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ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-slides.html
December 01, 2017 - Slide 4: SSI Definitions 2
Superficial
Purulent drainage from wound. … Positive wound culture.
Pain, redness, swelling.
Diagnosis by surgeon. … Deep
Purulent drainage from deep aspect of the wound.
Dehiscence. … Postoperative surgical site infection (superficial incisional SSI, deep incisional SSI, organ space SSI … Postoperative hyperglycemia is associated with an increased risk of SSI in general surgery patients.
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www.ahrq.gov/research/findings/nhqrdr/nhqdr16/appendixb2_qualitytrends.html
June 01, 2018 - abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, age … age 18 and over
-11.09
0.03
0.02
6
(2009-2014)
Home health care patients whose surgical wound … who get better at taking their medication correctly
-3.40
0.00
0.01
4
(2010-2013)
Birth trauma-injury … to neonate per 1,000 live births
-5.82
0.01
0.00
14
(2001-2014)
Obstetric trauma per 1,000 … vaginal deliveries without instrument assistance
-4.90
0.00
0.00
15
(2000-2014)
Obstetric trauma
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a2_pdi_boardpresentation.pptx
October 01, 2015 - PDI 07 RACHS-1 Pediatric Heart Surgery Volume
PDI 08 Perioperative Hemorrhage or Hematoma Rate
PDI 09 Postoperative … Respiratory Failure Rate
PDI 10 Postoperative Sepsis Rate
PDI 11 Postoperative Wound Dehiscence Rate … in October 2015:
Addition of information relevant to ambulatory and managed care encounters
Expanded injury
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nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Income/Poor
Achieved Benchmark or Better
Measure
Estimate
Benchmark
Distance to Benchmark
Obstetric trauma … least 12 lymph nodes pathologically examined
93.1
95.5
Achieved within: 2.5%
Obstetric trauma … abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults … - injury to neonate per 1,000 selected live births
4.5
2.8
59.0%
Hospital admissions for … acute kidney injury requiring dialysis per 1,000 elective-surgery admissions, age 18 and over
1.0
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nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Income/Middle_Income
abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults … Deaths per 1,000 hospital admissions with expected low-mortality
0.6
0.4
41.0%
Obstetric trauma … Hospital admissions for heart failure per 100,000 population
371.9
220.9
68.4%
Birth trauma … - injury to neonate per 1,000 selected live births
4.8
2.8
68.6%
Hospital admissions for … acute kidney injury requiring dialysis per 1,000 elective-surgery admissions, age 18 and over
0.8
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nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Income/Low_Income
received 4 or more doses of diphtheria-tetanus-pertussis vaccine
80.3
90.6
11.4%
Obstetric trauma … with percutaneous coronary intervention (PCI), age 40 and over
27.5
23.2
18.4%
Obstetric trauma … abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults … - injury to neonate per 1,000 selected live births
4.8
2.8
71.0%
Hospital admissions for … acute kidney injury requiring dialysis per 1,000 elective-surgery admissions, age 18 and over
0.9
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nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Income/High_Income
abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults … long-term complications of diabetes per 100,000 population, adults
61.9
39.9
55.1%
Birth trauma … - injury to neonate per 1,000 selected live births
4.5
2.8
59.7%
Obstetric trauma per 1,000 … vaginal deliveries without instrument assistance
23.1
14.3
61.8%
Obstetric trauma per 1,000 … acute kidney injury requiring dialysis per 1,000 elective-surgery admissions, age 18 and over
0.8
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hcup-us.ahrq.gov/datainnovations/CaseStudy_QDRanalysis04072017.pdf
April 07, 2017 - For example, the CY national estimate for
PSI 18 Obstetric trauma in instrument-assisted deliveries … For example, the true 2014 estimate for PSI 14 Postoperative abdominal wound dehiscence
is 1.61 per … discharges of 4 or more days
PSI 14 Postoperative abdominal wound dehiscence per 1,000 discharges … PSI 15 Accidental laceration or puncture during procedure per 1,000 discharges
PSI 17 Birth trauma … injury to neonate per 1,000 selected live births
PSI 18 Obstetric trauma per 1,000 instrument-assisted
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nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Priority_Populations/Elderly_Adults
season
85 and over
95.8
94.1
Achieved: 2% better
Home health care patients whose surgical wound … abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults … 117.9
65.2
80.7%
Long-stay nursing home patients experiencing one or more falls with major injury … acute kidney injury requiring dialysis per 1,000 elective-surgery admissions, age 18 and over
65 and … they could understand
65 and over
6.9
Adults who needed care right away for an illness, injury
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nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Priority_Populations/Middle_Income
with abdominal aortic aneurysm (AAA) repair
Third quartile
35.7
27.1
31.6%
Obstetric trauma … abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults … hospital admissions with expected low-mortality
Third quartile
0.6
0.4
41.0%
