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qualityindicators.ahrq.gov/Downloads/Modules/PDI/v2018/TechSpecs/PDI_10_Postoperative_Sepsis_Rate.pdf
June 01, 2018 - (only if they also have a secondary diagnosis of sepsis), cases in which
the procedure belongs to surgical … class 2 DRG (DRG2C*) , classified as clean contaminated, surgical class 3
(DRG3C) , classified as … potentially contaminated, or surgical class 9, unspecified (DRG9C) , with an
elective admission type … (ATYPE = 3) that otherwise qualify for the denominator
Discharges with a surgical class 2 DRG (DRG2C … Surgical
discharges are defined by specific MS-DRG codes.
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qualityindicators.ahrq.gov/Downloads/ICD10/PSI%2004%20Death%20Rate%20among%20Surgical%20Inpatients%20with%20Serious%20Treatable%20Complications.xlsx
January 01, 2004 - PSI 04 Death Rate among Surgical Inpatients with Serious Treatable Complications
Cover Sheet
AHRQ … Proposed Coding for ICD-10-CM/PCS Specification
Patient Safety Indicators #4 (PSI #4)
Death Rate among Surgical … V45/TechSpecs/PSI%2004%20Death%20among%20Surgical%20Inpatients.pdf
Numerator
PSI #4 Death Rate among Surgical … AHRQ QI™ Proposed Coding for ICD-10-CM/PCS Specification
PSI #4 Death Rate among Surgical … AHRQ QI™ Proposed Coding for ICD-10-CM/PCS Specification
PSI #4 Death Rate among Surgical
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qualityindicators.ahrq.gov/Downloads/Software/V2021/AHRQ_QI_Rate_Comparison_v20120_v2021.pdf
July 01, 2021 - Groups (DRGs) 0.97 0.50 0.52
PSI 03 Pressure Ulcer Rate 0.99 0.62 0.63
PSI 04
Death Rate among Surgical … Inpatients with Serious Treatable
Complications
1.00 143.08 142.77
PSI 04_DVT_PE
Death Rate Among Surgical … Vein Thrombosis/Pulmonary
Embolism (DVT/PE)
0.96 41.55 43.13
PSI 04_PNEUMONIA
Death Rate Among Surgical … Serious Treatable
Complications Stratum: Sepsis
1.01 215.19 212.08
PSI 04_SHOCK
Death Rate Among Surgical … a PSI 05 Retained Surgical Item or Unretrieved Device Fragment Count is a count, not a rate.
-
qualityindicators.ahrq.gov/modules/list_ahrq_qi.aspx
Death Rate in Low-Mortality Diagnosis Related Groups (DRGs)
347
PSI 4 Death Rate among Surgical … Indicator withdrawn from NQF endorsement in 2017
N/A
PSI 5
Retained Surgical … Reaction Volume Count
Retired in v2019
349
1
PSI 04 or Death Rate Among Surgical … Rate
Retired in v2019
337
PDI 3
Retained Surgical
-
qualityindicators.ahrq.gov/News/PSI_Retirement_Notice.pdf
September 01, 2016 - Area-level PSIs Scheduled for Retirement
PSI 21: Retained Surgical Item or Unretrieved Device Fragment … Low-Mortality Diagnosis Related Groups (DRGs)
PSI 03: Pressure Ulcer Rate
PSI 04: Death Rate among Surgical … Inpatients with Serious Treatable Complications
PSI 05: Retained Surgical Item or Unretrieved Device
-
qualityindicators.ahrq.gov/Downloads/Modules/PSI/V50/PSI_Brochure.pdf
September 01, 2015 - low-mortality diagnosis
related groups (DRGs)
■ PSI 03 - Pressure ulcer rate
■ PSI 04 - Death rate among surgical … inpatients
with serious treatable conditions
■ PSI 05 - Retained surgical item or unretrieved
device … instrument
■ PSI 90 - Patient Safety for Selected Indicators
Area-Level Indicators
■ PSI 21 - Retained surgical
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2021/v2021%20QI%20Software%20Release.pdf
January 01, 2021 - • Hospital-level
indicators
• Risk-adjusted
Pediatric (PDIs)
• Mortality rates for
pediatric surgical … v2021 Indicator Logic Changes
• Changes by module
► Overall
− Added a new surgical … Postoperative Wound Dehiscence Rate) denominators
− Updated hierarchy for PSI 04 (Death Rate among Surgical … ► Added risk factor for whether a discharge is medical or surgical to certain PDIs and PSIs
