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qualityindicators.ahrq.gov/News/PSI_Retirement_Notice.pdf
September 01, 2016 - Accidental Puncture or Laceration Rate
PSI 26: Transfusion Reaction Rate
PSI 27: Postoperative Hemorrhage … Stream Infection Rate
PSI 08: In-hospital Fall with Hip Fracture Rate
PSI 09: Perioperative Hemorrhage
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V50/PSI_Brochure.pdf
September 01, 2015 - blood stream infection rate
■ PSI 08 - Postoperative hip fracture rate
■ PSI 09 - Perioperative hemorrhage … Accidental puncture or laceration rate
■ PSI 26 - Transfusion reaction rate
■ PSI 27 - Postoperative hemorrhage
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/v2019/TechSpecs/IQI%2091%20Mortality%20for%20Selected%20Conditions.pdf
July 01, 2019 - 16 Heart Failure Mortality Rate
• IQI 17 Acute Stroke Mortality Rate
• IQI 18 Gastrointestinal Hemorrhage
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2021/v2021%20QI%20Software%20Release.pdf
January 01, 2021 - New order: Shock, Sepsis, Pneumonia, GI hemorrhage, and DVT/PE
− Updated PSI 03 (Pressure Ulcer Rate … Deep Tissue Injury is non-POA but all pressure
ulcer is POA
− Renamed PSI 09 back to “Postoperative Hemorrhage … • Updated name of QIs
►For example, PSI 09 Postoperative Hemorrhage or Hematoma Rate
• Revised, … New order: Shock, Sepsis, Pneumonia, GI hemorrhage, and DVT/PE
− Updated PSI 03 (Pressure Ulcer Rate … •
•
•
•
Updated name of QIs
►For example, PSI 09 Postoperative Hemorrhage or Hematoma Rate
-
qualityindicators.ahrq.gov/Downloads/Modules/PDI/PDI_Composite_Development.pdf
March 01, 2008 - #10 Postop Sepsis
PDI #05 Iatrogenic Pneumothorax PDI #11 Postop Wound Dehiscence
PDI #08 Postop Hemorrhage … Ulcer 1,149 2.611 2.492 0.938
PDI #05 Iatrogenic Pneumothorax 6,491 0.873 0.645 0.089
PDI #08 Postop Hemorrhage … Decubitus Ulcer 3.285 0.759 0.286
PDI #05 Iatrogenic Pneumothorax 0.209 3.088 0.425
PDI #08 Postop Hemorrhage … 0.286 0.0815 0.0181 0.1814
PDI #05 Iatrogenic Pneumothorax 0.425 0.1809 0.2102 0.5376
PDI #08 Postop Hemorrhage … 0.0376 0.1428
PDI #05 Iatrogenic
Pneumothorax
0.0000 0.1250 0.0393 0.3087 0.1908
PDI #08 Postop Hemorrhage
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2020/Version_2020_Benchmark_Tables_PSI.pdf
January 01, 2020 - Rate among Surgical Inpatients with Serious Treatable Complications –
Stratum Gastrointestinal (GI) Hemorrhage … PSI 09 – Perioperative Hemorrhage or Hematoma Rate, per 1,000 Admissions ................... 10
Table … Rate among Surgical Inpatients with Serious Treatable Complications –
Stratum: Gastrointestinal (GI) Hemorrhage … Rate among Surgical Inpatients with Serious Treatable
Complications – Stratum Gastrointestinal (GI) Hemorrhage … PSI 09 – Perioperative Hemorrhage or Hematoma Rate, per 1,000
Admissions
GROUP NUMERATOR DENOMINATOR
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qualityindicators.ahrq.gov/Modules/PSI_TechSpec_ICD10_v2021.aspx
July 01, 2021 - 25 Accidental Puncture or Laceration Rate
PSI 26 Transfusion Reaction Rate
PSI 27 Perioperative Hemorrhage
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/Introduction_to_AHRQ_Quality_Indicators.pdf
January 01, 2015 - selected by team
of clinicians, including selected AHRQ QIs such as pressure ulcer
(PSI03), periop hemorrhage … performance by prioritizing
improvement on a subset of 10 AHRQ PSIs, including PSI 09
(Perioperative Hemorrhage … • Implementation:
► Examined procedures that frequently cause hematoma, hemorrhage, or bruising … implementation of new process across all
departments resulted in decreased incidence of perioperative
hemorrhage
-
qualityindicators.ahrq.gov/Downloads/Modules/PDI/v60/TechSpecs/PDI_19_Pediatric_Safety_for_Selected_Indicators.pdf
August 01, 2017 - • PDI 02 Pressure Ulcer Rate
• PDI 05 Iatrogenic Pneumothorax Rate
• PDI 08 Perioperative Hemorrhage
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qualityindicators.ahrq.gov/Downloads/ICD10/PDI%2019%20Pediatric%20Patient%20Safety%20for%20Selected%20Indicators.xlsx
January 01, 2019 - See PDI 02 Pressure Ulcer Rate
See PDI 05 Iatrogenic Pneumothorax Rate
See PDI 08 Perioperative Hemorrhage
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qualityindicators.ahrq.gov/Modules/PSI_TechSpec_ICD10_v2020.aspx
March 01, 2021 - 25 Accidental Puncture or Laceration Rate
PSI 26 Transfusion Reaction Rate
PSI 27 Perioperative Hemorrhage
