Patient safety indicator events and complications in shoulder arthroplasty

Abstract Background Patient Safety Indicators (PSIs) were developed as a tool for hospitals to identify potentially preventable complications and improve patient safety performance. Aim the study aimed to measure the association between the AHRQ patient safety indicator PSI9 (Perioperative hemorrhage or hematoma) and the clinical outcome including death, readmission within 30 days and length of stay at the cardiothoracic surgery hospital Ain Shams University. Methods exploratory prospective cohort study was conducted to follow up patients from admission till 1 month after discharge at the cardiothoracic surgery hospital who fulfills the inclusion criteria. Data were collected for 330 patients through basic information sheet and follow-up sheet. Results the incidence rate of PSI9 was 49.54 per 1000 discharges. Demographic data was not significantly associated with increased incidence of PSI9. The risk of development of PSI9 was significantly higher in patients admitted directly to ICU [relative risk (RR) =5.6]. The risk of death and readmission was higher in cases developed PSI9 than the cases without PSI9 [RR = 2.40 (0.60-9.55) and 2.43 (0.636 - 9.48) respectively]. Conclusion high incidence rate of PSI9 and the incidence is higher in male gender and 60 years old and more patients. Those patients developed PSI9 were at high risk for readmission and death. Recommendations the hospital administration should consider strategies and policies to decrease the rate of PSI9 and subsequent unfavorable clinical outcomes.

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Positive Predictive Value Of The AHRQ Patient Safety Indicator Postoperative Sepsis: Implications For Practice And Policy

Journal of Surgical Research ◽

10.1016/j.jss.2010.11.301 ◽

2011 ◽

Vol 165 (2) ◽

pp. 329

Author(s):

M. Cevasco ◽

A.M. Borzecki ◽

A.K. Rosen ◽

Q. Chen ◽

P.A. Zrelak ◽

...

Keyword(s):

Patient Safety ◽

Positive Predictive Value ◽

Predictive Value ◽

Postoperative Sepsis ◽

Safety Indicator

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Gender association with postoperative hemorrhage patient safety indicator in the United States from 2000 to 2012

Journal of Critical Care ◽

10.1016/j.jcrc.2015.07.001 ◽

2015 ◽

Vol 30 (5) ◽

pp. 1124-1125

Author(s):

Ian Churnin ◽

Amanda Shakal ◽

Ali Seifi

Keyword(s):

United States ◽

Patient Safety ◽

The United States ◽

Postoperative Hemorrhage ◽

Safety Indicator ◽

Gender Association

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Postoperative respiratory failure: An update on the validity of the Agency for Healthcare Research and Quality Patient Safety Indicator 11 in an era of clinical documentation improvement programs

The American Journal of Surgery ◽

10.1016/j.amjsurg.2019.11.019 ◽

2020 ◽

Vol 220 (1) ◽

pp. 222-228

Author(s):

Jacqueline C. Stocking ◽

Garth H. Utter ◽

Christiana Drake ◽

J. Matthew Aldrich ◽

Michael K. Ong ◽

...

Keyword(s):

Patient Safety ◽

Respiratory Failure ◽

Healthcare Research ◽

Clinical Documentation ◽

Safety Indicator ◽

Postoperative Respiratory Failure ◽

Improvement Programs

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The rate of obstetric anal sphincter injuries in Finnish obstetric units as a patient safety indicator

European Journal of Obstetrics & Gynecology and Reproductive Biology ◽

10.1016/j.ejogrb.2013.01.027 ◽

2013 ◽

Vol 169 (1) ◽

pp. 33-38 ◽

Cited By ~ 6

Author(s):

Aura Pyykönen ◽

Mika Gissler ◽

Maija Jakobsson ◽

Lasse Lehtonen ◽

Anna-Maija Tapper

Keyword(s):

Patient Safety ◽

Anal Sphincter ◽

Obstetric Anal Sphincter Injuries ◽

Safety Indicator

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Concurrent Surgical Patient Safety Indicator Evaluation Results in More Accurate Reporting and Reimbursement

The American Surgeon ◽

10.1177/000313481408000826 ◽

2014 ◽

Vol 80 (8) ◽

pp. 776-777 ◽

Cited By ~ 2

Author(s):

Therese M. Duane ◽

Rajesh Ramanathan ◽

Patrick Leavell ◽

Catherine Mays ◽

Dale Harvey

Keyword(s):

Patient Safety ◽

Healthcare Research ◽

Surgical Patient ◽

Safety Indicator ◽

Time Periods ◽

Indicator Evaluation ◽

Accurate Reporting ◽

Total Charges

We sought to determine whether concurrent (before discharge) Agency for Healthcare Research and Quality patient safety indicator evaluation would result in a more expeditious review, accurate reporting, and improved reimbursement. We compared the period of preconcurrent (preC) coding (January 2012 to June 2012) with the period after concurrent coding (postC) began (July 2012 to December 2012) for total billing errors. There were 276 records reviewed in the preC versus 424 in the postC time periods. Overall coding errors were 225 (81.5%) preC versus 365 (86.1%) postC ( P = nonsignificant), whereas documentation errors were present in 26 (9.4%) preC versus 40 (9.4%) postC ( P = nonsignificant). Total charges were $3,782,024 preC and $2,011,144 postC. Recodes requiring rebilling were 21 (7.6%) preC for a total of $213,723 rebilled versus four (0.9%) postC for a total of $31,327 rebilled ( P < 0.0001). Time from service to review was 98.7 preC versus 52.3 postC days ( P < 0.0001). Time from service until rebill submitted averaged 100.8 preC versus 54.0 postC days ( P = 0.06). Concurrent review allows for more accurate reporting because recodes are completed before discharge. Billing delays prolong time to reimbursement and results in loss of revenue.

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