-
qualityindicators.ahrq.gov/Downloads/News/AHRQ%20QI_Version%2041_Overview_Final.pdf
January 27, 2010 - updates (effective October 1, 2008)
– In particular, there is: p
New staging coding (I-IV) for pressure … Specification changes (continued) Specification changes (continued)
– These include changes to:
pressure … (instrument and non-instrument assisted)
Birth trauma – injury to neonate
7
Overview of ChangesOverview … Injury to neonate
PQI 9 - low birth weight
– However, the technical specification is included
with … elements
POA and point of origin
– Incorporating new codes
ICD-9-CM and MS-DRG
Special emphasis: pressure
-
qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2021/Version_2021_Benchmark_Tables_PSI.pdf
January 01, 2021 - PSI 03 – Pressure Ulcer Rate ........................................................................ … PSI 17 – Birth Trauma Rate Injury to Neonate ........................................................ … Rate – Injury to Neonate 13,930 3,107,144 4.48
PSI 18 Obstetric Trauma Rate Vaginal Delivery with … PSI 03 – Pressure Ulcer Rate
-- Indicates Not Applicable
GROUP NUMERATOR DENOMINATOR
OBSERVED … PSI 17 – Birth Trauma Rate Injury to Neonate
GROUP NUMERATOR DENOMINATOR
OBSERVED RATE
PER 1,000
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V50/PSI_Brochure.pdf
September 01, 2015 - Provider-Level Indicators
■ PSI 02 - Death rate in low-mortality diagnosis
related groups (DRGs)
■ PSI 03 - Pressure … embolism
or deep vein thrombosis rate
■ PSI 13 - Postoperative sepsis rate
■ PSI 14 - Postoperative wound … rate – injury to neonate
■ PSI 18 - Obstetric trauma rate – vaginal
delivery with instrument
■ PSI … 19 - Obstetric trauma rate-vaginal
delivery without instrument
■ PSI 90 - Patient Safety for Selected … ■ PSI 23 - Central venous catheter-related
blood stream infection rate
■ PSI 24 - Postoperative wound
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2020/PSI_Composite_Development.pdf
July 01, 2020 - AHRQ PSI Composite Measure
PSI 90 PATIENT SAFETY FOR SELECTED INDICATORS1
PSI 3 Pressure Ulcer Rate … Hip Fracture Rate
PSI 9 Perioperative Hemorrhage or Hematoma Rate
PSI 10 Postoperative Acute Kidney Injury … review
and expert opinion from 13 clinical specialists in surgery, internal medicine, nephrology, trauma … 9 Perioperative Hemorrhage or Hematoma Rate 0.0570 0.1621 0.0473
PSI 10 Postoperative Acute Kidney Injury … 0.1557
0.2569 0.2045
PSI 13 Postoperative Sepsis Rate 0.3102 0.1510 0.2395
PSI 14 Postoperative Wound
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2020/Version_2020_Benchmark_Tables_PSI.pdf
January 01, 2020 - PSI 03 – Pressure Ulcer Rate, per 1,000 Admissions .................................................. … PSI 10 – Postoperative Acute Kidney Injury Requiring Dialysis Rate, per 1,000 Admissions
........... … in Low-Mortality Diagnosis Related Groups (DRGs), per 1,000 Admissions 1,071 2,048.516 0.52
PSI 03 Pressure … PSI 03 – Pressure Ulcer Rate, per 1,000 Admissions
GROUP NUMERATOR DENOMINATOR
OBSERVED RATE
PER … PSI 10 – Postoperative Acute Kidney Injury Requiring Dialysis Rate, per
1,000 Admissions
GROUP NUMERATOR
-
qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2021/PSI_Composite_Measures.pdf
July 01, 2021 - AHRQ PSI 90 Composite Measure, v2021
PSI 90 PATIENT SAFETY AND ADVERSE EVENTS COMPOSITE1
PSI 03 Pressure … Fracture Rate
PSI 09 Postoperative Hemorrhage or Hematoma Rate
PSI 10 Postoperative Acute Kidney Injury … Pulmonary Embolism or Deep Vein Thrombosis Rate
PSI 13 Postoperative Sepsis Rate
PSI 14 Postoperative Wound … review and expert
opinion from 13 clinical specialists in surgery, internal medicine, nephrology, trauma … 0.1557 0.2318 0.1835
PSI 13 Postoperative Sepsis Rate 0.3102 0.1384 0.2182
PSI 14 Postoperative Wound
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qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2021/v2021%20QI%20Software%20Release.pdf
January 01, 2021 - with Hip Fracture Rate), PSI 11 (Postoperative Respiratory Failure
Rate), and PSI 14 (Postoperative Wound … ) measure logic to remove cases where Deep Tissue Injury is non-POA but all pressure
ulcer is POA
− … For
example,
►DTID: Deep tissue injury diagnosis codes (denominator exclusion)
− PSI 03 Pressure … with Hip Fracture Rate), PSI 11 (Postoperative Respiratory Failure Rate), and PSI 14 (Postoperative Wound … For example,
►DTID: Deep tissue injury diagnosis codes (denominator exclusion)
− PSI 03 Pressure
-
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 … Near vs. injury to…
Results
New pressures and attention on physician documentation and medical records
-
qualityindicators.ahrq.gov/Downloads/Modules/PSI/V43/Change_Log_PSI_4.3.pdf
August 01, 2011 - WinQI) and
Documentation
PSI #3: Modified denominator exclusion for
diagnosis of stage I and II pressure … V4.0 June 30,
2009
Software (SAS
and Windows)
and
Documentation
PSI #3 – Pressure Ulcer (formerly … Added caption for Table 3, Indicators and Use
of External Cause-of-Injury Codes.
