Patient Safety Indicators

The following measures belong to the group that falls into AHRQ's Patient Safety Indicator category. The Patient Safety Indicators (PSIs) are a set of indicators providing information on adverse events that occurred that are potentially preventable with high quality care. The PSIs were developed after a comprehensive literature review, analysis of ICD-9-CM codes, review by a clinician panel, implementation of risk adjustment, and empirical analyses.

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The PSIs can be used to help hospitals identify potential adverse events that might need further study; provide the opportunity to assess the incidence of adverse events and in hospital complications using administrative data found in the typical discharge record; include indicators for complications occurring in hospital that may represent patient safety events; and, indicators also have area level analogs designed to detect patient safety events on a regional level.

SQL to acquire these measures is as follows:

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Acquiring data on All PSI

select a.measure_id, a.author_measure_id, a.name_friendly

from measures as a, measure_groups_measures as b

where a.measure_id = b.measure_id

and b.measure_group_id = 22

.

Acquiring data on Hospital Level PSI

select a.measure_id, a.author_measure_id, a.name_friendly

from measures as a, measure_groups_measures as b

where a.measure_id = b.measure_id

and b.measure_group_id = 30

.

Acquiring data on Area Level PSI

select a.measure_id, a.author_measure_id, a.name_friendly

from measures as a, measure_groups_measures as b

where a.measure_id = b.measure_id

and b.measure_group_id = 31

.

This includes observed, risk-adjusted, and observed to expected measures..

measure_id	author_measure_id	name_friendly
10072	PSI 02	Unexpected Deaths
10073	PSI 12	Postoperative Lung Embolism or Deep Vein Thrombosis (clotting)
10074	PSI 14	Wound Complications in Abdominal Wall Surgery
10075	PSI 15	Accidental Puncture and Laceration
10076	PSI 17	Birth Trauma
10077	PSI 04	Failure to Rescue
10198	PSI 03	Pressure Ulcer
10200	PSI 06	Collapsed Lung caused by Medical Care
10201	PSI 07	Central Venous Catheter-related Bloodstream Infections
10202	PSI 09	Postoperative Hemorrhage or Hematoma
10203	PSI 11	Postoperative Respiratory Failure
10205	PSI 13	Postoperative Sepsis
10207	PSI 18	Obstetric Trauma - Instrument-assisted Vaginal Delivery
10208	PSI 19	Obstetric Trauma - Vaginal Delivery without Instrument
10212	PSI 05	Foreign Body Left During Procedure
10213	PSI 10	Postoperative Physiologic and Metabolic Derangement
10215	PSI 08	Postoperative Hip Fracture
10216	PSI 16	Blood Transfusion Reaction
10761	PSI 12	Observed Postoperative pulmonary embolism or deep vein thrombosis
10762	PSI 04	Observed Failure to Rescue
10764	PSI 03	Observed Pressure Ulcer
10765	PSI 07	Observed Central venous catheter-related blood stream infections
10766	PSI 13	Observed Postoperative Sepsis
10767	PSI 08	Observed Postoperative Hip Fracture
10846	PSI 20	Obstetric trauma (3rd or 4th degree lacerations): rate per 1,000 cesarean deliveries
10847	PSI 21	Foreign Body Left During Procedure per 100,000 population
10848	PSI 22	Iatrogenic Pneumothorax per 100,000 population
10849	PSI 23	Central Venous Catheter-related Bloodstream Infections per 100,000 population
10850	PSI 24	Wound Complications in Abdominal Wall Surgery
10851	PSI 25	Accidental puncture or laceration per 100,000 population
10852	PSI 26	Blood Transfusion reaction per 100,000 population
10853	PSI 27	Postoperative hemorrhage/hematoma requiring a procedure per 100,000 population
10859	PSI 90	Patient Safety for Selected Procedures Composite
10860	PSI 91	Patient Safety for Selected Conditions Composite
12122	IOM_PSI_7_CMS	CMS Patient Safety Indicator (PSI) 7: Number of central venous catheter-related bloodstream infections for Medicare beneficiaries ages 65-74 per 100,000 beneficiaries
16637	PSI 04_CMS	Rate of Death among Surgical Inpatients with Serious Treatable Complications for Medicare Patients
16638	PSI 90_CMS	Complications/Patient Safety for Selected Indicators (Composite Score) for Medicare Patients
16734	PSI 12_CMS	Postoperative Lung Embolism or Deep Vein Thrombosis (clotting)
16735	PSI 14_CMS	Wound Complications in Abdominal Wall Surgery
16736	PSI 15_CMS	Accidental Puncture and Laceration
16737	PSI 06_CMS	Collapsed Lung caused by Medical Care
16863	oPSI 02	Observed Unexpected Deaths
16864	oePSI 02	Observed to Expected Unexpected Deaths
16865	oePSI 03	Pressure Ulcer
16866	oePSI 04	Observed to Expected Death Rate among Surgical Inpatients with Serious Treatable Complications
16867	oPSI 04a	Observed Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum A
16868	raPSI 04a	Risk Adjusted Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum A
16869	oePSI 04a	Observed to Expected Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum A
16870	oPSI 04b	Observed Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum B
16871	raPSI 04b	Risk Adjusted Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum B
16872	oePSI 04b	Observed to Expected Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum B
16873	oPSI 04c	Observed Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum C
16874	raPSI 04c	Risk Adjusted Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum C
16875	oePSI 04c	Observerd to Expected Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum C
16876	oPSI 04d	Observed Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum D
16877	raPSI 04d	Risk Adjusted Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum D
16878	oePSI 04d	Observed to Expected Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum D
16879	oPSI 04e	Observed Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum E
16880	raPSI 04e	Risk Adjusted Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum E
16881	oePSI 04e	Observed to Expected Death Rate among Surgical Inpatients with Serious Treatable Complications Stratum E
16882	oPSI 06	Observed Collapsed Lung caused by Medical Care
16883	oePSI 06	Collapsed Lung caused by Medical Care
16884	oePSI 07	Central Venous Catheter-related Bloodstream Infections
16885	oePSI 08	Postoperative Hip Fracture
16886	oPSI 09	Observed Postoperative Hemorrhage or Hematoma
16887	oePSI 09	Postoperative Hemorrhage or Hematoma
16888	oPSI 11	Observed Postoperative Respiratory Failure
16889	oePSI 11	Postoperative Respiratory Failure
16890	oPSI 10	Observed Postoperative Physiologic and Metabolic Derangement
16891	oePSI 10	Postoperative Physiologic and Metabolic Derangement
16892	oePSI 12	Postoperative Lung Embolism or Deep Vein Thrombosis (clotting)
16893	oePSI 13	Postoperative Sepsis
16894	oePSI 14	Wound Complications in Abdominal Wall Surgery
16895	oePSI 15	Accidental Puncture and Laceration
16896	oPSI 14	Observed Wound Complications in Abdominal Wall Surgery
16897	oPSI 15	Observed Accidental Puncture and Laceration

Statistical significance is calculated using a 95% confidence interval on a standard z-test for state-wide values and populated in the sig_var_state field of pellucid2.entity_values.

CMS (Centers for Medicare and Medicaid Services) briefly calculated select hospital-level PSIs. These calculations were based on the information they received from hospitals nationally. They have "CMS" in their author_measure_id field.