Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study).

Hude Quan; Cathy Eastwood; Ceara Tess Cunningham; Mingfu Liu; Ward Flemons; Carolyn De Coster; William A. Ghali; IMECCHI investigators

Study

Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study).

November 6, 2013

Quan H, Eastwood C, Cunningham CT, et al. BMJ Open. 2013;3(10):e003716.

View more articles from the same authors.

Several AHRQ patient safety indicators had acceptable positive predictive value for identifying adverse events when tested using the new ICD-10 administrative coding system.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

Mitigating imperfect data validity in administrative data PSIs: a method for estimating true adverse event rates.

March 3, 2021

Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data.

October 12, 2016

What happens when healthcare innovations collide?

January 6, 2016

A framework to assess patient-reported adverse outcomes arising during hospitalization.

August 24, 2016

Association of inpatient hospital experience with patient safety indicators: a cross-sectional, Canadian study.

September 21, 2016

A randomised controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death or hospital readmission.

December 6, 2017

A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events.

November 15, 2017

Application of patient safety indicators internationally: a pilot study among seven countries.

August 5, 2009

ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group.

January 29, 2014

Determinants of adverse events in hospitals—the potential role of patient safety culture.

February 27, 2008

Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review.

August 21, 2019

Measuring safety of healthcare: an exercise in futility?

January 15, 2020

Advancing measurement of patient safety culture.

October 15, 2008

Interpreting and coding causal relationships for quality and safety using ICD-11.

February 28, 2024

The costs of developing, implementing, and operating a safety learning system in community practice.

December 11, 2013

A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers.

September 7, 2011

Drug calculation ability of qualified paramedics: a pilot study.

February 28, 2018

Does surgeon fatigue influence outcomes after anterior resection for rectal cancer?

June 18, 2008

Evaluation of electronic health record implementation on pharmacist interventions related to oral chemotherapy management.

October 26, 2016

Using clinical simulation to teach patient safety in an acute/critical care nursing course.

August 3, 2005

Predicting patient complaints in hospital settings.

October 22, 2008

Implementation of crew resource management: a qualitative study in 3 intensive care units.

January 7, 2015

Review of computerized physician handoff tools for improving the quality of patient care.

December 12, 2012

Opportunities and challenges for quality and safety applications in ICD-11: an international survey of users of coded health data.

February 17, 2016

Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting.

June 3, 2015

Applying the Toyota Production System: using a patient safety alert system to reduce error.

July 11, 2007

Barriers and facilitators for taking action after classroom-based crew resource management training at three ICUs.

July 2, 2014

How to be a very safe maternity unit: an ethnographic study.

February 20, 2019

A structured judgement method to enhance mortality case note review: development and evaluation.

December 4, 2013

Is culture associated with patient safety in the emergency department? A study of staff perspectives.

April 23, 2014

What is the value and impact of quality and safety teams? A scoping review.

November 16, 2011

Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning.

November 4, 2015

Evaluation of an electronic health record structured discharge summary to provide real time adverse event reporting in thoracic surgery.

March 13, 2019

The Collective Leadership for Safety Culture (Co-Lead) team intervention to promote teamwork and patient safety.

February 17, 2021

Cost-effectiveness of a quality improvement programme to reduce central line–associated bloodstream infections in intensive care units in the USA.

October 15, 2014

Crew resource management training in the intensive care unit. A multisite controlled before-after study.

April 6, 2016

Validation of new ICD-10-based patient safety indicators for identification of in-hospital complications in surgical patients: a study of diagnostic accuracy.

September 11, 2019

Hospital discharge documentation and risk of rehospitalisation.

May 4, 2011

The efficacy of computer-enabled discharge communication interventions: a systematic review.

February 9, 2011

Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare.

July 10, 2013

Implementing a patient safety alert system.

March 6, 2005

Human patient simulation: teaching students to provide safe care.

September 26, 2007

Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture.

September 12, 2018

Urban outpatient views on quality and safety in primary care.

November 9, 2005

Medication safety in a psychiatric hospital.

March 21, 2007

Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education.

June 17, 2015

Improving medication reconciliation in the outpatient setting.

May 2, 2007

Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems.

November 8, 2006

Interruptions and blood transfusion checks: lessons from the simulated operating room.

February 4, 2009

Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs.

February 29, 2012

A novel approach to increase residents' involvement in reporting adverse events.

May 18, 2011

Impact of pharmacist involvement in the transitional care of high-risk patients through medication reconciliation, medication education, and postdischarge call-backs (IPITCH Study).

February 3, 2016

Real-time clinical alerting: effect of an automated paging system on response time to critical laboratory values—a randomised controlled trial.

April 14, 2010

One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals.

March 25, 2015

Fighting against COVID-19: innovative strategies for clinical pharmacists.

May 6, 2020

Satisfaction of intensive care unit nurses with nurse-physician communication.

May 28, 2008

Detection rates of mild cognitive impairment in primary care for the United States Medicare population.

November 15, 2023

Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper.

April 21, 2021

Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program.

October 30, 2013

Adverse respiratory events in anesthesia: a closed claims analysis.

March 6, 2005

Inadequate preoperative team briefings lead to more intraoperative adverse events.

May 27, 2015

Can patients report patient safety incidents in a hospital setting? A systematic review.

May 23, 2012

Developing and testing a tool to measure nurse/physician communication in the intensive care unit.