► Added … ►
►
Added risk factor for whether a discharge is medical or surgical to certain PDIs and PSIs
-
qualityindicators.ahrq.gov/Downloads/Modules/V2023/AHRQ_QI_Indicators_List.pdf
October 01, 2023 - Low-Mortality Diagnosis Related
Groups (DRGs)
• PSI 03- Pressure Ulcer Rate
• PSI 04 - Death Rate Among Surgical … Inpatients with
Serious Treatable Complications
• PSI 05 - Retained Surgical Item or Unretrieved Device
-
qualityindicators.ahrq.gov/Downloads/Modules/V45/Module_NQF_Endorsement_V4.5.pdf
May 01, 2013 - NUMBER
PSI #2 Death Rate in Low-Mortality Diagnosis Related Groups (DRGs) 347
PSI #4 Death Rate among Surgical … Inpatients with Serious Treatable Complications 351
PSI #5 Retained Surgical Item or Unretrieved Device … PDI #1 Accidental Puncture or Laceration Rate 344
PDI #2 Pressure Ulcer Rate 337
PDI #3 Retained Surgical
-
qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Health_Topics.pdf
January 01, 2000 - Death rate for surgical repair of an aortic aneurysm Number of surgical repairs of an aortic aneurysm … often a surgical wound in the stomach or pelvic area split open after an operation. … Rate of surgical instrument or tool accidentally left in a patient’s body
How often a surgical instrument … (which is called postoperative wound dehiscence in abdominopelvic surgical patients … Rate of surgical instrument or tool accidentally left in a child’s body
How often a surgical
-
qualityindicators.ahrq.gov/Downloads/Modules/PSI/V43/Change_Log_PSI_4.3.pdf
August 01, 2011 - V4.0 June 30,
2009
Software (SAS
and Windows)
and
Documentation
Surgical DRGs – For discharges … with
the MS-DRG denominator inclusion for surgical
discharges
V4.0 June 30,
2009
Software (SAS … (with OR procedure), adult surgical (without
OR procedure), pediatric surgical (with OR
procedure … ), pediatric surgical (without OR
procedure), obstetric and psychiatric. … surgical DRG (without OR
procedure) will generally be missing or zero
for most hospitals.
8.
-
qualityindicators.ahrq.gov/Downloads/Modules/PDI/v2018/TechSpecs/PDI_12_Central_Venous_Catheter-Related_Blood_Stream_Infection_Rate.pdf
June 01, 2018 - Central venous catheter-related bloodstream infections (secondary diagnosis) per 1,000 medical and
surgical … Surgical (Appendix C: SURGI2R ) and medical (Appendix E: MEDIC2R ) discharges, for patients ages 17 years … Surgical and medical discharges are defined by specific MS-DRG codes. … Appendix C - Surgical MS-DRGS
June 2018 1 of 5
http://www.qualityindicators.ahrq.gov/
http://www.qualityindicators.ahrq.gov
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Geppert_Composite_Measures.ppt
January 01, 2005 - Questions & Answers
Questions And Answers
IQI Surgical
High High … Medium Medium
Low Low Low Low
PANCREATIC RESECTION
AAA REPAIR
CABG
CRANIOTOMY
Latent Quality
IQI Surgical … Medium Medium
Low Low Low Low
PANCREATIC RESECTION
AAA REPAIR
CABG
CRANIOTOMY
Latent Quality
IQI Surgical … Medium Medium
Low Low Low Low
PANCREATIC RESECTION
AAA REPAIR
CABG
CRANIOTOMY
Latent Quality
IQI Surgical … Medium Medium
Low Low Low Low
PANCREATIC RESECTION
AAA REPAIR
CABG
CRANIOTOMY
Latent Quality
IQI Surgical
-
qualityindicators.ahrq.gov/Downloads/News/AHRQ_QI_Guide_to_Comparative_Reporting_v10.pdf
June 30, 2009 - .................................................................. 24
4.2.4 PSI #04 - Death among Surgical … • Data analysis suggests that stratifying by surgical approach (endoscopic vs. open) may
further … • Data analysis suggests that stratifying by surgical approach (endoscopic vs. open) may
further … Inpatients with Treatable Serious Complications
Description: Rate of in-hospital death among surgical … • AHRQ QI software offers stratification based on estimation of surgical wound class.
