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National Healthcare Disparities Report, 2004

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Table 1. AHRQ Quality Indicators Selected for the National Healthcare Disparities Report

QI No. Description
  Prevention Quality Indicators
PQI 1 Admissions for diabetes with short-term complications* (excluding obstetric admissions and transfers from other institutions) per 100,000 population, age 18 years and older
* Ketoacidosis, hyperosmolarity, or coma.
PQI 2 Admissions with perforated appendix per 1000 admissions with appendicitis (excluding obstetric and neonatal admissions and transfers from other institutions)
PQI 3 Admissions for diabetes with long-term complications* (excluding obstetric admissions and transfers from other institutions) per 100,000 population, age 18 years and older
* Renal, eye, neurological, circulatory, or other unspecified complications.
PQI 5 Admissions for chronic obstructive pulmonary disease (COPD) (excluding obstetric admissions and transfers from other institutions) per 100,000 population, age 18 years and older
PQI 6 Admissions for pediatric gastroenteritis (excluding obstetric and neonatal admissions and transfers from other institutions) per 100,000 population, age less than 18 years
PQI 7 Admissions for hypertension (excluding patients with cardiac procedures, obstetric and neonatal conditions, and transfers from other institutions) per 100,000 population, age 18 years and older
PQI 11 Bacterial pneumonia admissions (excluding sickle cell or hemoglobin-S conditions, transfers from other institutions, and obstetric and neonatal admissions) per 100,000 population
PQI 13 Admissions for angina without procedure (excluding surgical patients, transfers from other institutions, and obstetric and neonatal admissions) per 100,000 population, age 18 years and older
PQI 14 Admissions for uncontrolled diabetes without complication* (excluding obstetric and neonatal admissions and transfers from other institutions) per 100,000 population, age 18 years and older
* Without short-term (ketoacidosis, hyperosmolarity, coma) or long-term (renal, eye, neurological, circulatory, other unspecified) complications.
(Added) Immunization-preventable influenza admissions (excluding transfers from other institutions) per 100,000 population, age 65 years and older
  Inpatient Quality Indicators
IQI 9 Deaths per 1000 admissions with pancreatic resection for cancer (excluding obstetric and neonatal admissions and transfers to another hospital)
IQI 11 Deaths per 1000 admissions with abdominal aortic aneurysm (AAA) repair (excluding obstetric and neonatal admissions and transfers to another hospital)
IQI 12 Deaths per 1000 admissions with coronary artery bypass graft (CABG), age 40 and older (excluding obstetric and neonatal admissions and transfers to another hospital)
IQI 15 Deaths per 1000 admissions with acute myocardial infarction (AMI) as principal diagnosis, age 18 and older (excluding obstetric and neonatal admissions and transfers to another hospital)
IQI 16 Deaths per 1000 admissions with congestive heart failure (CHF) as principal diagnosis, age 18 and older (excluding obstetric and neonatal admissions and transfers to another hospital)
IQI 20 Deaths per 1000 admissions with pneumonia as principal diagnosis, age 18 and older (excluding obstetric and neonatal admissions and transfers to another hospital)
IQI 21 Cesarean deliveries per 1000 deliveries
IQI 22 Vaginal birth after cesarean (VABC) per 1000 women with previous cesarean deliveries
IQI 26 Coronary artery bypass grafts (CABG) for adults age 40 years and older (excluding obstetric admissions) per 100,000 population age 40 and older
IQI 27 Percutaneous transluminal coronary angioplasties (PTCA) for adults age 40 years and older (excluding obstetric admissions) per 100,000 population age 40 and older
IQI 28 Hysterectomies for adults (excluding obstetric conditions, genital cancer, and pelvic trauma) per 100,000 female population age 18 years and older
IQI 29 Laminectomies or spinal fusions for adults (excluding obstetric conditions) per 100,000 population age 18 years and older
IQI 30 Deaths per 1000 adult admissions age 40 and older with percutaneous transluminal coronary angioplasties (PTCA) (excluding obstetric and neonatal admissions and transfers to another hospital)
  Patient Safety Indicators
PSI 1 Complications of anesthesia per 1000 surgical discharges (excluding patients with such complications who also have substance use disorders)
PSI 2 Deaths per 1000 admissions in low mortality DRGs (DRGs with a NIS 1997 benchmark of less than 0.5% mortality, excluding trauma, immunocompromised, and cancer patients)
