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2005 National Healthcare Quality Report

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Accidental puncture or laceration during procedures (discharge-based) and accidental puncture or laceration during procedures (area-based)

Measure Source

Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSI).

Tables

2.18a Accidental puncture or laceration during procedures per 1,000 discharges (excluding obstetric admissions), United States, 2001 and 2002.

2.18b Accidental puncture or laceration during procedures per 100,000 population (excluding obstetric admissions), United States, 2001 and 2002.

Data Source

AHRQ, Center for Delivery, Organization, and Markets, Healthcare Cost and Utilization Project (HCUP), Nationwide Inpatient Sample.

Denominator

Table 2.18a: Hospital medical and surgical discharges, excluding obstetric admissions.

Table 2.18b: U.S. population.

Numerator

Table 2.18a: Discharges with ICD-9-CM code denoting accidental cut, puncture, perforation, or laceration during a procedure in any secondary diagnosis.

Table 2.18b: Discharges with ICD-9-CM code denoting accidental cut, puncture, perforation, or laceration during a procedure in any diagnosis field (principal or secondary).

Comments

Table 2.18a: Rates are adjusted by age, gender, age-gender interactions, comorbidities, and Diagnosis Related Groups (DRG) clusters. When reporting is by age, the adjustment is by gender, comorbidities, and DRG clusters; when reporting is by gender, the adjustment is by age, comorbidities, and DRG clusters.

Table 2.18b: Rates are adjusted by age and gender, using year 2000 as the standard population. When reporting is by age, the adjustment is by gender only; when reporting is by gender, the adjustment is by age only.

Although not all States participate in the HCUP database, the Nationwide Inpatient Sample is weighted to give national estimates using weights based on all U.S. community, non-rehabilitation hospitals in the American Hospital Association Annual Survey of Hospitals.

These tables were created using version 2.1, revision 2, of the AHRQ PSI software. These measures are referred to as indicator details 15 (discharge-based, table a) and 25 (area-based, table b) in the software documentation. Further information about this and other safety and quality indicators is available from the AHRQ Quality Indicators website at http://www.qualityindicators.ahrq.gov.

Reclosure of postoperative disruption of abdominal wall (discharge-based) and reclosure of postoperative disruption of abdominal wall (area-based). Postoperative sepsis.

 

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