pdf
    June 30, 2009 - NQI #03 Blood Stream Infection in Neonates2 Neonatal Quality Indicators Adverse Event PDI #90 … - assisted Delivery Patient Safety Indicators Adverse Event PSI #19 OB Trauma-Vaginal Delivery … without Instrument-assisted Delivery Patient Safety Indicators Adverse Event PSI #90 Patient … in Low Mortality DRGs1 Patient Safety Indicators Serious Reportable Event PSI #05 Foreign Body … The indicator is a serious reportable event, which is generally reported as a count.
  18. qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Munsch_Covenant_Healthcare.ppt
    January 01, 2005 - Staff Quality committees actively seek indicators with consistent definitions and benchmarks Sentinel Event … Monitors Measures where a small, rare occurrence are expected flag cases for sentinel event review
  19. qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/AHRQ_QI_Impact_Webinar.pdf
    January 01, 2015 - Enhancing the Lives of Those We Serve: Better Quality Generating Better Margins 15 AHRQ Adverse Event … expected incidence of VAP in SICU (BH) Analysis: VAP is considered a generally avoidable adverse event … Thrombosis (PSI 12) • Participant in Bundled Payments (orthopedic bundles)—better utilization and adverse event … Laceration Rate) ► Examined the data and found that some of the cases flagged as a patient safety event … Complication/Quality Variation Indicator (QVI) Better Quality Generating Better Margins AHRQ Adverse Event
  20. qualityindicators.ahrq.gov/Downloads/Resources/Publications/2011/QI_Measure_Development_Implementation_Maintenance_Retirement_Full_5-3-11.pdf
    January 01, 2011 - of interest without proposing the event as a quality indicator. … • What is the frequency of the event/condition in the population of interest? … of interest without proposing the event as a quality indicator. … To what extent is this event likely to reflect poor access to outpatient care? … To what extent is this event likely to reflect poor quality outpatient care?

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