PMID: 18419045Apr 19, 2008Paper

How often are potential patient safety events present on admission?

Joint Commission Journal on Quality and Patient Safety
Robert HouchensPatrick S Romano

Abstract

Data fields that capture whether diagnoses are present on admission (POA)--distinguishing comorbidities from potential in-hospital complications--became part of the Uniform Bill for hospital claims in 2007. The AHRQ Patient Safety Indicators (PSIs) were initially developed as measures of potential patient safety problems that use routine administrative data without POA information. The impact of adding POA information to PSIs was examined. Data were used from California (CA) and New York (NY) Healthcare Cost and Utilization Project (HCUP) state inpatient databases for 2003, which include POA codes. Analysis was limited to 13 of 20 PSIs for which POA information was relevant, such as complications of anesthesia, accidental puncture, and sepsis. In New York, 17% of cases revealed suspect POA coding, compared with 1%-2% in California. After suspect records were excluded, 92%-93% of secondary diagnoses in both CA and NY were POA. After incorporating POA information, most cases of decubitus ulcer (86%-89%), postoperative hip fracture (74%-79%), and postoperative pulmonary embolism/deep vein thrombosis (54%-58%) were no longer considered in-hospital patient safety events. Three of 13 PSIs appear not to be valid measures of in-hospita...Continue Reading

References

Apr 22, 1992·JAMA : the Journal of the American Medical Association·L I IezzoniT Heeren
Jan 1, 1991·Quality Assurance in Health Care : the Official Journal of the International Society for Quality Assurance in Health Care·J M NaessensR O Podratz
Mar 1, 1997·Annals of Internal Medicine·M PineG E Rosenthal
Feb 7, 1998·Medical Care·A ElixhauserR M Coffey
Apr 4, 2003·Health Affairs·Patrick S RomanoKathryn M McDonald
Apr 3, 2004·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·James M Naessens, Todd R Huschka
May 12, 2004·Journal of Clinical Epidemiology·Hude QuanWilliam A Ghali
Jan 25, 2006·Health Services Research·Laurent G GlanceDana B Mukamel
Jul 20, 2006·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Shea PolancichJoseph Prosser
May 15, 2007·Medical Care·Lisa I Iezzoni

❮ Previous
Next ❯

Citations

Sep 12, 2008·Health Services Research·Vivian G ValdmanisRyan L Mutter
Nov 19, 2010·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Matthew D McHughLinda H Aiken
Oct 23, 2010·Health Economics·Kathleen Carey, Theodore Stefos
Nov 19, 2011·Health Services Research·Tina Hernandez-BoussardJohn M Morton
Oct 1, 2013·Social Work in Public Health·Jayasree Basu, Bernard Friedman
Jun 15, 2015·Implementation Science : IS·Christian M RochefortMichal Abrahamowicz
Jul 3, 2015·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Christina MaassMatthias Schrappe
Sep 11, 2009·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Mark A Keroack, Steven J Meurer
May 24, 2011·Medical Care Research and Review : MCRR·Megan McHughAhmed Haque
Sep 8, 2011·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Carmen TsangPaul Aylin
May 4, 2011·Medical Care Research and Review : MCRR·Kathleen CareyAmy K Rosen
Jun 6, 2015·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·V SundararajanW A Ghali
Jun 9, 2016·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Dario TedescoMaria Pia Fantini
Jun 20, 2016·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Zhi QuSiyan Zhan
Apr 8, 2017·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Jaeyong BaeEdmund R Becker
Jul 30, 2017·BMJ Quality & Safety·Lee SquitieriDaniel A Waxman
Jun 27, 2018·Health Information Management : Journal of the Health Information Management Association of Australia·Mary A ResslarDimitrios Zikos
Dec 3, 2010·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Kevin M BaumlinBruce Janiak
Sep 4, 2010·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Michael F FurukawaBenjamin B M Shao
Sep 8, 2010·Journal of Neurosurgery·Ahmad KhaldiThomas C Origitano
Apr 15, 2015·Health Information Science and Systems·Blanca GallegoEnrico Coiera
Sep 1, 2016·Journal of the American Medical Informatics Association : JAMIA·Jennifer L HefnerSusan D Moffatt-Bruce
May 13, 2010·American Journal of Medical Quality : the Official Journal of the American College of Medical Quality·Banafsheh SadeghiPatrick S Romano
Dec 3, 2009·BMC Medical Informatics and Decision Making·Terri J JacksonCatherine Perry
Dec 7, 2016·Medical Care·Caroline P ThirukumaranYue Li
Nov 18, 2017·Medical Care Research and Review : MCRR·Michael RoskoRyan Mutter
Jan 29, 2010·The Journal of Rural Health : Official Journal of the American Rural Health Association and the National Rural Health Care Association·Smruti VartakThomas E Vaughn
Mar 26, 2009·Medical Care·Bernard FriedmanRyan Mutter
Dec 17, 2009·Research in Nursing & Health·Barbara A Mark, David W Harless
Nov 19, 2011·Health Services Research·Gavin WardleG Ross Baker
Feb 9, 2010·Deutsches Ärzteblatt International·Jürgen Stausberg, Joerg Hasford

❮ Previous
Next ❯

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