June 1, 2011

Developing a high-performance team training framework for internal medicine residents: the ABC'S of teamwork.

June 1, 2011

Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting.

April 18, 2018

The Canadian interprofessional patient safety competencies: their role in health-care professionals' education.

March 7, 2012

Real-time automated paging and decision support for critical laboratory abnormalities.

August 17, 2011

Nursing handoffs: a systematic review of the literature.

April 21, 2010

A nomenclature of nomenclature: the sources of terminologic uncertainty and confusion and the value of communication.

March 4, 2009

Impact of electronic prescribing in a hospital setting: a process-focused evaluation.

August 27, 2008

To catch a killer: electronic sepsis alert tools reaching a fever pitch?

August 28, 2019

Does applying technology throughout the medication use process improve patient safety with antineoplastics?

February 5, 2014

Electronic prescribing in an ambulatory care setting: a cluster randomized trial.

April 20, 2011

The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic.

June 2, 2021

Approaches to reducing the most important patient errors in primary health-care: patient and professional perspectives.

February 24, 2010

Patient error: a preliminary taxonomy.

May 27, 2009

The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event investigations.

August 30, 2023

Common formats allow uniform collection and reporting of patient safety data by patient safety organizations.

January 13, 2010

New research highlights the role of patient safety culture and safer care.

August 24, 2011

Alleviating "second victim" syndrome: how we should handle patient harm.

December 14, 2011

Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction.

July 1, 2009

CMS's hospital-acquired condition lists link hospital payment, patient safety.

March 25, 2009

Patient safety organizations ready for action.

February 18, 2009

The importance of simulation: preventing hand-off mistakes.

October 29, 2008

New patient safety organizations lower roadblocks to medical error reporting.

August 13, 2008

Care transitions: a threat and an opportunity for patient safety.

November 15, 2006

The intensive care unit, patient safety, and the Agency for Healthcare Research and Quality.

October 4, 2006

AHRQ quality and safety initiatives.

June 1, 2005

Improving patient safety: patient-focused, high-reliability team training.

September 10, 2008

Safeguarding patients: complexity science, high reliability organizations, and implications for team training in healthcare.

December 20, 2006

Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect?

February 7, 2018

Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation.

October 21, 2020

Rate of occult specimen provenance complications in routine clinical practice.

February 27, 2013

A systematic review of interventions used to enhance implementation of and compliance with the World Health Organization surgical safety checklist in adult surgery.

October 6, 2021

Mitigating error vulnerability at the transition of care through the use of health IT applications.

February 20, 2013

What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS.

June 5, 2019

Using a quantitative risk register to promote learning from a patient safety reporting system.

February 4, 2015

Potential safety gaps in order entry and automated drug alerts: a nationwide survey of VA physician self-reported practices with computerized order entry.

June 22, 2011

Critical laboratory value notification: a failure mode effects and criticality analysis.

January 31, 2006

Prescribing discrepancies likely to cause adverse drug events after patient transfer.

February 25, 2009

Related Resources

Hospital Performance Report.

October 28, 2021

Hospital Compare.

May 13, 2021

HANYS' Report on Report Cards.

November 20, 2019

A framework to assess patient-reported adverse outcomes arising during hospitalization.

August 24, 2016

Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors?

November 26, 2014

Unexpectedly long hospital stays as an indicator of risk of unsafe care: an exploratory study.

June 25, 2014

Detecting adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical Quality Improvement Program and the Patient Safety Indicators.

June 4, 2014

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

May 21, 2014

Patient safety: let's measure what matters.

May 21, 2014

Implementing the Safety Thermometer tool in one NHS trust.

April 16, 2014

Evidence-based organization and patient safety strategies in European hospitals.

March 19, 2014

Augmenting health care failure modes and effects analysis with simulation.

March 5, 2014

Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals.

February 19, 2014

Hospital patient safety grades may misrepresent hospital performance.

February 12, 2014

Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011.

February 5, 2014

National trends in patient safety for four common conditions, 2005–2011.

January 29, 2014

The Orthopaedic Error Index: development and application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional approach.

December 18, 2013

Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital.

December 4, 2013

A longitudinal study of clinical peer review's impact on quality and safety in US hospitals.

November 27, 2013

'Not another safety culture survey': using the Canadian patient safety climate survey (Can-PSCS) to measure provider perceptions of PSC across health settings.

November 13, 2013

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2013.

November 13, 2013

Beyond crisis resource management: new frontiers in human factors training for acute care medicine.

October 30, 2013

An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions.

October 23, 2013

Safety in numbers: the development of Leapfrog's composite patient safety score for US hospitals.

October 16, 2013

Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration.

September 18, 2013

Validity of Agency for Healthcare Research and Quality Patient Safety Indicators at an academic medical center.

August 21, 2013

Teaching hospital five-year mortality trends in the wake of duty hour reforms.

August 7, 2013

The Human Factors Analysis Classification System (HFACS) applied to health care.

August 7, 2013

Influence of state laws mandating reporting of healthcare-associated infections: the case of central line–associated bloodstream infections.

July 31, 2013

Adoption of electronic health records grows rapidly, but fewer than half of US hospitals had at least a basic system in 2012.

July 24, 2013

See More About The Topic

Hospitals

Health Care Executives and Administrators

Safety Scientists

General Internal Medicine

Hospital Medicine

Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study).

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study).

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site