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

QI No. Description
Prevention Quality Indicators (PQIs)
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 over

* Ketoacidosis, hyperosmolarity, or coma.
PQI 2 Admissions with perforated appendix per 1,000 admissions, age 18 years and over, 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 over

* 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 over
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 over
PQI 11 Bacterial pneumonia admissions (excluding sickle cell or hemoglobin-S conditions, transfers from other institutions, and obstetric admissions) per 100,000 population, age 18 years and over
PQI 13 Admissions for angina without procedure (excluding patients with cardiac procedures, transfers from other institutions, and obstetric admissions) per 100,000 population, age 18 years and over
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.
PQI 15 Adult asthma admissions (excluding patients with cystic fibrosis or anomalies of the respiratory system, obstetric admissions, and transfers from other institutions) per 100,000 population, age 18 years and over
PQI 15 (modified) Adult asthma admissions (excluding patients with cystic fibrosis or anomalies of the respiratory system, obstetric admissions, and transfers from other institutions) per 100,000 population, age 65 years and over
Pediatric Quality Indicators
PDI 06 Deaths per 1,000 pediatric heart surgery admissions, patients age less than 18 years (excluding obstetric admissions; patients with transcatheter interventions as single cardiac procedures, performed without bypass but with catheterization; patients with septal defects as single cardiac procedures without bypass; heart transplant; premature infants with patent ductus arteriosus (PDA) closure as only cardiac procedure; and age less than 30 days with PDA closure as only cardiac procedure; transfers to another hospital; patients with unknown disposition; and neonates with a birth weight less than 500 grams)
PDI 14 Pediatric asthma admissions (excluding patients with cystic fribosis or anomalies of the respiratory system and transfers from other institutions) per 100,000 population, ages 2 years to 17 years
PDI 15 Admissions for diabetes with short-term complications* (excluding transfers from other institutions) per 100,000 population, ages 6 years to 17 years
*Ketoacidosis, hyperosmolarity, or coma.
PDI 16 Admissions for pediatric gastroenteritis (excluding patients with gastrointestinal abnormalities or bacterial gastroenteritis, and transfers from other institutions) per 100,000 population, ages 4 months to 17 years
Inpatient Quality Indicators (IQIs)
IQI 8 Deaths per 1,000 admissions with esophageal resection for cancer (excluding obstetric and neonatal admissions and transfers to another hospital), age 18 years and over
IQI 9 Deaths per 1,000 admissions with pancreatic resection for cancer (excluding obstetric and neonatal admissions and transfers to another hospital), age 18 years and over
IQI 11 Deaths per 1,000 admissions with abdominal aortic aneurysm (AAA) repair (excluding obstetric and neonatal admissions and transfers to another hospital), age 18 years and over
IQI 12 Deaths per 1,000 admissions with coronary artery bypass graft (CABG) (excluding obstetric and neonatal admissions and transfers to another hospital), age 40 years and over
IQI 15 Deaths per 1,000 admissions with acute myocardial infarction (AMI) as principal diagnosis (excluding transfers to another hospital), age 18 years and over
IQI 16 Deaths per 1,000 admissions with congestive heart failure (CHF) as principal diagnosis (excluding obstetric and neonatal admissions and transfers to another hospital), age 18 years and over
IQI 20 Deaths per 1,000 admissions with pneumonia as principal diagnosis (excluding obstetric and neonatal admissions and transfers to another hospital), age 18 years and over
IQI 30 Deaths per 1,000 adult admissions age 40 and over with percutaneous transluminal coronary angioplasties (PTCAs) (excluding obstetric and neonatal admissions and transfers to another hospital)
Patient Safety Indicators (PSIs)
PSI 1 Complications of anesthesia in any secondary diagnosis per 1,000 surgical discharges (excluding patients with anesthesia complications as a principal diagnosis and patients with self-inflicted injury, poisoning due to anesthetics, and active drug dependence or abuse), age 18 years and over or obstetric admissions
PSI 2 Deaths per 1,000 admissions in low-mortality DRGs (DRGs with an NIS 1997 benchmark of less than 0.5% mortality, excluding trauma, immunocompromised, and cancer patients), age 18 years and over or obstetric admissions
PSI 3 Decubitus ulcers per 1,000 discharges of length 5 or more days (excluding paralysis patients, patients admitted from long-term-care facilities, patients with diseases of the skin, subcutaneous tissue, and breast, and obstetric admissions*), age 18 years and over
*Also excludes admissions specifically for such problems, such as cases from earlier admissions or from other hospitals
PSI 4 Failure to rescue or deaths per 1,000 discharges having developed specified complications of care during hospitalization (excluding patients transferred in or out, patients admitted from long-term care facilities), patients ages 18 years to 74 years
PSI 5 Foreign body accidentally left in during procedure per 1000 medical and surgical discharges,* age 18 years and over or obstetric admissions

* Excludes admissions specifically for treatment of foreign body left, such as cases from earlier admissions or from other hospitals.
PSI 6 Iatrogenic pneumothorax per 1,000 discharges (excluding obstetric admissions and patients with trauma, thoracic surgery, lung or pleural biopsy, or cardiac surgery*), age 18 years and over

* 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 1,000 medical and surgical discharges (excluding immunocompromised and cancer patients, stays under 2 days, and admissions specifically for such infections*), age 18 years and over or obstetric admissions

* 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 1,000 surgical patients age 18 years and over who were not susceptible to falling* (excluding obstetric 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 1,000 surgical discharges (excluding obstetric admissions), age 18 years and over

* 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), age 18 years and over

* 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 with an operating room procedure (excluding patients with respiratory disease, circulatory disease, neuromuscular disorders, obstetric conditions, and admissions specifically for acute respiratory failure), age 18 years and over
PSI 12 Postoperative pulmonary embolus (PE) or deep vein thrombosis (DVT) per 1,000 surgical discharges (excluding patients admitted for DVT, obstetrics, and plication of vena cava before or after surgery*), age 18 years and over

* Also excludes admissions specifically for such thromboemboli, such as cases from earlier admissions, from other hospitals, or from other settings.
PSI 13 Postoperative sepsis per 1,000 elective-surgery discharges with an operating room procedure (excluding patients admitted for infection; patients with cancer or immunocompromised states, obstetric conditions, stays under 4 days, and admissions specifically for sepsis), age 18 years and over
PSI 14 Reclosure of postoperative abdominal wound dehiscence per 1,000 abdominopelvic-surgery discharges (excluding immunocompromised patients, stays under 2 days, and obstetric conditions*), age 18 years and over

* 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 1,000 discharges (excluding obstetric admissions*), age 18 years and over

* Also excludes admissions specifically for such problems, such as cases from earlier admissions or from other hospitals.
PSI 17 Birth trauma - injury to neonate per 1,000 live births (excluding preterm and osteogenesis imperfecta births)
PSI 18 Obstetric trauma with 3rd or 4th degree lacerations per 1,000 instrument-assisted vaginal deliveries
PSI 19 Obstetric trauma with 3rd or 4th degree lacerations per 1,000 vaginal deliveries without instrument assistance
PSI 20 Obstetric trauma with 3rd or 4th degree lacerations per 1,000 cesarean deliveries

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