-
www.ahrq.gov/faqs/index.html?page=22
The specifications for PSI 14 and PDI 11 (Postoperative Wound Dehiscence Rate), respectively for the
-
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
-
psnet.ahrq.gov/node/847934/psn-pdf
April 26, 2023 - which Brennan
and colleagues defined in the Harvard Medical Practice Study in New York State as “an injury … hospitals, including
overall mortality and safety-related outcomes such as cardiac complications, postoperative … Thoracic Surgeons offers patient safety
indicators for adult cardiac surgery, such as deep sternal wound … care facilities, including outcome measures focusing on
mobility (falls), skin integrity (pressure injuries … thromboses, postoperative sepsis, surgical wound dehiscence, and obstetric trauma.
-
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)
-
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.
-
hcup-us.ahrq.gov/reports/methods/2010_06.pdf
January 01, 2010 - abdominal wound dehiscence per 1,000 abdominopelvic-surgery
discharges (excluding immunocompromised … abdominal wound dehiscence per 1,000 abdominopelvic-surgery
discharges (excluding immunocompromised … PSI 24 Reclosure of postoperative abdominal wound dehiscence* (excluding immunocompromised and
obstetric … sepsis x x x
PSI 14 Postoperative wound dehiscence in
abdominopelvic surgical patients x x x … PSI 17 Birth trauma – injury to neonate x x x
PSI 18 Obstetric trauma – vaginal delivery with
instrument
-
hcup-us.ahrq.gov/reports/methods/2009_01.pdf
January 01, 2009 - abdominal wound dehiscence per 1,000 abdominopelvic-surgery
discharges (excluding immunocompromised … malignancy, and self-inflicted injury. … abdominal wound dehiscence per 1,000 abdominopelvic-surgery
discharges (excluding immunocompromised … PSI 17 Birth trauma - injury to neonate per 1,000 live births (excluding preterm and osteogenesis imperfecta … PSI 24 Reclosure of postoperative abdominal wound dehiscence* (excluding immunocompromised and
obstetric
-
hcup-us.ahrq.gov/reports/methods/2005_05.pdf
January 01, 2005 - Another issue relates to external cause of injury
reporting. … complications of care or to exclude cases (e.g., poisonings, self-
inflicted injury, trauma) from numerators … disruption of abdominal wall (postoperative abdominal wound dehiscence)
per 1000 abdominopelvic-surgery … PSI 24 Reclosure of postoperative disruption of abdominal wall (postoperative abdominal wound dehiscence … dehiscence, such as cases from earlier admissions
or from other hospitals.
-
hcup-us.ahrq.gov/datainnovations/ICD10Imp_Romano_NAHDO_October2016.pdf
October 27, 2016 - of a tubular body part (see also “restriction”)
6
Example QIs with mapping challenges
• PSI 14, Postoperative … wound dehiscence
– No PCS procedure code equivalent to 54.61, Reclosure
of postoperative disruption … of abdominal wall
• PSI 10, Postoperative acute kidney injury
requiring dialysis
– Intent of catheter … Internal
Medicine, Neonatal/Pediatric, Neurology, Obstetrics and
gynecology, Orthopedics, General and trauma
-
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
-
hcup-us.ahrq.gov/reports/methods/2004-05.pdf
January 01, 2004 - complications of care or to
6
exclude cases (e.g., poisonings, self-inflicted injury, trauma) … malignancy, and self-inflicted injury. … disruption of abdominal wall (postoperative abdominal wound dehiscence) per
1000 abdominopelvic-surgery … 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
-
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
-
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
-
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
-
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
-
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?
-
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
-
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.
-
hcup-us.ahrq.gov/reports/methods/2008_06.pdf
January 01, 2008 - malignancy, and self-inflicted injury. … abdominal wound dehiscence per 1,000 abdominopelvic-surgery
discharges (excluding immunocompromised … obstetric conditions*),
age 18 years or older
* Also excludes admissions specifically for such wound … dehiscence, such as cases from earlier
admissions or from other hospitals. … PSI 17 Birth trauma - injury to neonate per 1,000 live births (excluding preterm and osteogenesis imperfecta
-
psnet.ahrq.gov/node/33705/psn-pdf
January 01, 2011 - literature, RMF convened the Harvard surgical chiefs to develop evidence-based approaches to reduce
postoperative … injury to surgical patients. … Patterns of communication breakdowns resulting
in injury to surgical patients. … neurological changes (suspected cerebrovascular accident/seizure/new
onset paralysis)
Development of major wound … complications (dehiscence, evisceration)
Medication or treatment errors requiring clinical intervention