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.
Am J Surg
; 220(1): 222-228, 2020 07.
Article
in En
| MEDLINE
| ID: mdl-31757440
ABSTRACT
BACKGROUND:
Administrative data can be used to identify cases of postoperative respiratory failure (PRF). We aimed to determine if recent changes to the Agency for Healthcare Research and Quality Patient Safety Indicator 11 (PSI 11) and adoption of clinical documentation improvement programs have improved the validity of PSI 11. We also analyzed reasons why PSI 11 was falsely triggered. STUDYDESIGN:
Cross-sectional study of all eligible discharges using health record data from five academic medical centers between October 1, 2012 and September 30, 2015.RESULTS:
Of 437 flagged records, 434 (99.3%) were accurately coded and 414 (94.7%) represented true clinical PRF. None of the false positive records involved respiratory failure present on admission. Most (78.3%) false positive records required airway protection but did not have respiratory failure.CONCLUSION:
The validity of PSI 11 has improved with recent changes to the code criterion and adoption of clinical documentation improvement programs.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Postoperative Complications
/
Respiratory Insufficiency
/
Medical Records Systems, Computerized
/
United States Agency for Healthcare Research and Quality
/
Quality Indicators, Health Care
/
Patient Safety
/
Health Services Research
Type of study:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Aspects:
Implementation_research
Limits:
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Am J Surg
Year:
2020
Document type:
Article