7. … osteogenesis imperfecta
infants with injury to skeleton from the
numerator only. … Modified Area level PSI #24, Postoperative
Wound Dehiscence, to drop the requirement
that the wound
-
qualityindicators.ahrq.gov/Downloads/Software/V2020/AHRQ_QI_Rate_Comparison_v2019_v2020.pdf
July 01, 2020 - PER 1,000
PSI 02 Death Rate in Low-Mortality Diagnosis Related Groups (DRGs) 2.57 0.52 0.20
PSI 03 Pressure … PSI 09 Perioperative Hemorrhage or Hematoma Rate 1.00 2.25 2.24
PSI 10 Postoperative Acute Kidney Injury … Thrombosis Rate 1.00 3.37 3.38
PSI 13 Postoperative 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 … Accidental Puncture or Laceration Rate 1.00 1.04 1.04
PSI 17 Birth Trauma Rate – Injury to Neonate
-
qualityindicators.ahrq.gov/Downloads/Software/V2021/AHRQ_QI_Rate_Comparison_v20120_v2021.pdf
July 01, 2021 - 1,000
PSI 02 Death Rate in Low-Mortality Diagnosis Related Groups (DRGs) 0.97 0.50 0.52
PSI 03 Pressure … PSI 09 Postoperative Hemorrhage or Hematoma Rate 0.98 2.39 2.44
PSI 10 Postoperative Acute Kidney Injury … Dehiscence Rate 1.23 0.80 0.65
PSI 14_OPEN Postoperative Wound Dehiscence Rate Stratum: Open Approach … 1.27 1.73 1.36
PSI 14_NONOPEN
Postoperative Wound Dehiscence Rate Stratum: Non-Open
Approach
1.07 … Rate – Injury to Neonate 1.00 4.48 4.48
PSI 18 Obstetric Trauma Rate – Vaginal Delivery with Instrument
-
qualityindicators.ahrq.gov/Archive/News2009.aspx
January 27, 2010 - In particular, there is new staging coding (I-IV) for pressure ulcers (formerly called decubitus ulcer … catheterization, hypertension admission rate, CHF admission rate, bacterial pneumonia admission rate, pressure … Removal of indicators – PSI 1 (Complications of Anesthesia) and PSI 20 (Obstetric Trauma – Cesarean … Measures moved to other SAS modules – PSI 17 (Birth trauma – Injury to Neonate) and PQI 9 (Low Birth … In addition, risk adjustment has been removed from PSI 18 (OB Trauma – Vaginal w/ Instrument) and PSI
-
qualityindicators.ahrq.gov/Downloads/Modules/PDI/V43/Change_Log_PDI_4.3.pdf
August 01, 2011 - Software (SAS
and WinQI) and
Documentation
PDI #2: Modified inclusion logic to remove exclusion
of pressure … December 2,
2009
SAS Software
and
Documentation
PQI #9 – Low Birth Weight and PSI #17 – Birth
Trauma … Injury to Neonates – now calculated in the
PDI SAS module. … V 4.0 June 30, 2009 Software and
Documentation
PDI #2 – Pressure Ulcer (formerly Decubitus Ulcer)
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2016/AHRQ_QI_ICD10_Webinar_Transcript.pdf
January 01, 2016 - So turning to the pressure ulcer rate -- it was
refined to remove the exclusion of the Major Diagnostic … injuries to the denominator. … For PSI-10, postoperative acute kidney injury requiring
dialysis, we removed cases with a principal … These patients may be patients with acute
brain or spinal injury, may be less preventable because of … This allowed us to focus on the most serious interoperative injuries caused by an accidental
puncture
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2010/Estimated_Risk-Adjustment_Models_Incorporating_Data_on_Present_on_Admission.pdf
January 01, 2010 - IQI #31 - Carotid Endarterectomy Mortality X
IQI #32 – AMI Mortality WO Transfer X
PSI #03 - Pressure … Respiratory Failure X X
PSI #12 - Post-op PE or DVT X X
PSI #13 - Post-op Sepsis X X