-
qualityindicators.ahrq.gov/Downloads/Software/WinQI/V2021/AHRQ_WinQI_v2021_Software_Rel_Notes.pdf
July 01, 2021 - A risk factor indicating whether a discharge is medical or surgical is used in risk-
adjustment models … for certain indicators that include both medical and surgical discharges. … A risk factor indicating whether a discharge is medical or surgical is used in risk-
adjustment models … for certain indicators that include both medical and surgical discharges.
5.2 Major Diagnostic Category
-
qualityindicators.ahrq.gov/News/PSI_v6.0_SASQI_WinQI_Memo.pdf
July 27, 2017 - Accordingly, AHRQ removed MS-DRGs 237 and 238 from the SURGI2R format
used to define surgical patients … However, MDRG 601 applies to surgical patients, whereas
MDRG 621 applies to medical patients, so it … Risk-Adjustment Aligned with recent NQF re-endorsement (December 2016)
PSI 04 is a risk-adjusted inpatient surgical … denominator is limited
to patients with certain complications that often arise in association with surgical
-
qualityindicators.ahrq.gov/Downloads/Software/SAS/V2021/AHRQ_SASQI_v2021_Software_Rel_Notes.pdf
July 01, 2021 - A risk factor indicating whether a discharge is medical or surgical is used in risk-
adjustment models … for certain indicators that include both medical and surgical discharges. … A risk factor indicating whether a discharge is medical or surgical is used in risk-
adjustment models … for certain indicators that include both medical and surgical discharges.
5.2 Major Diagnostic Category
-
qualityindicators.ahrq.gov/Downloads/Modules/QI_Reporting/Model_Report_Composite.pdf
January 01, 2000 - Death rate for surgical repair of
an aortic aneurysm
11
10
9
4
3
0 10 20 30 40 50 60
HOSPITAL … often a surgical wound in the stomach or pelvic area split open after an
operation (which is called … Rate of splitting open of a surgical wound after an
operation on the stomach or pelvic area
15
11 … Rate of splitting open of a surgical wound after an operation on the stomach or
pelvis
How … There is also a measure of safe
care, the surgical infection prevention rate.
-
qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Romano_Selecting_Quality_Measures.ppt
January 01, 2005 - professionals (e.g., midwife, pharmacist)
Potential indicators were rated by 8 multispecialty panels; surgical … indicators were also rated by 3 surgical panels
All panelists rated all assigned indicators (1-9) on … b Vascular complications were rated as Unclear (-) by surgical panel; multispecialty panel rating is … National trends in PSI rates, 1994-2002
Surgical/technical complications
HCUPNet at http://www.hcup.ahrq.gov … 59 (surg)
32 (med) 72 vs 46
69 vs 5 70 (surg)
28 (med) 50 vs 2
20 vs 2
In-hosp hip frx and falls #8 surgical
-
qualityindicators.ahrq.gov/Downloads/Resources/Webinars/2020/v2020%20QI%20Software%20Release_Final-08032020.pdf
January 01, 2020 - of care inside
the hospital—hospital
level indicators
• Mortality rates for
adult conditions /
surgical … • Hospital-level
indicators
• Risk-adjusted
Pediatric (PDIs)
• Mortality rates for
pediatric surgical … 14-days
from admission
►Do Not Resuscitate Setname (DNR) exclusion for PSI 04 Death
Rate among Surgical … hospital•Hospital-level indicators•Risk-adjusted
Pediatric (PDIs)
•Mortality rates for pediatric surgical … from admission
►
►
►
Do Not Resuscitate Setname (DNR) exclusion for PSI 04 Death
Rate among Surgical