Obstetric trauma … - injury to neonate per 1,000 selected live births
Third quartile
4.8
2.8
68.6%
Hospital … acute kidney injury requiring dialysis per 1,000 elective-surgery admissions, age 18 and over
Third
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3a_pdi_chartsforpresentations.xlsx
January 01, 2006 - Surgery Volume 0
PDI 08 Perioperative Hemorrhage or Hematoma Rate 0.00248 0
PDI 09 Postoperative … Respiratory Failure Rate 0.01132 0
PDI 10 Postoperative Sepsis Rate 0 0 0.0432385 0.01989 - … 100 -100 117.3881347411 PDI 10 No Statistically Significant Difference 0
PDI 11 Postoperative Wound … Dehiscence Rate 0 0 0.0075716 0.00097 -100 -100 680.5773195876 PDI 11 No Statistically Significant Difference
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nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Priority_Populations/Older_Adults
higher
65 and over
97.4
96.5
Achieved: 1% better
Home health care patients whose surgical wound … 32.7
18.3
78.7%
Long-stay nursing home patients experiencing one or more falls with major injury … abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults … care as soon as needed
65 and over
9.3
Adults who needed care right away for an illness, injury … pneumonia events
85 and over
4.2
Postoperative acute kidney injury requiring dialysis
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nhqrnet.ahrq.gov/inhqrdr/National/trend/table/All_Measures/All_Topics
February 19, 2021 - outpatient opioid prescriptions in the calendar year -6.0
Home health care patients whose surgical wound … 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
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nhqrnet.ahrq.gov/inhqrdr/National/trend/table/Priority_Populations/White
February 19, 2021 - -6.8
HIV infection deaths per 100,000 population -6.6
Home health care patients whose surgical wound … for lower extremity amputations per 1,000 population, adults age 18 and over with diabetes
Birth trauma … ages 18-39
Hospital admissions for asthma per 100,000 population, children ages 2-17
Obstetric trauma … 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
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hcup-us.ahrq.gov/reports/methods/2007_07.pdf
January 01, 2007 - complications of care or to
exclude cases (e.g., poisonings, self-inflicted injury, trauma) from numerators … malignancy, and self-inflicted injury. … abdominal wound dehiscence per 1000 abdominopelvic-surgery
discharges (excluding immunocompromised … dehiscence, such as cases from earlier
admissions or from other hospitals. … PSI 17 Birth trauma - injury to neonate per 1000 live births (excluding preterm and osteogenesis imperfecta
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nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Priority_Populations/Residents_of_Rural_Areas
February 19, 2021 - abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults … soon as needed
Nonmetropolitan
7.3
Adults who needed care right away for an illness, injury … acute kidney injury requiring dialysis per 1,000 elective surgical hospital discharges, adults
Noncore … - injury to neonate per 1,000 selected live births
Noncore
5.7
Obstetric trauma per 1,000 … vaginal deliveries without instrument assistance
Noncore
15.3
Obstetric trauma per 1,000
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
March 15, 2004 - These elements were wound
dehiscence requiring repair, displacement/migration/ breakage of implant, … thrombosis requiring repair, postoperative wound infection, wrong patient/site,
incorrect procedure … Postoperative adverse
events of common surgical procedures in the Medicare
population. … Excess length of stay, charges and
mortality attributable to medical injuries during
hospitalization … Looking for medical injuries
where the light is bright. JAMA 2003;290(14):1917–9.
22.
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nhqrnet.ahrq.gov/inhqrdr/National/benchmark/table/Priority_Populations/Women
February 19, 2021 - abdominal wound dehiscence per 1,000 abdominopelvic-surgery admissions of length 2 or more days, adults … from hospice care team
Female
90.0
90.9
1.0%
Home health care patients whose surgical wound … pneumonia events
Female
0.9
Postoperative acute kidney injury requiring dialysis per 1,000 … - injury to neonate per 1,000 selected live births
Female
4.3
Obstetric trauma per 1,000 … vaginal deliveries without instrument assistance
Total
17.7
Obstetric trauma per 1,000
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nhqrnet.ahrq.gov/inhqrdr/National/trend/table/Priority_Populations/Black
February 19, 2021 - receive good communication about discharge information -4.2
Home health care patients whose surgical wound … for lower extremity amputations per 1,000 population, adults age 18 and over with diabetes
Birth trauma … ages 18-39
Hospital admissions for asthma per 100,000 population, children ages 2-17
Obstetric trauma … 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
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Rojas.pdf
March 15, 2004 - These elements were wound
dehiscence requiring repair, displacement/migration/ breakage of implant, … thrombosis requiring repair, postoperative wound infection, wrong patient/site,
incorrect procedure … Postoperative adverse
events of common surgical procedures in the Medicare
population. … Excess length of stay, charges and
mortality attributable to medical injuries during
hospitalization … Looking for medical injuries
where the light is bright. JAMA 2003;290(14):1917–9.
22.