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/AHRQQI_McDonald_Davies_Pediatric_Indicator_Module.ppt
January 01, 2005 - For kids prophylaxis is not recommended but for high risk patients (e.g., PO hemorrhage/hematoma) so … normal newborns
Stratification/split
Iatrogenic pneumothorax, Accidental puncture laceration, Post-op hemorrhage … Rates per 1000
Postoperative Complications
Post-operative complications
PO hemorrhage highlights the … For PO hemorrhage the overall rate is 2.12. … Immunizable condition hospitalization rate
Indicators Under Consideration
Neonatal
Intraventricular hemorrhage
-
qualityindicators.ahrq.gov/Downloads/Modules/IQI/IQI_Composite_Development.pdf
March 01, 2008 - 0.0239 0.0630 0.7251
IQI #17 In-Hosp Mort Stroke 0.174 0.0304 0.0474 0.6088
IQI #18 In-Hosp Mort GI Hemorrhage … 126,036 2,758,388 45.69
IQI #17 In-Hosp Mort Stroke 152,492 1,345,994 113.29
IQI #18 In-Hosp Mort GI Hemorrhage … 0.473 0.401 0.273 0.637
IQI #17 In-Hosp Mort Stroke 1.000 0.276 0.263 0.516
IQI #18 In-Hosp Mort GI Hemorrhage … 15.6 70.3 203.1 552.4
IQI #17 In-Hosp Mort Stroke 4,230 7.7 33.8 97.8 284.9
IQI #18 In-Hosp Mort GI Hemorrhage … 0.1828
IQI #17 In-Hosp Mort Stroke 0.0000 0.1667 0.2036 0.1246 0.1764
IQI #18 In-Hosp Mort GI
Hemorrhage
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qualityindicators.ahrq.gov/Downloads/ICD10/IQI%2091%20Mortality%20for%20Selected%20Conditions.xlsx
November 01, 2013 - Heart Failure Mortality Rate
See IQI 17 Acute Stroke Mortality Rate
See IQI 18 Gastrointestinal Hemorrhage
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2021/Version_2021_Benchmark_Tables_PSI.pdf
January 01, 2021 - Rate among Surgical Inpatients with Serious Treatable Complications – Stratum
Gastrointestinal (GI) Hemorrhage … PSI 09 – Perioperative Hemorrhage or Hematoma Rate .................................................. … 0.09
PSI 08 In Hospital Fall with Hip Fracture Rate 1,834 24,578,744 0.07
PSI 09 Postoperative Hemorrhage … Rate among Surgical Inpatients with Serious Treatable Complications –
Stratum Gastrointestinal (GI) Hemorrhage … PSI 09 – Perioperative Hemorrhage or Hematoma Rate
GROUP NUMERATOR DENOMINATOR
OBSERVED RATE PER
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/AHRQ_Quality_Indicators_Software_Changes_v50.pdf
January 01, 2015 - algorithm problem of linking PSI 09 procedures that
are not associated with the removal or control of hemorrhage … diagnosis codes are not dated, the indicator, PSI 09, actually does require a
procedure to control the hemorrhage … day, then the ordering
of those procedures—the indexed procedure and the procedure to control the hemorrhage
-
qualityindicators.ahrq.gov/Downloads/Modules/IQI/V2021/Parameter_Estimates_IQI_v2021.pdf
July 01, 2021 - Risk Adjustment Coefficients for IQI 17 – Acute Stroke Mortality Rate Stratum: Subarachnoid
Hemorrhage … Risk Adjustment Coefficients for IQI 17 – Acute Stroke Mortality Rate Stratum: Intracerebral
Hemorrhage … Risk Adjustment Coefficients for IQI 18 – Gastrointestinal Hemorrhage Mortality Rate .......... 40 … Risk Adjustment Coefficients for IQI 17 – Acute Stroke Mortality Rate Stratum: Subarachnoid Hemorrhage … Risk Adjustment Coefficients for IQI 18 – Gastrointestinal Hemorrhage Mortality Rate
Table 15.
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qualityindicators.ahrq.gov/Downloads/ICD10/PSI%2090%20Patient%20Safety%20for%20Selected%20Indicators.xlsx
November 01, 2013 - Blood Stream Infection Rate
See PSI 08 Postoperative Hip Fracture Rate
See PSI 09 Perioperative Hemorrhage
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qualityindicators.ahrq.gov/Downloads/Modules/PDI/V2021/Version_2021_Benchmark_Tables_PDI.pdf
January 01, 2021 - PDI 08 – Perioperative Hemorrhage or Hematoma Rate .................................................. … 863 2,641,427 0.33
PDI 05 Iatrogenic Pneumothorax Rate 160 2,389,706 0.07
PDI 08 Perioperative Hemorrhage … PDI 08 – Perioperative Hemorrhage or Hematoma Rate
GROUP NUMERATOR DENOMINATOR
OBSERVED RATE PER … PDI 08 – Perioperative Hemorrhage or Hematoma Rate
Table 7.
-
qualityindicators.ahrq.gov/Downloads/Modules/PDI/V43/Change_Log_PDI_4.3.pdf
August 01, 2011 - and Windows)
and Technical
Specifications
Revised numerator inclusion criteria for
Postoperative Hemorrhage … and Hematoma (PDI #8)
to include a diagnosis of hemorrhage or hematoma
and a procedure for control … of hemorrhage or
drainage of hematoma.