-
teamstepps.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … or DVT PDF [136.84 KB] PSI13 Postoperative Sepsis PDF [78.65 KB] PSI14 Postoperative Wound Dehiscence … PDF [137.17 KB] PSI15 Accidental Puncture or Laceration PDF [115.46 KB] PSI18-19 Obstetric Trauma … Respiratory Failure PDF [270.5 KB] PDI10 Postoperative Sepsis PDF [286.81 KB] PDI11 Postoperative … Wound Dehiscence PDF [253.23 KB] PSI12 Central Venous Catheter-Related Bloodstream Infections PDF [
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cahps.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … or DVT PDF [136.84 KB] PSI13 Postoperative Sepsis PDF [78.65 KB] PSI14 Postoperative Wound Dehiscence … PDF [137.17 KB] PSI15 Accidental Puncture or Laceration PDF [115.46 KB] PSI18-19 Obstetric Trauma … Respiratory Failure PDF [270.5 KB] PDI10 Postoperative Sepsis PDF [286.81 KB] PDI11 Postoperative … Wound Dehiscence PDF [253.23 KB] PSI12 Central Venous Catheter-Related Bloodstream Infections PDF [
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healthcare411.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … or DVT PDF [136.84 KB] PSI13 Postoperative Sepsis PDF [78.65 KB] PSI14 Postoperative Wound Dehiscence … PDF [137.17 KB] PSI15 Accidental Puncture or Laceration PDF [115.46 KB] PSI18-19 Obstetric Trauma … Respiratory Failure PDF [270.5 KB] PDI10 Postoperative Sepsis PDF [286.81 KB] PDI11 Postoperative … Wound Dehiscence PDF [253.23 KB] PSI12 Central Venous Catheter-Related Bloodstream Infections PDF [
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talkingquality.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … or DVT PDF [136.84 KB] PSI13 Postoperative Sepsis PDF [78.65 KB] PSI14 Postoperative Wound Dehiscence … PDF [137.17 KB] PSI15 Accidental Puncture or Laceration PDF [115.46 KB] PSI18-19 Obstetric Trauma … Respiratory Failure PDF [270.5 KB] PDI10 Postoperative Sepsis PDF [286.81 KB] PDI11 Postoperative … Wound Dehiscence PDF [253.23 KB] PSI12 Central Venous Catheter-Related Bloodstream Infections PDF [
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ahrqpubs.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … or DVT PDF [136.84 KB] PSI13 Postoperative Sepsis PDF [78.65 KB] PSI14 Postoperative Wound Dehiscence … PDF [137.17 KB] PSI15 Accidental Puncture or Laceration PDF [115.46 KB] PSI18-19 Obstetric Trauma … Respiratory Failure PDF [270.5 KB] PDI10 Postoperative Sepsis PDF [286.81 KB] PDI11 Postoperative … Wound Dehiscence PDF [253.23 KB] PSI12 Central Venous Catheter-Related Bloodstream Infections PDF [
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patientregistry.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … or DVT PDF [136.84 KB] PSI13 Postoperative Sepsis PDF [78.65 KB] PSI14 Postoperative Wound Dehiscence … PDF [137.17 KB] PSI15 Accidental Puncture or Laceration PDF [115.46 KB] PSI18-19 Obstetric Trauma … Respiratory Failure PDF [270.5 KB] PDI10 Postoperative Sepsis PDF [286.81 KB] PDI11 Postoperative … Wound Dehiscence PDF [253.23 KB] PSI12 Central Venous Catheter-Related Bloodstream Infections PDF [
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monahrq.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … or DVT PDF [136.84 KB] PSI13 Postoperative Sepsis PDF [78.65 KB] PSI14 Postoperative Wound Dehiscence … PDF [137.17 KB] PSI15 Accidental Puncture or Laceration PDF [115.46 KB] PSI18-19 Obstetric Trauma … Respiratory Failure PDF [270.5 KB] PDI10 Postoperative Sepsis PDF [286.81 KB] PDI11 Postoperative … Wound Dehiscence PDF [253.23 KB] PSI12 Central Venous Catheter-Related Bloodstream Infections PDF [
