-
qualityindicators.ahrq.gov/Downloads/Software/V2020/AHRQ_QI_Rate_Comparison_v2019_v2020.pdf
July 01, 2020 - 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 … Wound Dehiscence Rate 1.00 0.04 0.04
PSI 15 Abdominopelvic Accidental Puncture or Laceration Rate 1.00 … 1.04 1.04
PSI 17 Birth Trauma Rate – Injury to Neonate 0.99 4.77 4.80
Version 2020 Page 4 July 2020
-
qualityindicators.ahrq.gov/Modules/PDI_TechSpec_ICD10_v2021.aspx
July 01, 2021 - RACHS-1 Pediatric Heart Surgery Mortality Rate
PDI 07 RACHS-1 Pediatric Heart Surgery Volume
PDI 11 Postoperative … Wound Dehiscence Rate
PDI 13 Transfusion Reaction Count
PDI 17 Perforated Appendix Admission Rate
-
qualityindicators.ahrq.gov/Modules/PSI_TechSpec_ICD10_v2021.aspx
July 01, 2021 - Iatrogenic Pneumothorax Rate
PSI 23 Central Venous Catheter-Related Blood Stream Infection Rate
PSI 24 Postoperative … Wound Dehiscence Rate
PSI 25 Accidental Puncture or Laceration Rate
PSI 26 Transfusion Reaction
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v1.pdf
August 31, 2016 - Acute Kidney Injury Rate2
PSI 11 Postoperative Respiratory Failure Rate
PSI 12 Perioperative … PSI 14 Postoperative Wound Dehiscence Rate
PSI 15 Unrecognized Abdominopelvic Accidental Puncture … Acute Kidney Injury
Rate
-- 0.041015 N/A
PSI 11 Postoperative Respiratory Failure
Rate
-- 0.304936 … Sepsis Rate 0.057308 0.216046 277.0%
PSI 14 Postoperative Wound Dehiscence
Rate
0.018205 0.013269 … PSI 08
30-day readmission for
wound infection
Hospital readmission for wound infection within 30
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_V1.pdf
August 31, 2016 - Acute Kidney Injury Rate2
PSI 11 Postoperative Respiratory Failure Rate
PSI 12 Perioperative … PSI 14 Postoperative Wound Dehiscence Rate
PSI 15 Unrecognized Abdominopelvic Accidental Puncture … Acute Kidney Injury
Rate
-- 0.041015 N/A
PSI 11 Postoperative Respiratory Failure
Rate
-- 0.304936 … Sepsis Rate 0.057308 0.216046 277.0%
PSI 14 Postoperative Wound Dehiscence
Rate
0.018205 0.013269 … PSI 08
30-day readmission for
wound infection
Hospital readmission for wound infection within 30
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ.pdf
August 31, 2016 - Acute Kidney Injury Rate2
PSI 11 Postoperative Respiratory Failure Rate
PSI 12 Perioperative … PSI 14 Postoperative Wound Dehiscence Rate
PSI 15 Unrecognized Abdominopelvic Accidental Puncture … Acute Kidney Injury
Rate
-- 0.041015 N/A
PSI 11 Postoperative Respiratory Failure
Rate
-- 0.304936 … Sepsis Rate 0.057308 0.216046 277.0%
PSI 14 Postoperative Wound Dehiscence
Rate
0.018205 0.013269 … PSI 08
30-day readmission for
wound infection
Hospital readmission for wound infection within 30
-
qualityindicators.ahrq.gov/Modules/PDI_TechSpec_ICD10_v2020.aspx
March 01, 2021 - RACHS-1 Pediatric Heart Surgery Mortality Rate
PDI 07 RACHS-1 Pediatric Heart Surgery Volume
PDI 11 Postoperative … Wound Dehiscence Rate
PDI 13 Transfusion Reaction Count
PDI 17 Perforated Appendix Admission Rate
-
qualityindicators.ahrq.gov/Modules/PSI_TechSpec_ICD10_v2020.aspx
March 01, 2021 - Iatrogenic Pneumothorax Rate
PSI 23 Central Venous Catheter-Related Blood Stream Infection Rate
PSI 24 Postoperative … Wound Dehiscence Rate
PSI 25 Accidental Puncture or Laceration Rate
PSI 26 Transfusion Reaction
-
qualityindicators.ahrq.gov/Downloads/Modules/PSI/V43/Change_Log_PSI_4.3.pdf
August 01, 2011 - Modified criteria for PSI #7 (selected infections
due to medical care) and PSI #14 (postop
wound dehiscence … Modified denominator of PSI #14 and PSI #24
(postop wound dehiscence) to exclude
immunocompromised … 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/Modules/PDI/V43/Composite_User_Technical_Specification_PDI_4.3.pdf
August 01, 2011 - to the PDIs, one could advocate for separate composites based on the
type of adverse event (e.g., postoperative … Hemorrhage or Hematoma Rate
2
PDI #09 Postoperative Respiratory Failure Rate
2
PDI #10 Postoperative … Sepsis Rate
