PMID- 23939485
OWN - NLM
STAT- MEDLINE
DCOM- 20150828
LR  - 20211021
IS  - 1555-824X (Electronic)
IS  - 1062-8606 (Print)
IS  - 1062-8606 (Linking)
VI  - 29
IP  - 3
DP  - 2014 May-Jun
TI  - Using AHRQ patient safety indicators to detect postdischarge adverse events in 
      the Veterans Health Administration.
PG  - 213-9
LID - 10.1177/1062860613494751 [doi]
AB  - Patient safety indicators (PSIs) use inpatient administrative data to flag cases 
      with potentially preventable adverse events (AEs) attributable to hospital care. 
      This study explored how many AEs the PSIs identified in the 30 days post 
      discharge. PSI software was run on Veterans Health Administration 2003-2007 
      administrative data for 10 recently validated PSIs. Among PSI-eligible index 
      hospitalizations not flagged with an AE, this study evaluated how many AEs 
      occurred within 1 to 14 and 15 to 30 days post discharge using inpatient and 
      outpatient administrative data. Considering all PSI-eligible index 
      hospitalizations, 11 141 postdischarge AEs were identified, compared with 40 578 
      inpatient-flagged AEs. More than 60% of postdischarge AEs were detected within 14 
      days of discharge. The majority of postdischarge AEs were decubitus ulcers and 
      postoperative pulmonary embolisms or deep vein thromboses. Extending PSI 
      algorithms to the postdischarge period may provide a more complete picture of 
      hospital quality. Future work should use chart review to validate postdischarge 
      PSI events.
FAU - Mull, Hillary J
AU  - Mull HJ
AD  - 1VA Boston Healthcare System, Boston, MA.
FAU - Borzecki, Ann M
AU  - Borzecki AM
FAU - Chen, Qi
AU  - Chen Q
FAU - Shin, Marlena H
AU  - Shin MH
FAU - Rosen, Amy K
AU  - Rosen AK
LA  - eng
GR  - VA999999/ImVA/Intramural VA/United States
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
DEP - 20130812
PL  - Netherlands
TA  - Am J Med Qual
JT  - American journal of medical quality : the official journal of the American 
      College of Medical Quality
JID - 9300756
SB  - IM
MH  - Hospitals, Veterans/standards/statistics & numerical data
MH  - Humans
MH  - Patient Discharge/*statistics & numerical data
MH  - Patient Safety/*statistics & numerical data
MH  - Postoperative Complications/epidemiology
MH  - Pressure Ulcer/epidemiology
MH  - Pulmonary Embolism/epidemiology
MH  - Quality Indicators, Health Care/statistics & numerical data
MH  - Quality of Health Care/standards/statistics & numerical data
MH  - Retrospective Studies
MH  - United States/epidemiology
MH  - United States Department of Veterans Affairs/*statistics & numerical data
MH  - Venous Thrombosis/epidemiology
PMC - PMC4562225
MID - NIHMS718940
OTO - NOTNLM
OT  - PSI
OT  - Veterans Health Administration
OT  - administrative data
OT  - adverse event
OT  - patient safety
COIS- Conflict of Interest Declaration All authors do not have any current or 
      foreseeable financial and personal conflicts of interest. Separate conflict of 
      interest and financial disclosure form are provided to managing editor Deborah 
      Meiris by fax.
EDAT- 2013/08/14 06:00
MHDA- 2015/09/01 06:00
PMCR- 2015/09/08
CRDT- 2013/08/14 06:00
PHST- 2013/08/14 06:00 [entrez]
PHST- 2013/08/14 06:00 [pubmed]
PHST- 2015/09/01 06:00 [medline]
PHST- 2015/09/08 00:00 [pmc-release]
AID - 1062860613494751 [pii]
AID - 10.1177/1062860613494751 [doi]
PST - ppublish
SO  - Am J Med Qual. 2014 May-Jun;29(3):213-9. doi: 10.1177/1062860613494751. Epub 2013 
      Aug 12.