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/resource/qitool/index.html
March 01, 2017 - CANDOR
Family-Centered Rounds Toolkit
MATCH Toolkit
NICU Toolkit
Pressure Injury … or DVT PDF [136.84 KB] PSI13 Postoperative Sepsis PDF [78.65 KB] PSI14 Postoperative Wound Dehiscence … PDF [137.17 KB] PSI15 Accidental Puncture or Laceration PDF [115.46 KB] PSI18-19 Obstetric Trauma … Respiratory Failure PDF [270.5 KB] PDI10 Postoperative Sepsis PDF [286.81 KB] PDI11 Postoperative … Wound Dehiscence PDF [253.23 KB] PSI12 Central Venous Catheter-Related Bloodstream Infections PDF [
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Yandell_Norton_Healthcare_Going_Public.ppt
January 01, 2005 - % surgeries w/ postoperative bleeding low 0.15 0.23 0.30 0.19 0.22 0.22
% abdominal surgeries w/ … postop wound dehiscence low 0.00 0.20 0.22 0.24 0.16 0.20
% w/ pneumothorax resulting from medical … 0.09 0.05 0.03 0.09 0.11
% surgeries w/ postoperative respiratory failure low 0.6 1.6 0.6 0.9 0.8 … 0.4
% surgeries w/ postoperative PE or DVT low 1.1 1.5 0.8 0.8 0.9 0.9
% surgeries w/ postoperative … Near vs. injury to…
Results
New pressures and attention on physician documentation and medical records
-
qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2021/PSI_Composite_Measures.pdf
July 01, 2021 - Hemorrhage or Hematoma Rate
PSI 10 Postoperative Acute Kidney Injury Requiring Dialysis Rate
PSI … Rate
PSI 13 Postoperative Sepsis Rate
PSI 14 Postoperative Wound Dehiscence Rate
PSI 15 Abdominopelvic … review and expert
opinion from 13 clinical specialists in surgery, internal medicine, nephrology, trauma … Hemorrhage or Hematoma
Rate
0.0570 0.1526 0.0442
PSI 10 Postoperative Acute Kidney Injury
Requiring … Sepsis Rate 0.3102 0.1384 0.2182
PSI 14 Postoperative Wound Dehiscence Rate 0.1441 0.0170 0.0125
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1b_combo_psifactsheet.pdf
October 01, 2015 - Physiologic and Metabolic
Derangement Rate
0.69
PSI 11 Postoperative Respiratory Failure Rate … Sepsis Rate 9.61
PSI 14 Postoperative Wound Dehiscence Rate X 1.86
PSI 15 Accidental Puncture … Laceration Rate X 1.89 0345 2012
PSI 16 Transfusion Reaction Count X N/A* 0349 2012
PSI 17 Birth Trauma … Rate – Injury to Neonate 1.89
PSI 18 Obstetric Trauma Rate – vaginal delivery
with instrument … 133.19
PSI 19 Obstetric Trauma Rate – vaginal delivery
without instrument
20.97
PSI 90
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - PSI 08 Postoperative Hip Fracture Document comorbidity exclusions such as cancer and self-inflicted injury … Wound
Dehiscence
Document the depth of the wound dehiscence: external/superficial vs. internal/deep … X
PDI 11 Postoperative Wound
Dehiscence Rate
X Depth of the wound dehiscence:
external/superficial … X
PSI 14 Postoperative Wound
Dehiscence
X Depth of the wound dehiscence:
external/superficial vs … PSI 18
PSI 19
OB Trauma – Vaginal
Delivery With Instrument
OB Trauma – Vaginal
Delivery Without
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4_pdi_bestpracticescover.pdf
June 05, 2016 - Pediatric Heart Surgery Mortality Rate
• PDI 08 Perioperative Hemorrhage or Hematoma Rate
• PDI 09 Postoperative … Respiratory Failure Rate
• PDI 10 Postoperative Sepsis Rate
• PDI 11 Postoperative Wound Dehiscence
-
nhqrnet.ahrq.gov/inhqrdr/National/trend/table/Setting_of_Care/Hospital
February 17, 2021 - - injury to neonate per 1,000 selected live births
Hospital admissions for asthma per 100,000 population … ages 18-39
Hospital admissions for asthma per 100,000 population, children ages 2-17