PSI 3 Decubitus ulcers per 1000 discharges of length 5 or more days (excluding paralysis patients, patients admitted from long-term-care facilities, patients with skin, subcutaneous tissue and breast diseases, neonates, and obstetrical admissions)
PSI 4 Failure to rescue or deaths per 1000 discharges having developed specified complications of care during hospitalization (excluding patients transferred in or out, patients admitted from long-term-care facilities, neonates, and patients over 74 years old)
PSI 5 Foreign body accidentally left in during procedure per 1000 medical and surgical discharges (excluding neonates*)
* Also excludes admissions specifically for treatment of foreign body left, such as cases from earlier admissions or from other hospitals.
PSI 6 Latrogenic pneumothorax per 1000 discharges (excluding neonates, obstetrical admissions, and patients with trauma, thoracic surgery, lung or pleural biopsy, or cardiac surgery*)
* Also excludes admissions specifically for iatrogenic pneumothorax, such as cases from earlier admissions or from other hospitals. Includes barotrauma (including acute respiratory distress syndrome) and central line placement.
PSI 7 Selected infections due to medical care per 1000 discharges* (excluding immunocompromised and cancer patients and neonates)
* Also excludes admissions specifically for such infections, such as cases from earlier admissions, from other hospitals, or from other settings.
PSI 8 Postoperative hip fracture for adults per 1000 surgical patients age 18 years and older who were not susceptible to falling* (excluding obstetrical admissions)
* That is, excluding patients with musculoskeletal disease; those admitted for seizures, syncope, stroke, coma, cardiac arrest, poisoning, trauma, delirium, psychoses, anoxic brain injury; patients with metastatic cancer, lymphoid malignancy, bone malignancy, and self-inflicted injury.
PSI 9 Postoperative hemorrhage or hematoma with surgical drainage or evacuation, not verifiable as following surgery*, per 1000 surgical discharges (excluding obstetrical admissions)
* Postoperative hemorrhage or hematoma is not verifiable as following surgery because information on day of procedure is not available for all discharges. Also, excludes admissions specifically for such problems, such as cases from earlier admissions, from other hospitals, or from other settings.
PSI 10 Postoperative physiologic and metabolic derangements per 1000 elective surgical discharges (excluding some serious disease* and obstetric admissions)
* That is, excluding patients with diabetic coma and patients with renal failure who also were diagnosed with AMI, cardiac arrhythmia, cardiac arrest, shock, hemorrhage, or gastrointestinal hemorrhage.
PSI 11 Postoperative respiratory failure per 1000 elective surgical discharges (excluding patients with respiratory disease, circulatory disease, and obstetric conditions)
PSI 12 Postoperative pulmonary embolus (PE) or deep vein thrombosis (DVT) per 1000 surgical discharges (excluding patients admitted for DVT, obstetrics, and plication of vena cava before or after surgery*)
* Also excludes admissions specifically for such thromboembuli, such as cases from earlier admissions, from other hospitals, or from other settings.
PSI 13 Postoperative sepsis per 1000 elective-surgery discharges of longer than 3 days (excluding patients admitted for infection; patients with cancer or immunocompromised states, and obstetric conditions)
PSI 14 Reclosure of postoperative disruption of abdominal wall (postoperative abdominal wound dehiscence) per 1000 abdominopelvic-surgery discharges (excluding obstetric conditions*)
* Also excludes admissions specifically for such wound dehiscence, such as cases from earlier admissions or from other hospitals.
PSI 15 Accidental puncture or laceration during procedures per 1000 discharges (excluding obstetric admissions*)
* Also excludes admissions specifically for such problems, such as cases from earlier admissions or from other hospitals.
PSI 16 Transfusion reactions per 1000 discharges (excluding neonates*)
* Also excludes admissions specifically for transfusion reactions, such as cases from earlier admissions or from other hospitals.
PSI 17 Birth trauma - injury to neonate per 1000 live births (excluding preterm and osteogenesis imperfecta births)
PSI 18 Obstetric trauma per 1000 instrument-assisted vaginal deliveries
PSI 19 Obstetric trauma per 1000 vaginal deliveries without instrument assistance
PSI 20 Obstetric trauma per 1000 Cesarean deliveries

 

 

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