International Comparability of Patient Safety Indicators in 15 OECD Member Countries: A Methodological Approach of Adjustment by Secondary Diagnoses

Drösler, Saskia E.; Romano, Patrick S.; Tancredi, Daniel J.; Klazinga, Niek

doi:10.1111/j.1475-6773.2011.01290.x

Cited by 53 publications

(52 citation statements)

References 14 publications

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“…The rates have been adjusted by the average number of secondary diagnoses (Drösler et al, 2011) in order to improve inter-country comparability. Despite this adjustment, results for countries that report less than 1.5 diagnoses per record may be underestimated.…”

Section: Definition and Comparabilitymentioning

confidence: 99%

Health at a Glance 2013

2013

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Section: Definition and Comparabilitymentioning

confidence: 99%

Health at a Glance 2013

2013

Health at a Glance

421

128

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“…This is due to the use of modified exclusion criteria within the algorithm for the calculation of this indicator. In addition, the patient safety rates have been adjusted by the average number of secondary diagnoses (SDx) (Drösler et al, 2011) in order to improve inter-country comparability. Despite this adjustment, the results for the two countries (Finland and Italy) that are reporting less than 1.5 diagnoses per record may be under-estimated.…”

Section: Definition and Comparabilitymentioning

confidence: 99%

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Wyller¹

2013

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“…Drosler et al 5 6 analysed hospital discharge abstract administrative data from multiple countries and found that the PSI rates varied across countries. The variation in the PSI estimate could be caused by true quality of care differences or by differences in data quality.…”

Section: Introductionmentioning

confidence: 99%

Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study)

et al. 2013

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ObjectiveTo assess if the Agency for Healthcare Research and Quality patient safety indictors (PSIs) could be used for case findings in the International Classification of Disease 10th revision (ICD-10) hospital discharge abstract data.DesignWe identified and randomly selected 490 patients with a foreign body left during a procedure (PSI 5—foreign body), selected infections (IV site) due to medical care (PSI 7—infection), postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT; PSI 12—PE/DVT), postoperative sepsis (PSI 13—sepsis)and accidental puncture or laceration (PSI 15—laceration) among patients discharged from three adult acute care hospitals in Calgary, Canada in 2007 and 2008. Their charts were reviewed for determining the presence of PSIs and used as the reference standard, positive predictive value (PPV) statistics were calculated to determine the proportion of positives in the administrative data representing ‘true positives’.ResultsThe PPV for PSI 5—foreign body was 62.5% (95% CI 35.4% to 84.8%), PSI 7—infection was 79.1% (67.4% to 88.1%), PSI 12—PE/DVT was 89.5% (66.9% to 98.7%), PSI 13—sepsis was 12.5% (1.6% to 38.4%) and PSI 15—laceration was 86.4% (75.0% to 94.0%) after excluding those who presented to the hospital with the condition.ConclusionsSeveral PSIs had high PPV in the ICD administrative data and are thus powerful tools for true positive case finding. The tools could be used to identify potential cases from the large volume of admissions for verification through chart reviews. In contrast, their sensitivity has not been well characterised and users of PSIs should be cautious if using them for ‘quality of care reporting’ presenting the rate of PSIs because under-coded data would generate falsely low PSI rates.

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International Comparability of Patient Safety Indicators in 15 OECD Member Countries: A Methodological Approach of Adjustment by Secondary Diagnoses

Cited by 53 publications

References 14 publications

Health at a Glance 2013

Health at a Glance 2013

En forventet effekt

Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study)

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