Patient safety indicators for judging hospital performance: still not ready for prime time.
Kubasiak JC, Francescatti AB, Behal R, et al. Patient Safety Indicators for Judging Hospital Performance. Am J Med Qual. 2017;32(2):129-133. doi:10.1177/1062860615618782.
Examining patient safety indicator (PSI) events at a single academic hospital, this study found that up to one-third of reported events were due to the disease process rather than a patient safety problem, and between 11%–30% of events were not clinically significant. The authors argue that PSIs as currently reported should not be used for ranking hospitals.