Obstetric trauma … per 1,000 vaginal deliveries without instrument assistance
Obstetric trauma per 1,000 instrument-assisted … injury requiring dialysis per 1,000 elective-surgery admissions, age 18 and over
Postoperative hip … abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b2b_pdi_ratesgenbywin.pdf
March 01, 2016 - -
PDI 8 PDI #8 Perioperative Hemorrhage or Hematoma Rate 6 454 0.01321586 2.48210598
PDI 9 PDI #9 Postoperative … Respiratory Failure Rate 24 180 0.13333333 11.3162479
PDI 10 PDI #10 Postoperative Sepsis Rate 1 165 … 0.00606061 19.8884023
PDI 11 PDI #11 Postoperative Wound Dehiscence Rate 0 32 0 0.96714253
PDI 12 … Respiratory
Failure Rate 24
180 0.13333333 11.3162479
PDI #10 Postoperative Sepsis Rate … 1 165 0.00606061 19.8884023
PDI #11 Postoperative Wound
Dehiscence Rate
0 32 0 0.001265 0 0.96714253
-
www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1b_combo_psifactsheet.pdf
October 01, 2015 - Physiologic and Metabolic
Derangement Rate
0.69
PSI 11 Postoperative Respiratory Failure Rate … Sepsis Rate 9.61
PSI 14 Postoperative Wound Dehiscence Rate X 1.86
PSI 15 Accidental Puncture … Laceration Rate X 1.89 0345 2012
PSI 16 Transfusion Reaction Count X N/A* 0349 2012
PSI 17 Birth Trauma … Rate – Injury to Neonate 1.89
PSI 18 Obstetric Trauma Rate – vaginal delivery
with instrument … 133.19
PSI 19 Obstetric Trauma Rate – vaginal delivery
without instrument
20.97
PSI 90
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1b_combo_psifactsheet.pdf
October 01, 2015 - Physiologic and Metabolic
Derangement Rate
0.69
PSI 11 Postoperative Respiratory Failure Rate … Sepsis Rate 9.61
PSI 14 Postoperative Wound Dehiscence Rate X 1.86
PSI 15 Accidental Puncture … Laceration Rate X 1.89 0345 2012
PSI 16 Transfusion Reaction Count X N/A* 0349 2012
PSI 17 Birth Trauma … Rate – Injury to Neonate 1.89
PSI 18 Obstetric Trauma Rate – vaginal delivery
with instrument … 133.19
PSI 19 Obstetric Trauma Rate – vaginal delivery
without instrument
20.97
PSI 90
-
qualityindicators.ahrq.gov/Downloads/Resources/Publications/2008/AHRQ%20QI%20Validation%20Pilot%20Phase%20II_Interest%20Form_Final.doc
January 01, 2008 - focus primarily on these AHRQ Patient Safety Indicators:
· Foreign body left in during procedure
· Postoperative … Hemorrhage or Hematoma
· Postoperative Respiratory Failure
· Postoperative Physiologic and Metabolic … Derangement
· Postoperative Wound Dehiscence
Partner Organizations
As in Phase I, organizations
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - PSI 08 Postoperative Hip Fracture Document comorbidity exclusions such as cancer and self-inflicted injury … Wound
Dehiscence
Document the depth of the wound dehiscence: external/superficial vs. internal/deep … X
PDI 11 Postoperative Wound
Dehiscence Rate
X Depth of the wound dehiscence:
external/superficial … X
PSI 14 Postoperative Wound
Dehiscence
X Depth of the wound dehiscence:
external/superficial vs … PSI 18
PSI 19
OB Trauma – Vaginal
Delivery With Instrument
OB Trauma – Vaginal
Delivery Without
-
www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b4_combo_documentationcoding.pdf
March 15, 2016 - PSI 08 Postoperative Hip Fracture Document comorbidity exclusions such as cancer and self-inflicted injury … Wound
Dehiscence
Document the depth of the wound dehiscence: external/superficial vs. internal/deep … X
PDI 11 Postoperative Wound
Dehiscence Rate
X Depth of the wound dehiscence:
external/superficial … X
PSI 14 Postoperative Wound
Dehiscence
X Depth of the wound dehiscence:
external/superficial vs … PSI 18
PSI 19
OB Trauma – Vaginal
Delivery With Instrument
OB Trauma – Vaginal
Delivery Without