Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration.
Approach to Improving Safety
Setting of Care
The AHRQ Patient Safety Indicators (PSIs) have traditionally been used to detect adverse events during hospitalization. However, in this study the PSIs were able to identify adverse events after discharge in patients who did not experience preventable harm while hospitalized. As readmission rates are proving to be a problematic measure of discharge safety, screening for adverse events may more reliably assess care transitions' effectiveness.