Using administrative data to identify surgical adverse events: an introduction to the Patient Safety Indicators
Using administrative data to identify surgical adverse events: an introduction to the Patient Safety Indicators
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DOI：
10.1016/j.amjsurg.2009.08.008
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发表时间：
2009-11-01
影响因子：
3
通讯作者：
Rosen, Amy K.
中科院分区：
文献类型：
--
作者：
Kaafarani, Haytham M. A.;Rosen, Amy K.
背景：患者安全指标（psi）是基于国际疾病分类第九版临床修改的算法，旨在通过自动筛选随时可用的行政数据库来识别潜在的安全相关不良事件。这些指标中的许多都集中在外科护理上，其中一些已被国家质量论坛认可为绩效衡量标准。本报告的目的是简要概述psi的发展和定义，以及目前证明其有效性的证据，并与国家外科质量改进计划和为该计划设计的图表摘要进行比较。PSI验证的目的。方法：对过去几年发表的几篇文章以及从退伍军人健康管理局正在进行的PSI验证研究中收集的主要数据进行了检查。结果：根据PSI的性质和使用的验证方法，所选的手术PSI具有22%至89%的阳性预测值。结论：通过适当的编码修订，PSI的性能可以大大提高。(C) 2009年Elsevier Inc.出版。
BACKGROUND: The Patient Safety Indicators (PSIs) are algorithms based on the International Classification of Diseases, Ninth Revision, Clinical Modification, aimed at identifying potential safety-related adverse events through the automated screening of readily available administrative databases. Many of these indicators focus on surgical care, and a few have been endorsed by the National Quality Forum as performance measures. The aim of this report is to give a brief overview of the development and definitions of the PSIs as well as the current evidence for their validity, compared with the National Surgical Quality Improvement Program and chart abstraction designed for the. purpose of PSI validation.METHODS: Several articles published in the past few years, in addition to primary data collected from an ongoing study of PSI validation in the Veterans Health Administration, were examined.RESULTS: Selected surgical PSIs have positive predictive values ranging from 22% to 89%, depending on the nature of the PSI and the method of validation used.CONCLUSIONS: With adequate coding revisions, PSI performance can be substantially improved. (C) 2009 Published by Elsevier Inc.