-
qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2019/TechSpecs/PSI%2090%20Patient%20Safety%20and%20Adverse%20Events%20Composite.pdf
December 01, 2013 - Fracture Rate
PSI 09 Perioperative Hemorrhage or Hematoma Rate
PSI 10 Postoperative Acute Kidney Injury … PE) or Deep Vein Thrombosis (DVT) Rate
PSI 13 Postoperative Sepsis Rate
PSI 14 Postoperative Wound … Perioperative Hemorrhage or Hematoma Rate 0.0570 0.1598 0.0472
PSI 10 Postoperative Acute Kidney Injury … 0.1557 0.2543 0.2052
PSI 13 Postoperative Sepsis Rate 0.3102 0.1550 0.2491
PSI 14 Postoperative Wound
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2019/TechSpecs/PSI_12_Perioperative_Pulmonary_Embolism_or_Deep_Vein_Thrombosis_Rate.pdf
July 01, 2019 - first operating room procedure; with extracorporeal
membrane oxygenation; with acute brain or spinal injury … VENACIP*)
• with any listed ICD-10-CM diagnosis code present on admission for acute brain or spinal injury … death due to other cause before regaining
consciousness, initial encounter
Acute brain or spinal injury … initial encounter
I613 Nontraumatic intracerebral hemorrhage in
brain stem
S14104A Unspecified injury … prior to regaining consciousness,
initial encounter
S34103A Unspecified injury to L3 level of lumbar
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2020/TechSpecs/PSI_12_Perioperative_Pulmonary_Embolism_or_Deep_Vein_Thrombosis_Rate.pdf
March 01, 2021 - first operating room procedure; with extracorporeal
membrane oxygenation; with acute brain or spinal injury … THROMP*)
• with any listed ICD-10-CM diagnosis code present on admission for acute brain or spinal injury … Traumatic subdural hemorrhage with
loss of consciousness of any duration
with death due to brain injury … initial encounter
I614 Nontraumatic intracerebral hemorrhage in
cerebellum
S14105A Unspecified injury … , initial encounter
I619 Nontraumatic intracerebral hemorrhage,
unspecified
S14109A Unspecified injury
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2021/TechSpecs/PSI_12_Perioperative_Pulmonary_Embolism_or_Deep_Vein_Thrombosis_Rate.pdf
July 01, 2021 - first operating room procedure; with extracorporeal
membrane oxygenation; with acute brain or spinal injury … THROMP*)
• with any listed ICD-10-CM diagnosis code present on admission for acute brain or spinal injury … initial encounter
I613 Nontraumatic intracerebral hemorrhage
in brain stem
S14104A Unspecified injury … initial encounter
I614 Nontraumatic intracerebral hemorrhage
in cerebellum
S14105A Unspecified injury … prior to regaining consciousness,
initial encounter
S34102A Unspecified injury to L2 level of lumbar
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2021/Version_2021_Benchmark_Tables_PSI.pdf
January 01, 2021 - PSI 10 – Postoperative Acute Kidney Injury Requiring Dialysis Rate .................................. … PSI 17 – Birth Trauma Rate Injury to Neonate ........................................................ … Postoperative Hemorrhage or Hematoma Rate 14,404 6,030,937 2.39
PSI 10 Postoperative Acute Kidney Injury … Rate – Injury to Neonate 13,930 3,107,144 4.48
PSI 18 Obstetric Trauma Rate Vaginal Delivery with … PSI 17 – Birth Trauma Rate Injury to Neonate
GROUP NUMERATOR DENOMINATOR
OBSERVED RATE
PER 1,000
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qualityindicators.ahrq.gov/Downloads/Modules/PDI/V2021/Parameter_Estimates_PDI_v2021.pdf
July 01, 2021 - W MCC
04 M 0406 184 MAJOR CHEST TRAUMA W CC
04 M 0406 185 MAJOR CHEST TRAUMA W/O CC/MCC
04 M 0407 … DEBRIDEMENTS FOR INJURIES W MCC
21 S 2101 902 WOUND DEBRIDEMENTS FOR INJURIES W CC
21 S 2101 903 … WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC
21 S 2102 904 SKIN GRAFTS FOR INJURIES W CC/MCC
21 S … 2102 905 SKIN GRAFTS FOR INJURIES W/O CC/MCC
21 S 2103 906 HAND PROCEDURES FOR INJURIES
21 S 2104 … PROCEDURES FOR INJURIES W/O CC/MCC
