A critical review of patient safety indicators attributed to trauma surgeons

Fox, Nicole; Willcutt, Rebecca; Elberfeld, Adrienne; Porter, John M.; Mazzarelli, Anthony

doi:10.1016/j.injury.2017.03.051

Cited by 9 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…While capturing comorbidities and severity at the time of clinical intake or admission may favorably impact a facility's rating or reimbursement, if this practice is applied to events occurring during or after hospitalization, it could have the opposite effect. Indeed, others have raised concerns that coding and documentation inconsistencies may limit the validity of employing PSI to evaluate hospital performance [19,53,54].…”

Section: Plos Onementioning

confidence: 99%

Increased reporting but decreased mortality associated with adverse events in patients undergoing lung cancer surgery: Competing forces in an era of heightened focus on care quality?

et al. 2020

View full text Add to dashboard Cite

Introduction Advances in surgical techniques have improved clinical outcomes and decreased complications. At the same time, heightened attention to care quality has resulted in increased identification of hospital-acquired adverse events. We evaluated these divergent effects on the reported safety of lung cancer resection. Methods and materials We analyzed hospital-acquired adverse events in patients undergoing lung cancer resection using the National Hospital Discharge Survey (NHDS) database from 2001-2010. Demographics, diagnoses, and procedures data were abstracted using ICD-9 codes. We used the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI) to identify hospital-acquired adverse events. Weighted analyses were performed using t-tests and chi-square. Results A total of 302,444 hospitalizations for lung cancer resection and were included in the analysis.

show abstract

Section: Plos Onementioning

confidence: 99%

Increased reporting but decreased mortality associated with adverse events in patients undergoing lung cancer surgery: Competing forces in an era of heightened focus on care quality?

et al. 2020

View full text Add to dashboard Cite

show abstract

“…23,[27][28][29][30] Although modifiable factors (e.g., staffing models) associated with improving hospital FTR rates have been described in the literature, lack of complication-specific mortality rate metrics is an impediment to understanding both the magnitude of preventable deaths occurring and the impact of interventions designed to improve recognition, diagnosis, and response to nonpreventable complications. [31][32][33] The need to stratify performance at the complication level is also important because prevention, recognition, response methods used to mitigate the risk associated with each complication are often different. Therefore, if quality leaders can understand specific areas where they need to improve, they can develop and implement specific prevention "bundles" and/or rescue systems to reduce the corresponding complication and its mortality risk.…”

mentioning

confidence: 99%

“…This is especially important as research shows that it is not prevention, but recognition and response to complications that decreases FTR and improves patient outcomes 23,27–30 . Although modifiable factors (e.g., staffing models) associated with improving hospital FTR rates have been described in the literature, lack of complication-specific mortality rate metrics is an impediment to understanding both the magnitude of preventable deaths occurring and the impact of interventions designed to improve recognition, diagnosis, and response to nonpreventable complications 31–33 …”

mentioning

confidence: 99%

A Pragmatic Method for Measuring Inpatient Complications and Complication-Specific Mortality

Blike

Perreard²,

McGovern

et al. 2022

J Patient Saf

View full text Add to dashboard Cite

Objectives:The primary objective of this study was to develop hospitallevel metrics of major complications associated with mortality that allows for the identification of opportunities for improvement. The secondary objective is to improve upon current metrics for failure to rescue (i.e., death from serious but treatable complications.)Methods: Agency for Healthcare Research and Quality metrics served as the basis for identifying specific complications related to major organ system morbidity associated with death. Complication-specific occurrence rates, observed mortality, and risk-adjusted mortality indices were calculated for the study institution and 182 peer organizations using component International Classification of Disease, Tenth Revision codes. Data were included for adults over a 4-year period, with exclusion of hospice patients and complications present on admission. Temporal visualizations of each metric were used to compare past and recent performance at the study hospital and in comparison to peers. Results:The complication-specific method showed statistically significant differences in the study hospital occurrence rates and associated mortality rates compared with peer institutions. The monthly control-chart presentation of these metrics provides assessment of hospital-level interventions to prevent complications and/or reduce failure to rescue deaths. Conclusions:The method described supplements existing metrics of serious complications that occur during the course of acute hospitalization allowing for enhanced visualization of opportunities to improve care delivery systems. This method leverages existing measure components to minimize reporting burden. Monthly time-series data allow interventions to prevent and/or rescue patients to be rapidly assessed for impact.

show abstract

Unrecognized Abdominopelvic Accidental Puncture or Laceration (AHRQ Patient Safety Indicator 15)

Brown

Mize

Didier

et al. 2022

Optimizing Widely Reported Hospital Quality and Safety Grades

View full text Add to dashboard Cite

A critical review of patient safety indicators attributed to trauma surgeons

Cited by 9 publications

References 9 publications

Increased reporting but decreased mortality associated with adverse events in patients undergoing lung cancer surgery: Competing forces in an era of heightened focus on care quality?

Increased reporting but decreased mortality associated with adverse events in patients undergoing lung cancer surgery: Competing forces in an era of heightened focus on care quality?

A Pragmatic Method for Measuring Inpatient Complications and Complication-Specific Mortality

Unrecognized Abdominopelvic Accidental Puncture or Laceration (AHRQ Patient Safety Indicator 15)

Contact Info

Product

Resources

About