Journal Article

Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment?

Rosen AK, Chen Q, Borzecki AM, et al. Health services research. 2014;49:1426-45.

This retrospective study of hospital data found that estimated adverse event rates varied between use of AHRQ Patient Safety Indicators and chart abstraction. These differences translated into substantial changes in hospital performance ratings and payments, emphasizing the challenge in using administrative data to assess hospital safety.