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Patient Safety Indicators included in this site: 

The Patient Safety Indicators (PSIs) are a set of measures that screen for adverse events that patients experience as a result of exposure to the health care system. These events are likely amenable to prevention by changes at the system or provider level.

PSIs are defined on two levels: the provider level and the area level.

Provider-level indicators provide a measure of the potentially preventable complication for patients who received their initial care and the complication of care within the same hospitalization. Provider-level indicators include only those cases where a secondary diagnosis code flags a potentially preventable complication.

Provider Level Indicators included in this site:

The KHA Data committee reviewed the Patient Safety Indicators in November and recommended that all of the PSI's that are endorsed by the National Quality Forum (NQF) should be released to the public. 

  • Death in Low-Mortality DRGs (PSI 2)
  • Death among Surgical DRGs (Failure to Rescue) (PSI 4)
  • Foreign Body Left During Procedure  (PSI 5)
    •
  • Iatrogenic Pneumothorax (PSI 6)
  • Selected Infections Due to Medical Care (PSI 7)
  • Postoperative Hemorrhage or Hematoma (PSI 9)
  • Postoperative Respiratory Failure (PSI 11)
  • Postoperative Pulmonary Embolism or Deep Vein Thrombosis (PSI 12)
  • Postoperative Sepsis (PSI 13)
  • Postoperative Wound Dehiscence (PSI 14)
  • Accidental Puncture or Laceration (PSI 15)
    •
  • Transfusion Reaction (PSI 16)
  • Birth Trauma – Injury to Neonate (PSI 17)

Provider Level Indicators not included in this site:

These indicators are not endorsed by the NQF for various reasons.  Many of them depend heavily on the Present on Admission (POA) indicator which is not yet required for all claims.  The committee recommended that these indicators not be displayed until they are approved by the NQF and when the POA data is collected for all claims.

  • Complications of Anesthesia  (PSI 1)
  • Decubitus Ulcer (PSI 3)
  • Postoperative Hip Fracture (PSI 8)
  • Postoperative Physiologic and Metabolic Derangements  (PSI 10)
  • Obstetric Trauma – Vaginal with Instrument (PSI 18)
  • Obstetric Trauma – Vaginal without Instrument (PSI 19)
  • Obstetric Trauma – Cesarean Delivery (PSI 20)

 

A detailed Guide to Patient Safety Indicators, software, and software documentation are available on the AHRQ Quality Indicators web site: http://qualityindicators.ahrq.gov/psi_download.htm .

The Area and volume indicators have been excluded from this list since they are not hospital specific.    You can find the Prevention Quality (Volume) indicators on the Kentucky Department of Health Website at : http://chfs.ky.gov/ohp/healthdata/pqis.htm.