-
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) … 8 In-Hospital Fall with Hip Fracture Rate
PSI 9 Perioperative Hemorrhage or Hematoma Rate
PSI 10 Postoperative … Pulmonary Embolism or Deep Vein Thrombosis Rate
PSI 13 Postoperative Sepsis Rate
PSI 14 Postoperative … Acute Kidney Injury Requiring
Dialysis Rate 0.3584
0.0340 0.0623
PSI 11 Postoperative Respiratory … Sepsis Rate 0.3102 0.1510 0.2395
PSI 14 Postoperative Wound Dehiscence Rate 0.1441 0.0137 0.0101
PSI
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qualityindicators.ahrq.gov/Downloads/News/AHRQ_QI_Guide_to_Comparative_Reporting_v10.pdf
June 30, 2009 - Respiratory Failure3 Patient Safety
Indicators
Postoperative
Complication
PSI #12 Postoperative … Hemorrhage or Hematoma Pediatric Quality
Indicators
Postoperative
Complication
PDI #09 Postoperative … Respiratory Failure Pediatric Quality
Indicators
Postoperative
Complication
PDI #10 Postoperative … Sepsis Pediatric Quality
Indicators
Postoperative
Complication
PSI #09 Postoperative Hemorrhage … or Hematoma Patient Safety
Indicators
Postoperative
Complication
PSI #10 Postoperative Physiologic
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qualityindicators.ahrq.gov/Downloads/Resources/Case_Studies/Johns_Hopkins_Case_Study.pdf
August 01, 2019 - System
Key Findings
• The Johns Hopkins Hospital worked diligently to improve its performance for Postoperative … A Concerted Effort to Reduce Postoperative Respiratory Failure (PSI 11)
Starting in 2012, Johns Hopkins … Hospital examined data related to its rate of postoperative respiratory
failure. … As a result, between 2012 and 2014,
the percent of postoperative isolated coronary artery bypass surgery … By early 2016, nearly 60 percent of
postoperative CABG patients were on a ventilator for less than six
-
qualityindicators.ahrq.gov/downloads/resources/publications/2006/ahrqqi_cvp.doc
January 01, 2006 - Pilot will focus on these AHRQ Patient Safety Indicators:
· Accidental puncture and laceration*
· Postoperative … Respiratory Failure*
· Foreign body left in during procedure*
· Postoperative Pulmonary Embolism … or Deep Vein Thrombosis
· Iatrogenic pneumothorax**
· Postoperative Sepsis*
· Postoperative Hemorrhage … or Hematoma*
· Postoperative Wound Dehiscence*
· Postoperative Physiologic and Metabolic Derangements
-
qualityindicators.ahrq.gov/Downloads/Modules/PSI/PSI_Composite_Development.pdf
March 01, 2008 - to the PSIs, one could advocate for separate composites based on the type of
adverse event (e.g., postoperative … criteria to the PSIs, one could advocate for separate composites based on the type of adverse event (e.g., postoperative
-
qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Appendix_A.pdf
August 01, 2004 - exclude cases from the denominator population
• Using ICD-9 codes to measure the concept of falls
Postoperative … included in denominator population
(QI software uses age, sex, DRG, and comorbidity
categories)
Postoperative … hip fracture (PSI 8)
Postoperative hemorrhage or hematoma (PSI 9)
Postoperative physiologic and metabolic … derangements (PSI 10
Postoperative respiratory failure (PSI 11)
Postoperative pulmonary embolism ( … PE) or deep vein thrombosi
Postoperative sepsis (PSI 13)
Postoperative wound dehiscence (PSI 14)
Accidental
-
qualityindicators.ahrq.gov/Downloads/Modules/PDI/V50/Pediatric_Ind.pdf
April 01, 2022 - neonates
■ PDI 01 - Accidental puncture or laceration
■ PDI 05 - Iatrogenic pneumothorax
■ PDI 08 - Postoperative … hemorrhage or
hematoma
■ PDI 09 - Postoperative respiratory failure
■ PDI 10 - Postoperative sepsis
-
qualityindicators.ahrq.gov/Downloads/Software/V2020/AHRQ_QI_Rate_Comparison_v2019_v2020.pdf
July 01, 2020 - Fracture Rate 0.91 0.07 0.08
PSI 09 Perioperative Hemorrhage or Hematoma Rate 1.00 2.25 2.24
PSI 10 Postoperative … Acute Kidney Injury Requiring Dialysis Rate 1.02 0.88 0.86
PSI 11 Postoperative Respiratory Failure … 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 1.40
PSI 14_NONOPEN Stratum: NONOPEN Postoperative … Respiratory Failure Rate 0.95 10.65 11.17
PDI 10 Postoperative Sepsis Rate 0.98 8.09 8.30
PDI 12 Central
-
qualityindicators.ahrq.gov/Downloads/Resources/Publications/2007/2007-February-AHRQ-QI-Newsletter.pdf
January 01, 2007 - Postoperative Hemorrhage and Hematoma
The specification for the Postoperative Hemorrhage and Hematoma … indicator will be revised to flag additional discharges with 1) a diagnosis
code postoperative hemorrhage … and a
procedure code for drainage of hematoma in any procedure code field;
and 2) a diagnosis code postoperative … The postoperative hemorrhage and hematoma patient safety
indicator and its risk factors. … Composite Measures
Patient Safety Indicators/Pediatric Quality Indicators
Present on Admission
Postoperative
-
qualityindicators.ahrq.gov/Downloads/Modules/PSI/V43/Change_Log_PSI_4.3.pdf
August 01, 2011 - Revised numerator inclusion criteria for
Postoperative Hemorrhage and Hematoma
