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Table B.1. AHRQ Quality Indicators selected for the National Healthcar

National Healthcare Disparities Report, 2008

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

QI No.Description
Prevention Quality Indicators (PQIs)
PQI 1Admissions 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 2Admissions with perforated appendix per 1,000 admissions, age 18 years and over, with appendicitis (excluding obstetric admissions and transfers from other institutions)
PQI 3Admissions 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 5Admissions for chronic obstructive pulmonary disease (COPD) (excluding obstetric admissions and transfers from other institutions) per 100,000 population, age 18 years and over
PQI 7Admissions for hypertension (excluding patients with cardiac procedures, obstetric conditions, and transfers from other institutions) per 100,000 population, age 18 years and over
PQI 11Bacterial 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 13Admissions 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 14Admissions for uncontrolled diabetes without complication* (excluding obstetric admissions and transfers from other institutions) per 100,000 population, age 18 years and over

* Without short-term (ketoacidosis, hyperosmolarity, coma) or long-term (renal, eye, neurological, circulatory, other unspecified) complications.
PQI 15Adult 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
PQI 16Hospital admissions for lower extremity amputations in patients with diabetes, per 100,000 population
PQI 18Hospital admissions for immunization-preventable influenza, per 100,000 population, age 65 and over
Pediatric Quality Indicators
PDI 01Accidental puncture or laceration during procedure per 1,000 discharges, age less than 18 years
PDI 14Pediatric asthma admissions (excluding patients with cystic fibrosis or anomalies of the respiratory system and transfers from other institutions) per 100,000 population, ages 2 years to 17 years
PDI 15Admissions 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 17Admissions with perforated appendix per 1,000 admissions with appendicitis, ages 1 to 17 years
Inpatient Quality Indicators (IQIs)
IQI 11Deaths 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 12Deaths 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 15Deaths per 1,000 admissions with acute myocardial infarction (AMI) as principal diagnosis (excluding transfers to another hospital), age 18 years and over
IQI 16Deaths 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 20Deaths 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 30Deaths 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 1Complications 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 2Deaths 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 3Decubitus ulcers per 1,000 discharges of length 5 or more days (excluding transfers, 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 4Failure 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), ages 18 years to 74 years
PSI 5Foreign 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 6Iatrogenic 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 7Selected 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 8Postoperative 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, or anoxic brain injury; patients with metastatic cancer, lymphoid malignancy, or bone malignancy; and self-inflicted injury.
PSI 9Postoperative 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 10Postoperative 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 11Postoperative 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 12Postoperative pulmonary embolism (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 13Postoperative 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 14Reclosure 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 15Accidental 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 17Birth trauma - injury to neonate per 1,000 live births (excluding preterm and osteogenesis imperfecta births)
PSI 18Obstetric trauma with 3rd or 4th degree lacerations per 1,000 instrument-assisted vaginal deliveries
PSI 19Obstetric trauma with 3rd or 4th degree lacerations per 1,000 vaginal deliveries without instrument assistance
PSI 20Obstetric trauma with 3rd or 4th degree lacerations per 1,000 cesarean deliveries

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Current as of March 2009
Internet Citation: Table B.1. AHRQ Quality Indicators selected for the National Healthcar: National Healthcare Disparities Report, 2008. March 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/nhqrdr/nhdr08/methods/HCUPtabb1.html