PSI #14 - Post-op Wound … PSI #15 - Accidental Puncture or Laceration X X
PSI #16 - Transfusion Reaction X
PSI #17 - Birth Trauma … - Injury to Neonate
PDI #01 - Accidental Puncture or Laceration X X
8 4/14/10
PDI #02 - Pressure … Hematoma X X
PDI #09 - Post-op Respiratory Failure X X
PDI #10 - Post-op Sepsis X X
PDI #11 - Post-op Wound
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/Using%20Present%20on%20Admission.pdf
January 01, 2008 - IQI #31 - Carotid Endarterectomy Mortality X
IQI #32 – AMI Mortality WO Transfer X
PSI #03 - Pressure … Respiratory Failure X X
PSI #12 - Post-op PE or DVT X X
PSI #13 - Post-op Sepsis X X
PSI #14 - Post-op Wound … PSI #15 - Accidental Puncture or Laceration X X
PSI #16 - Transfusion Reaction X
PSI #17 - Birth Trauma … - Injury to Neonate
PDI #01 - Accidental Puncture or Laceration X X
8 4/14/10
PDI #02 - Pressure … Hematoma X X
PDI #09 - Post-op Respiratory Failure X X
PDI #10 - Post-op Sepsis X X
PDI #11 - Post-op Wound
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2020/AHRQ%20Quality%20Indicators%20Software%20v2020%20ICD-10-CMPCS.pdf
January 01, 2020 - Some examples include
measurements of avoidable complications such as pressure ulcers or post-operative … Pressure ulcer stage or deep tissue injury--this is … Some setnames were removed, such as
head trauma diagnosis codes, partial or partial or full hip replacement … Of course, then there are a handful such as pressure ulcers, but oftentimes pressure
ulcers, they're
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2021/AHRQ%20Quality%20Indicators%20Software%20v2021%20ICD-10-CMPCS.pdf
January 01, 2021 - Some
examples include measures of avoidable complications, such as pressure ulcers, and post-
operative … In
Version 2020, we added a new exclusion, or a new set of criteria based on deep tissue injury
coding … finally, incorporating several revisions to address denominator
exclusions, including those for PSI 03, pressure … to Version
2020 software logic over-including cases where a patient has stage 3, 4, or unstageable
pressure … exclusion for PSI 3 for DTI states exclude cases with any secondary ICD-
10-CM code for deep tissue injury
-
qualityindicators.ahrq.gov/Downloads/Resources/Publications/2011/ICD-10_Report_02-08-11_Final.pdf
January 01, 2011 - Health Insurance Portability and Accountability
Act (HIPAA) code sets in 2000 for reporting diagnoses, injuries … , impairments, and other health
problems and their manifestations, and causes of injury, disease, impairment … specifies certain conditions in more detail than ICD-9-CM by adding anatomical sites and types
of injury … Several PSIs have shared
or overlapping exclusions for conditions such as trauma and infections (present … Indicators that rely on procedure codes, such as PSI #04- Postoperative Wound
Dehiscence and PSI #10
-
qualityindicators.ahrq.gov/Downloads/Resources/Publications/FullListPublications-508.pdf
October 09, 2024 - A critical review of patient safety indicators
attributed to trauma surgeons. … Injury. 2017 Sep;48(9):1994-8. PMID: 28416153.
doi:10.1016/j.injury.2017.03.051. Epub 2017 Apr 1. … Eliminating hospital-acquired
pressure ulcers: within our reach. … Adv Skin Wound Care. 2013 Jan;26(1):13-8. … Positive predictive value of the AHRQ Patient Safety Indicator 'postoperative
wound dehiscence'.