(PSI #9) to require … Added area-level version of Postoperative
Hemorrhage or Hematoma as PSI #27. … Note: If available, these data elements are used to
implement a coding change to Postoperative
Wound … Modified PSI #14, Postoperative Wound
Dehiscence, to include only OR procedures in
the definition of … Modified Area level PSI #24, Postoperative
Wound Dehiscence, to drop the requirement
that the wound
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2021/v2021%20QI%20Software%20Release.pdf
January 01, 2021 - Respiratory Failure
Rate), and PSI 14 (Postoperative Wound Dehiscence Rate) denominators
− Updated … Respiratory Failure Rate)
− Renamed PDI 08 back to “Postoperative Hemorrhage or Hematoma Rate”, instead … • Updated name of QIs
►For example, PSI 09 Postoperative Hemorrhage or Hematoma Rate
• Revised, … Respiratory Failure Rate), and PSI 14 (Postoperative Wound Dehiscence Rate) denominators
− Updated … Respiratory Failure Rate) − Renamed PDI 08 back to “Postoperative Hemorrhage or Hematoma Rate”, instead
-
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
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2015/AHRQ_Quality_Indicators_Software_Changes_v50.pptx
January 01, 2015 - PS4E PSI 46
13
Key Measure Changes: PSI
PSI Composite weights updated
PSI 09/27: Perioperative/Postoperative … Hemorrhage or Hematoma
Platelet disorders added to numerator exclusion
Observed rate reduced
PSI 10: Postoperative … restricted to Stage V or End Stage
Observed rate increased
14
Key Measure Changes: PSI
PSI 11: Postoperative … Stage
Increase in observed rate
17
Key Measure Changes: PDI
PDI Composite weights updated
PDI 09: Postoperative
-
qualityindicators.ahrq.gov/Downloads/Resources/Publications/2008/AHRQ%20QI%20Validation%20Pilot%20Phase%20II_Interest%20Form_Final.pdf
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
-
qualityindicators.ahrq.gov/Downloads/Modules/PDI/V2021/Version_2021_Benchmark_Tables_PDI.pdf
January 01, 2021 - PDI 09 – Postoperative Respiratory Failure Rate ..................................................... … PDI 10 – Postoperative Sepsis Rate .................................................................. … Respiratory Failure Rate 2,212 81,585 27.11
PDI 10 Postoperative Sepsis Rate 1,362 170,285 8.00 … PDI 09 – Postoperative Respiratory Failure Rate
Table 8. … PDI 10 – Postoperative Sepsis Rate
Table 9.
-
qualityindicators.ahrq.gov/FAQs_Support/FAQ_QI.aspx
February 01, 2016 - medical in ICD-9-CM PSI specifications, thereby increasing the denominator for “perioperative” and “postoperative … Hip Fracture Rate), PSI 09 (Perioperative Hemorrhage or Hematoma Rate), PSI 10 (Postoperative Physiologic … and Metabolic Derangement Rate), PSI 11 (Postoperative Respiratory Failure Rate), PSI 12 (Perioperative … Pulmonary Embolism or Deep Vein Thrombosis Rate), PSI 13 (Postoperative Sepsis Rate), PDI 08 (Perioperative … Hemorrhage or Hematoma Rate), PDI 09 (Postoperative Respiratory Failure Rate), and PDI 10 (Postoperative
-
qualityindicators.ahrq.gov/FAQS_Support/FAQ_QI.aspx
February 01, 2016 - medical in ICD-9-CM PSI specifications, thereby increasing the denominator for “perioperative” and “postoperative … Hip Fracture Rate), PSI 09 (Perioperative Hemorrhage or Hematoma Rate), PSI 10 (Postoperative Physiologic … and Metabolic Derangement Rate), PSI 11 (Postoperative Respiratory Failure Rate), PSI 12 (Perioperative … Pulmonary Embolism or Deep Vein Thrombosis Rate), PSI 13 (Postoperative Sepsis Rate), PDI 08 (Perioperative … Hemorrhage or Hematoma Rate), PDI 09 (Postoperative Respiratory Failure Rate), and PDI 10 (Postoperative
-
qualityindicators.ahrq.gov/Downloads/Resources/Case_Studies/Carilion_Clinic_Case_Study.pdf
August 01, 2019 - evidence-based best practices associated with surgery,
Carilion Roanoke was able to reduce occurrences for Postoperative … Acute Kidney Injury
Requiring Dialysis (PSI 10) and Postoperative Respiratory Failure (PSI 11) … Carilion leadership found that implementing these
protocols led to zero occurrences of Postoperative … In addition, Carilion
achieved a 20 percent reduction in Postoperative Respiratory Failure (PSI 11)
-
qualityindicators.ahrq.gov/Downloads/Resources/Publications/FullListPublications-508.pdf
October 09, 2024 - : Implications for the AHRQ Postoperative Respiratory Failure
Patient Safety Indicator. … How valid is the AHRQ Patient Safety Indicator 'postoperative
hemorrhage or hematoma? … How valid is the AHRQ Patient Safety Indicator Postoperative
Respiratory Failure? … Excess costs attributable
to postoperative complications. … How valid is the AHRQ Patient Safety Indicator Postoperative
Respiratory Failure?
-
qualityindicators.ahrq.gov/Downloads/Resources/Publications/2006/2006-February-AHRQ-QI-Newsletter.htm
January 01, 2006 - Pneumothorax in
Non-Neonates
Pediatric Heart Surgery
Mortality
Pediatric Heart Surgery Volume
Postoperative … Hemorrhage or
Hematoma
Postoperative Respiratory
Failure
Postoperative Sepsis
Postoperative