PMID- 24290888
OWN - NLM
STAT- MEDLINE
DCOM- 20140515
LR  - 20211021
IS  - 1879-1883 (Electronic)
IS  - 0002-9610 (Print)
IS  - 0002-9610 (Linking)
VI  - 207
IP  - 4
DP  - 2014 Apr
TI  - Detecting adverse events in surgery: comparing events detected by the Veterans 
      Health Administration Surgical Quality Improvement Program and the Patient Safety 
      Indicators.
PG  - 584-95
LID - S0002-9610(13)00643-0 [pii]
LID - 10.1016/j.amjsurg.2013.08.031 [doi]
AB  - BACKGROUND: The Patient Safety Indicators (PSIs) use administrative data to 
      screen for select adverse events (AEs). In this study, VA Surgical Quality 
      Improvement Program (VASQIP) chart review data were used as the gold standard to 
      measure the criterion validity of 5 surgical PSIs. Independent chart review was 
      also used to determine reasons for PSI errors. METHODS: The sensitivity, 
      specificity, and positive predictive value of PSI software version 4.1a were 
      calculated among Veterans Health Administration hospitalizations (2003-2007) 
      reviewed by VASQIP (n = 268,771). Nurses re-reviewed a sample of hospitalizations 
      for which PSI and VASQIP AE detection disagreed. RESULTS: Sensitivities ranged 
      from 31% to 68%, specificities from 99.1% to 99.8%, and positive predictive 
      values from 31% to 72%. Reviewers found that coding errors accounted for some 
      PSI-VASQIP disagreement; some disagreement was also the result of differences in 
      AE definitions. CONCLUSIONS: These results suggest that the PSIs have moderate 
      criterion validity; however, some surgical PSIs detect different AEs than VASQIP. 
      Future research should explore using both methods to evaluate surgical quality.
CI  - Published by Elsevier Inc.
FAU - Mull, Hillary J
AU  - Mull HJ
AD  - Center for Organization, Leadership, and Management Research, VA Boston 
      Healthcare System, 150 S Huntington Avenue (152M), Boston, MA 02130, USA; 
      Department of Surgery, Boston University School of Medicine, Boston, MA, USA. 
      Electronic address: hillary.mull@va.gov.
FAU - Borzecki, Ann M
AU  - Borzecki AM
AD  - Center for Health Quality, Outcomes and Economic Research, Bedford VA Medical 
      Center, Bedford, MA, USA; Department of Health Policy and Management, Boston 
      University School of Public Health, Boston, MA, USA.
FAU - Loveland, Susan
AU  - Loveland S
AD  - Center for Organization, Leadership, and Management Research, VA Boston 
      Healthcare System, 150 S Huntington Avenue (152M), Boston, MA 02130, USA.
FAU - Hickson, Kathleen
AU  - Hickson K
AD  - Center for Health Quality, Outcomes and Economic Research, Bedford VA Medical 
      Center, Bedford, MA, USA; Harvard Medical School, Boston, MA, USA.
FAU - Chen, Qi
AU  - Chen Q
AD  - Center for Organization, Leadership, and Management Research, VA Boston 
      Healthcare System, 150 S Huntington Avenue (152M), Boston, MA 02130, USA.
FAU - MacDonald, Sally
AU  - MacDonald S
AD  - Center for Health Quality, Outcomes and Economic Research, Bedford VA Medical 
      Center, Bedford, MA, USA.
FAU - Shin, Marlena H
AU  - Shin MH
AD  - Center for Organization, Leadership, and Management Research, VA Boston 
      Healthcare System, 150 S Huntington Avenue (152M), Boston, MA 02130, USA.
FAU - Cevasco, Marisa
AU  - Cevasco M
AD  - VA Boston Healthcare System, Boston, MA, USA; Harvard Medical School, Boston, MA, 
      USA.
FAU - Itani, Kamal M F
AU  - Itani KM
AD  - Department of Surgery, Boston University School of Medicine, Boston, MA, USA; VA 
      Boston Healthcare System, Boston, MA, USA; Harvard Medical School, Boston, MA, 
      USA.
FAU - Rosen, Amy K
AU  - Rosen AK
AD  - Center for Organization, Leadership, and Management Research, VA Boston 
      Healthcare System, 150 S Huntington Avenue (152M), Boston, MA 02130, USA; 
      Department of Surgery, Boston University School of Medicine, Boston, MA, USA.
LA  - eng
GR  - VA999999/Intramural VA/United States
PT  - Comparative Study
PT  - Journal Article
DEP - 20131107
PL  - United States
TA  - Am J Surg
JT  - American journal of surgery
JID - 0370473
SB  - IM
MH  - Hospital Records
MH  - *Hospitals, Veterans
MH  - Humans
MH  - Incidence
MH  - Postoperative Complications/diagnosis/*epidemiology
MH  - Predictive Value of Tests
MH  - Quality Assurance, Health Care/*methods
MH  - *Quality Improvement
MH  - Surgical Procedures, Operative/adverse effects
MH  - United States/epidemiology
MH  - *United States Department of Veterans Affairs
PMC - PMC4557788
MID - NIHMS719231
OTO - NOTNLM
OT  - Administrative data
OT  - Adverse surgical events
OT  - Patient Safety Indicators
OT  - VA Surgical Quality Improvement Program
OT  - Veterans Health Administration
EDAT- 2013/12/03 06:00
MHDA- 2014/05/16 06:00
PMCR- 2015/09/02
CRDT- 2013/12/03 06:00
PHST- 2013/04/11 00:00 [received]
PHST- 2013/07/19 00:00 [revised]
PHST- 2013/08/01 00:00 [accepted]
PHST- 2013/12/03 06:00 [entrez]
PHST- 2013/12/03 06:00 [pubmed]
PHST- 2014/05/16 06:00 [medline]
PHST- 2015/09/02 00:00 [pmc-release]
AID - S0002-9610(13)00643-0 [pii]
AID - 10.1016/j.amjsurg.2013.08.031 [doi]
PST - ppublish
SO  - Am J Surg. 2014 Apr;207(4):584-95. doi: 10.1016/j.amjsurg.2013.08.031. Epub 2013 
      Nov 7.