Impact of Including Readmissions for Qualifying Events in the Patient Safety Indicators
The Agency for Healthcare Research and Quality Patient Safety Indicators (PSIs) do not capture complications arising after discharge. This study sought to quantify the bias related to omission of readmissions for PSI-qualifying conditions. Using 2000-2009 California Office of Statewide Health Planni...
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| Veröffentlicht in: | American journal of medical quality 2015-03, Vol.30 (2), p.114-118 |
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| container_end_page | 118 |
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| container_title | American journal of medical quality |
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| creator | Davies, Sheryl M. Saynina, Olga Baker, Laurence C. McDonald, Kathryn M. |
| description | The Agency for Healthcare Research and Quality Patient Safety Indicators (PSIs) do not capture complications arising after discharge. This study sought to quantify the bias related to omission of readmissions for PSI-qualifying conditions. Using 2000-2009 California Office of Statewide Health Planning and Development Patient Discharge Data, the study team examined the change in PSI rates when including readmissions in the numerator, hospitals performing in the extreme deciles, and longitudinal performance. Including 7-day readmissions resulted in a 0.3% to 8.9% increase in average hospital PSI rates. Hospital PSI rates with and without PSI-qualifying 30-day readmissions were highly correlated for point estimates and within-hospital longitudinal change. Most hospitals remained in the same relative performance decile. Longer length of stay, public payer, and discharge to skilled nursing facilities were associated with a higher risk of readmission for a PSI-qualifying event. Failure to include readmissions in calculating PSIs is unlikely to lead to erroneous conclusions. |
| doi_str_mv | 10.1177/1062860613518341 |
| format | Article |
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This study sought to quantify the bias related to omission of readmissions for PSI-qualifying conditions. Using 2000-2009 California Office of Statewide Health Planning and Development Patient Discharge Data, the study team examined the change in PSI rates when including readmissions in the numerator, hospitals performing in the extreme deciles, and longitudinal performance. Including 7-day readmissions resulted in a 0.3% to 8.9% increase in average hospital PSI rates. Hospital PSI rates with and without PSI-qualifying 30-day readmissions were highly correlated for point estimates and within-hospital longitudinal change. Most hospitals remained in the same relative performance decile. Longer length of stay, public payer, and discharge to skilled nursing facilities were associated with a higher risk of readmission for a PSI-qualifying event. 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| ispartof | American journal of medical quality, 2015-03, Vol.30 (2), p.114-118 |
| issn | 1062-8606 1555-824X |
| language | eng |
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| source | MEDLINE; SAGE Complete A-Z List |
| subjects | Adolescent Adult Aged Aged, 80 and over California Databases, Factual Female Hospitals - standards Humans Male Medical Errors Middle Aged Patient Readmission Patient Safety - standards Quality Indicators, Health Care Quality of Health Care - standards United States Young Adult |
| title | Impact of Including Readmissions for Qualifying Events in the Patient Safety Indicators |
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