21 M 2105 913 TRAUMATIC INJURY W MCC
21 M 2105 914 TRAUMATIC INJURY
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qualityindicators.ahrq.gov/Downloads/News/AHRQ_QI_Version_41_Details_Final.pdf
January 25, 2010 - PSI #1 PSI #1 -- Complications of anesthesiaComplications of anesthesia
PSI #20PSI #20 -- OB Trauma … : Cesarean DeliveryOB Trauma: Cesarean DeliveryPSI #20 PSI #20 OB Trauma: Cesarean DeliveryOB Trauma: … moved (SAS Only)
–– Patient Safety IndicatorsPatient Safety Indicators
PSI #17 PSI #17 –– Birth Trauma … : Injury to NeonateBirth Trauma: Injury to Neonate
–– Prevention Quality IndicatorsPrevention Quality … Necrotizing enterocolitisenterocolitis
–– Disruption of postoperative woundDisruption of postoperative wound
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qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Appendix_A.pdf
August 01, 2004 - Public reporting and pay
for performance
Considerations for hospital-level reporting
Postoperative wound … Low rate (national rate 2.45 per 1,000 surgical
discharges)
• Requires use of external cause-of-injury … Postoperative pulmonary embolism (PE) or deep vein thrombosi
Postoperative sepsis (PSI 13)
Postoperative wound … (PSI 17)
Obstetric trauma – vaginal with instrument (PSI 18)
Obstetric trauma – vaginal without instrument … (PSI 19)
Obstetric trauma – cesarean section (PSI 20)
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2016/AHRQ_QI_ICD10_Webinar.pdf
January 01, 2016 - and
added focused exclusion for major skin
disorders that are associated with higher risk of
pressure injuries … PSI 10 (Postoperative Acute Kidney
Injury Requiring Dialysis) Refined
20
• Change: Removed cases with … or Deep Vein Thrombosis
Rate) Refined
21
• Change: Removed cases with acute brain
and/or spinal injury … • Rationale: DVT/PE in patients with acute brain
and/or spinal injury may be less preventable
because … • Rationale: Focus on the most serious
intraoperative injuries caused by an accidental
puncture or
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qualityindicators.ahrq.gov/News/AHRQ_QI_v2020_PSI03_User_Note_02_2021.pdf
January 01, 2021 - With the introduction of Deep Tissue Injury (DTI) codes in Fiscal Year (FY) 2020, the updates to the … present on admission because
these lesions are likely to evolve into a Stage 3 or 4 Pressure Ulcer injury
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V50/PSI_Brochure.pdf
September 01, 2015 - embolism
or deep vein thrombosis rate
■ PSI 13 - Postoperative sepsis rate
■ PSI 14 - Postoperative wound … - Accidental puncture or laceration
rate
■ PSI 16 - Transfusion reaction count
■ PSI 17 - Birth trauma … rate – injury to neonate
■ PSI 18 - Obstetric trauma rate – vaginal
delivery with instrument
■ PSI … 19 - Obstetric trauma rate-vaginal
delivery without instrument
■ PSI 90 - Patient Safety for Selected … ■ PSI 23 - Central venous catheter-related
blood stream infection rate
■ PSI 24 - Postoperative wound
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2019/TechSpecs/PSI_02_Death_Rate_in_Low-Mortality_Diagnosis_Related_Groups_(DRGs).pdf
July 01, 2019 - Excludes cases with trauma, cases with cancer, cases with
an immunocompromised state, and transfers … Procedure Codes
DENOMINATOR EXCLUSIONS
Exclude cases:
• with any listed ICD-10-CM diagnosis codes for trauma … , quarter
(DQTR=missing), year (YEAR=missing), or principal diagnosis (DX1=missing)
Appendix G - Trauma … drug abuse or dependence
691 Urinary stones with esw lithotripsy w cc/mcc 906 Hand procedures for injuries
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V43/Change_Log_PSI_4.3.pdf
August 01, 2011 - exclusion for any
diagnosis of birth weight less than 2000g;
4) Added exclusion for any diagnosis of Injury … Added caption for Table 3, Indicators and Use
of External Cause-of-Injury Codes.
