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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/a1a_pdi_pdifactsheet.pdf
October 01, 2015 - Heart Surgery Volume N/A* 0340 2012
PDI 08 Perioperative Hemorrhage or Hematoma Rate 5.2
PDI 09 Postoperative … Respiratory Failure Rate 14.52
PDI 10 Postoperative Sepsis Rate 14.33
PDI 11 Postoperative Wound … Dehiscence Rate 1.12
PDI 12 Central Venous Catheter-Related Blood Stream Infection Rate 0.76
PDI
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a1c_combo_pdifactsheet.pdf
October 01, 2015 - Heart Surgery Volume N/A* 0340 2012
PDI 08 Perioperative Hemorrhage or Hematoma Rate 5.2
PDI 09 Postoperative … Respiratory Failure Rate 14.52
PDI 10 Postoperative Sepsis Rate 14.33
PDI 11 Postoperative Wound … Dehiscence Rate 1.12
PDI 12 Central Venous Catheter-Related Blood Stream Infection Rate 0.76
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
April 01, 2018 - It is estimated that 325000 postoperative wound infections occur each year in the US (3). … trauma – Anani Abalo et al. … Only 25% of patients with closed fractures/clean wounds developed surgical wound infection.
10 of the … or dehiscence. … Five of 14 patients with wound breakdowns and 8 of 51 patients with wounds that healed primarily had
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www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/pediatric.html
December 01, 2017 - Surgery PDF [ - 74.63 KB]
PDI08 Perioperative Hemorrhage or Hematoma PDF [ - 77.91 KB]
PDI09 Postoperative … Respiratory Failure PDF [ - 65.96 KB]
PDI10 Postoperative Sepsis PDF [ - 112.29 KB]
PDI11 Postoperative … Wound Dehiscence PDF [ - 61.87 KB]
PSI12 Central Venous Catheter-Related Bloodstream Infections
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa2.html
April 01, 2018 - The incidence increased from 13.2% in clean wounds to 70.0% in dirty wounds. … injury or aneurysm formation. … An additional surgical procedure was performed to treat postoperative wound complications (SSI, wound … drainage, wound hematoma, or wound dehiscence) in 29 cases and 1 control. … Surgical procedures unrelated to postoperative wound complications (such as total joint arthroplasty
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/b3a_combo_chartsforpresentations.xlsx
January 01, 2006 - sepsis 17.433 0
PSI 14 Postoperative wound dehiscence 0 0 0.007122 1.833 -100 0 0.3885433715 … 0.0683602771 PSI 15 Statistically Lower 0
PSI 16 Transfusion reaction 0.000004 0
PSI 17 Birth trauma … - injury to neonate 2.188 0
PSI 18 Obstetric trauma - vaginal with instrument 0.139241 0.062898 … 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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a2_combo_boardpresentation.pptx
October 01, 2015 - hip fracture
PSI 09 Postoperative hemorrhage or hematoma
PSI 10 Postoperative physiologic and … or deep vein thrombosis
PSI 13 Postoperative sepsis
PSI 14 Postoperative wound dehiscence
PSI … 15 Accidental puncture or laceration
PSI 16 Transfusion reaction
PSI 17 Birth trauma-injury to neonate … PSI 18 Obstetric trauma-vaginal delivery with instrument
PSI 19 Obstetric trauma-vaginal delivery without … Respiratory Failure Rate
PDI 10 Postoperative Sepsis Rate
PDI 11 Postoperative Wound Dehiscence Rate
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c3_pdi_staffpresentation.pptx
January 01, 2006 - 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
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_build_ssibundle.pptx
December 01, 2017 - cavity (abdomen)
Deep
Purulent drainage from deep aspect of the wound
Dehiscence
Abscess on exam or … For example, there’s purulent drainage from the wound, redness, and swelling, and wound cultures are … present 55 (43) 386 (64)
Length of operation, mean hours (range) 4.9 (1.5-12.2) 4.2 (1.0-14.0)
POSTOPERATIVE … hyperglycemia correlates with SSI, adopted as SCIP measures
Postoperative Glucose Levels
Infection … Smaller studies of general surgery patients also support a correlation between postoperative glucose
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www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - Physiologic and Metabolic Derangement
PSI 11: Postoperative Respiratory Failure
PSI 12: Perioperative … Pulmonary Embolism or Deep Vein Thrombosis Rate *
PSI 13: Postoperative Sepsis *
PSI 14: Postoperative … Wound Dehiscence *
PSI 15: Unrecognized Abdominopelvic Accidental Puncture or Laceration *
PSI 18 … -‐19: Obstetric Trauma Rate – Vaginal Delivery With/Without Instrument
IQIs: Mortality Review for … Respiratory Failure
PDI 10: Postoperative Sepsis
PDI 11: Postoperative Wound Dehiscence
PDI 12
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www.ahrq.gov/faqs/index.html?page=22
The specifications for PSI 14 and PDI 11 (Postoperative Wound Dehiscence Rate), respectively for the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b4_pdi_documentationcoding.pdf
March 15, 2016 - The potential effect
of surveillance bias on reported DVT rates after trauma. … J Trauma 2007;63(5):1132-37.
Iezzoni LI, Foley SM, Daley J, et al. 1992. … Document and code any associated pleural effusion or chest trauma. … PDI 09 Postoperative
Respiratory Failure
Rate
X Postoperative respiratory failure is
acute in nature … Wound
Dehiscence Rate
X Depth of the wound dehiscence:
external/superficial vs. internal/deep
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www.ahrq.gov/policymakers/chipra/pubs/background-2012/backgrndapb.html
December 01, 2012 - 6,3
0006
Foreign body left after procedure (PDI 3) (AHRQ)
6,3
4.5,2
0010
Postoperative … wound dehiscence (PDI 11) (AHRQ)
6,3
5,3.75
0005
Pressure ulcer rate (PDI 2) (AHRQ)
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www.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/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Loux.pdf
January 01, 2004 - hip fractures,
abdominopelvic wound dehiscence, and birth traumas. … 51)
0.67% (54)
Postoperative septicemia
Postoperative abdominopelvic
wound dehiscence
0.5% … w/
instrumentation
Obstetric trauma–vaginal w/o
instrumentation
Obstetric trauma–cesarean
21.2% … We then considered two measures of trauma service: whether or not the
hospital had a trauma center, … (postoperative
physiologic or metabolic derangement and postoperative septicemia), but not for
the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/b3a_pdi_chartsforpresentations.pdf
January 01, 2006 - Pediatric Heart 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 … 117.388135 PDI 10 No Statistically Significant Difference 0
PDI 11 Postoperative Wound Dehiscence Rate
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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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www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
January 01, 2024 - cesarean rates may be examined for an association with postpartum
8
hemorrhage or unintentional injuries … hip fracture, PSI #10:
10
Postoperative physiologic and metabolic derangements, PSI #11: Postoperative … Alternative codes evaluated
Yes
1.0931 + 1.4021
0.6600 (0-13.6126)
excluding clavicle, brachial
nerve injury … 674.1 dehiscence/disruption
of uterine wound
+Present on Admission
(POA)
See text
Potential MQI—No … Maternal birth trauma
Use AHRQ definition PSI 18
and 19?
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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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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.