PDI #11 Postoperative Wound Dehiscence Rate
PDI #12 Central Venous Catheter-Related … Hemorrhage or Hematoma Rate 0.0 0.0
PDI 09 Postoperative Respiratory Failure Rate 0.0 0.0
PDI10 … Postoperative Sepsis Rate 0.2257 0.2119
PDI 11 Postoperative Wound Dehiscence Rate 0.0072 0.009
PDI
-
qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/AHRQQI_McDonald_Davies_Pediatric_Indicator_Module.ppt
January 01, 2005 - cerebral palsy), spina bifida, muscular dystrophy or glycogen storage diseases and neurodevastation due to trauma … dehiscence, Post-op respiratory failure, UTI
Modified numerator
Gastroenteritis
Not all indicators … dehiscence – wanted to exclude immunocompromised state, but not really at higher risk
PO respiratory … PO wound dehiscence is more rare in children than in adults. … , hypernatremia)
Trauma mortality
Phase II: Next Steps
Literature reviews
Update existing definitions
-
qualityindicators.ahrq.gov/Downloads/Modules/PSI/V43/Composite_User_Technical_Specification_PSI_4.3.pdf
August 01, 2011 - Respiratory Failure
Rate
PSI #06 Iatrogenic Pneumothorax Rate
1
PSI #12 Postoperative Pulmonary … Sepsis Rate
1
PSI #08 Postoperative Hip Fracture Rate
1
PSI #14 Postoperative Wound Dehiscence … Rate
1
PSI #10 Postoperative Physiologic and Metabolic
Derangement Rate
1
These measures … Postoperative Physiologic and Metabolic Derangement Rate 0.0 0.0
PSI 11 Postoperative Respiratory Failure … PSI 13 Postoperative Sepsis Rate 0.0309 0.0536
PSI 14 Postoperative Wound Dehiscence Rate 0.0064
-
qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2020/PSI_Composite_Development.pdf
July 01, 2020 - Acute Kidney Injury Requiring Dialysis Rate
PSI 11 Postoperative Respiratory Failure Rate
PSI 12 Perioperative … Wound Dehiscence Rate
PSI 15 Abdominopelvic Accidental Puncture or Laceration Rate
1 PSI 90 is endorsed … review
and expert opinion from 13 clinical specialists in surgery, internal medicine, nephrology, trauma … 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
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_V2.pdf
October 05, 2016 - Acute Kidney Injury Rate2
PSI 11 Postoperative Respiratory Failure Rate
PSI 12 Perioperative … PSI 14 Postoperative Wound Dehiscence Rate
PSI 15 Unrecognized Abdominopelvic Accidental Puncture … Puncture/Laceration Rate) were refined so that the indicator focuses on the
most serious intraoperative injuries … review
and expert opinion from 13 clinical specialists in surgery, internal medicine, nephrology,
trauma … Sepsis Rate 0.057308 0.216046 277.0%
PSI 14 Postoperative Wound Dehiscence
Rate
0.018205 0.013269
-
qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v2.pdf
October 05, 2016 - Acute Kidney Injury Rate2
PSI 11 Postoperative Respiratory Failure Rate
PSI 12 Perioperative … PSI 14 Postoperative Wound Dehiscence Rate
PSI 15 Unrecognized Abdominopelvic Accidental Puncture … Puncture/Laceration Rate) were refined so that the indicator focuses on the
most serious intraoperative injuries … review
and expert opinion from 13 clinical specialists in surgery, internal medicine, nephrology,
trauma … Sepsis Rate 0.057308 0.216046 277.0%
PSI 14 Postoperative Wound Dehiscence
Rate
0.018205 0.013269
-
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
-
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/Presentations/2005/2005AHRQQI_Farquhar_Overview_of_AHRQ_QI.ppt
January 01, 2005 - hemorrhage or hematoma
Postoperative hip fracture
Postoperative physiological and metabolic derangement … Postoperative respiratory failure
Postoperative sepsis
Postoperative wound dehiscence *
Technical difficulty … with procedure *
Transfusion reaction *
Birth trauma – injury to neonate
Obstetric (OB) trauma – cesarean … delivery (w/ and w/o 3rd degree lacerations)
OB trauma – vaginal delivery with instrument (w/ and w/ … o 3rd degree lacerations)
OB trauma – vaginal delivery without instrument (w/ and w/o 3rd degree lacerations
-
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