7. … osteogenesis imperfecta
infants with injury to skeleton from the
numerator only. … criteria to
major OR procedures for PSI #1, 8-13, all of
which deal with postoperative illness or injury … Modified Area level PSI #24, Postoperative
Wound Dehiscence, to drop the requirement
that the wound
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qualityindicators.ahrq.gov/Downloads/Modules/V43/Module_NQF_Endorsement_V4.3.pdf
August 01, 2011 - or Deep Vein
Thrombosis Rate
450
PSI #13 - Postoperative Sepsis Rate
PSI #14 - Postoperative Wound … #05 - Iatrogenic Pneumothorax Rate 348
PDI #10 - Postoperative Sepsis Rate
PDI #11 - Postoperative Wound … Mortality Rate
4
339
PDI #07 - Pediatric Heart Surgery Volume
4
340
PDI #11 - Postoperative Wound … Postoperative Pulmonary Embolism or Deep Vein
Thrombosis Rate
5
450
PSI #14 - Postoperative Wound … - Accidental Puncture or Laceration Rate 345
PSI #16 - Transfusion Reaction 349
PSI #17 - Birth Trauma―Injury
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qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Health_Topics.pdf
January 01, 2000 - Rate of obstetric tearing – Cesarean delivery
How often a woman experiences a tear (trauma) … , [insert year]
Average of hospitals across the state: The average rate of birth injuries or infections … 50
HOSPITAL C
HOSPITAL D
Average of hospitals
across the state
HOSPITAL B
HOSPITAL A
Rate of injuries … bed sores
This graph shows you the percent of patients who developed bed sores, which are sores or wounds … insert year]
Average of hospitals across the state: The average rate of children who had surgical wounds
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qualityindicators.ahrq.gov/Downloads/Modules/V44/Module_NQF_Endorsement_V4.4.pdf
March 01, 2012 - Deep Vein
Thrombosis Rate
450
PSI #13 - Postoperative Sepsis Rate
PSI #14 - Postoperative Wound … #05 - Iatrogenic Pneumothorax Rate 348
PDI #10 - Postoperative Sepsis Rate
PDI #11 - Postoperative Wound … Surgery Mortality Rate4 339
PDI #07 - Pediatric Heart Surgery Volume4 340
PDI #11 - Postoperative Wound … Accidental Puncture or Laceration Rate 345
PSI #16 - Transfusion Reaction Volume 349
PSI #17 - Birth Trauma … Rate―Injury to Neonate5 474
1 IQI #01 and
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2020/Version_2020_Benchmark_Tables_PSI.pdf
January 01, 2020 - PSI 10 – Postoperative Acute Kidney Injury Requiring Dialysis Rate, per 1,000 Admissions
........... … PSI 18 – Obstetric Trauma Rate Vaginal Delivery With Instrument, per 1,000 Admissions. 14
Table 24. … PSI 19 – Obstetric Trauma Rate Vaginal Delivery Without Instrument, per 1,000 Admissions
........... … Hemorrhage or Hematoma Rate, per 1,000 Admissions 14,190 6,315,010 2.25
PSI 10 Postoperative Acute Kidney Injury … PSI 10 – Postoperative Acute Kidney Injury Requiring Dialysis Rate, per
1,000 Admissions
GROUP NUMERATOR
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qualityindicators.ahrq.gov/Downloads/Software/V2020/AHRQ_QI_Rate_Comparison_v2019_v2020.pdf
July 01, 2020 - PSI 09 Perioperative Hemorrhage or Hematoma Rate 1.00 2.25 2.24
PSI 10 Postoperative Acute Kidney Injury … Thrombosis Rate 1.00 3.37 3.38
PSI 13 Postoperative Sepsis Rate 1.04 3.97 3.81
PSI 14 Postoperative Wound … Dehiscence Rate 1.00 0.67 0.67
PSI 14_OPEN Stratum: OPEN Postoperative Wound Dehiscence Rate 1.00 1.39 … Accidental Puncture or Laceration Rate 1.00 1.04 1.04
PSI 17 Birth Trauma Rate – Injury to Neonate … Rate – Vaginal Delivery with Instrument 1.00 115.42 115.42
PSI 19 Obstetric Trauma Rate – Vaginal Delivery
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qualityindicators.ahrq.gov/Downloads/Software/V2021/AHRQ_QI_Rate_Comparison_v20120_v2021.pdf
July 01, 2021 - PSI 09 Postoperative Hemorrhage or Hematoma Rate 0.98 2.39 2.44
PSI 10 Postoperative Acute Kidney Injury … OBSERVED
RATE PER 1,000
PSI 13 Postoperative Sepsis Rate 1.00 4.09 4.08
PSI 14 Postoperative Wound … Dehiscence Rate 1.23 0.80 0.65
PSI 14_OPEN Postoperative Wound Dehiscence Rate Stratum: Open Approach … 1.27 1.73 1.36
PSI 14_NONOPEN
Postoperative Wound Dehiscence Rate Stratum: Non-Open
Approach
1.07 … Rate – Injury to Neonate 1.00 4.48 4.48
PSI 18 Obstetric Trauma Rate – Vaginal Delivery with Instrument
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qualityindicators.ahrq.gov/Downloads/Resources/Case_Studies/Carilion_Clinic_Case_Study.pdf
August 01, 2019 - associated with surgery,
Carilion Roanoke was able to reduce occurrences for Postoperative Acute Kidney Injury … • Carilion operates seven hospitals in western Virginia,
including the region’s only Level 1 Trauma … leadership found that implementing these
protocols led to zero occurrences of Postoperative Acute Kidney Injury