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2005 National Healthcare Quality Report

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Decubitus ulcers

Measure Source

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

Table

2.9 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 obstetrical 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

All non-neonatal medical and surgical hospital discharges with length of stay of 5 or more days, excluding patients in MDC 9 (skin, subcutaneous tissue, and breast) or patients with hemiplegia, paraplegia, or quadriplegia, or admitted from long-term-care facilities, or obstetrical admissions.

Numerator

Subset of the denominator with any secondary diagnosis of decubitus ulcer (ICD-9-CM diagnosis code 707.0).

Comments

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.

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.

This table was created using version 2.1, revision 2, of the AHRQ PSI software. This measure is referred to as indicator 3 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.

Iatrogenic pneumothorax (discharge-based) and iatrogenic pneumothorax (area-based). Complications of anesthesia.

 

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