PSI #4 Death among Surgical Inpatients with Serious Treatable Complications
AHRQ Quality Indicators Web Site:
PSI #4
Death among Surgical Inpatients with Serious Treatable Complications
Provider-Level Indicator
Numerator
All discharges with a disposition of "deceased" (DISP=20) among cases meeting the inclusion and exclusion rules for the denominator.
Denominator
All surgical discharges age 18 years and older or MDC 14 (pregnancy, childbirth, and puerperium) defined by specific DRGs or MS-DRGs and an ICD-9-CM code for an operating room procedure, principal procedure within 2 days of admission OR admission type of elective (ATYPE=3) with potential complications of care listed in Death among Surgical definition (e.g., pneumonia, DVT/PE, sepsis, shock/cardiac arrest, or GI hemorrhage/acute ulcer).
See Patient Safety Indicators Appendices:
? Appendix A ? Operating Room Procedure Codes ? Appendix D ? Surgical Discharge DRGs ? Appendix E ? Surgical Discharge MS-DRGs
Exclude cases: ? age 90 years and older ? transferred to an acute care facility (SID Discharge Disposition = 2)
NOTE: Additional exclusion criteria is specific to each diagnosis.
FTR 2 - DVT/PE
A diagnosis of pulmonary embolism or deep vein thrombosis in any secondary diagnosis field
ICD-9-CM Pulmonary Embolism and Deep Vein Thrombosis diagnosis codes:
Pulmonary Embolism 4151 PULMONARY EMBOLISM AND
INFARCTION 41511 IATROGENIC PULMONARY EMBOLISM
AND INFARCTION 41519 PULMONARY EMBOLISM AND
INFARCTION, OTHER Deep Vein Thrombosis 45111 PHLEBITIS AND THROMBOSIS OF
FEMORAL VEIN (DEEP) (SUPERFICIAL)
45119
4512 45181 4519 45340 45341 45342
PHLEBITIS AND THROMBOPHLEBITIS OF DEEP VESSEL OF LOWER EXTREMITIES ? OTHER PHLEBITIS AND THROMBOPHLEBITIS OF LOWER EXTREMITIES UNSPECIFIED PHLEBITIS AND THROMBOPHLEBITIS OF ILIAC VEIN PHLEBITIS AND THROMBOPHLEBITIS OF OTHER SITES - OF UNSPECIFIED SITE DVT-EMBLSM LOWER EXT NOS (OCT 04) DVT-EMB PROX LOWER EXT (OCT 04) DVT-EMB DISTAL LOWER EXT (OCT 04)
Patient Safety Indicators Technical Specifications PSI #4 Death among Surgical Inpatients with Serious Treatable Complications
Version 4.1 ? 2009
Page 1
AHRQ Quality Indicators Web Site:
4538
OTHER VENOUS EMBOLISM AND THROMBOSIS OF OTHER SPECIFIED VEINS
4539
OTHER VENOUS EMBOLISM AND THROMBOSIS OF UNSPECIFIED SITE
Exclude cases: ? with a diagnosis of pulmonary embolism or deep vein thrombosis in the primary diagnosis field ? with a diagnosis of abortion-related or postpartum obstetric pulmonary embolism in the primary diagnosis field
ICD-9-CM Abortion-related and Postpartum Obstetric Pulmonary Embolism diagnosis codes:
63460 63461 63462 63560 63561 63562 63660 63661 63662 63760 63761
SPONTANEOUS ABORTION W/ EMBOLISM - UNSPECIFIED SPONTANEOUS ABORTION W/ EMBOLISM - INCOMPLETE SPONTANEOUS ABORTION W/ EMBOLISM - COMPLETE LEGAL ABORTION W/ EMBOLISM UNSPECIFIED LEGAL ABORTION W/ EMBOLISM INCOMPLETE LEGAL ABORTION W/ EMBOLISM COMPLETE ILLEGAL ABORTION W/ EMBOLISM UNSPECIFIED ILLEGAL ABORTION W/ EMBOLISM INCOMPLETE ILLEGAL ABORTION W/ EMBOLISM COMPLETE ABORTION NOS W/ EMBOLISM UNSPECIFIED ABORTION NOS W/ EMBOLISM INCOMPLETE
63762 6386 6396 67320
67321
67322
67323
67324
ABORTION NOS W/ EMBOLISM COMPLETE ATTEMPTED ABORTION W/ EMBOLISM POSTABORTION EMBOLISM OBSTETRICAL BLOOD-CLOT EMBOLISM, UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE OBSTETRICAL BLOOD-CLOT EMBOLISM, DELIVERED, W/ OR W/O MENTION OF ANTEPARTUM CONDITION OBSTETRICAL BLOOD-CLOT EMBOLISM, DELIVERED, W/ MENTION OF POSTPARTUM COMPLICATION OBSTETRICAL BLOOD-CLOT EMBOLISM, ANTEPARTUM CONDITION OR COMPLICATION OBSTETRICAL BLOOD-CLOT EMBOLISM, POSTPARTUM CONDITION OR COMPLICATION
FTR 3 ? Pneumonia
A diagnosis of pneumonia in any secondary diagnosis field ICD-9-CM Pneumonia diagnosis codes:
4820 4821 4822 4823 48230 48231 48232 48239 4824 48240
PNEUMONIA DUE TO KLEBSIELLA PNEUMONIAE PNEUMONIA DUE TO PSEUDOMONAS PNEUMONIA DUE TO HEMOPHILUS INFLUENZAE [H. INFLUENZAE] PNEUMONIA DUE TO STREPTOCOCCUS PNEUMONIA DUE TO STREPTOCOCCUS ? STREPTOCOCCUS, UNSPECIFIED PNEUMONIA DUE TO STREPTOCOCCUS ? GROUP A PNEUMONIA DUE TO STREPTOCOCCUS ? GROUP B PNEUMONIA DUE TO STREPTOCOCCUS ? OTHER STREPTOCOCCUS PNEUMONIA DUE TO STAPHYLOCOCCUS PNEUMONIA DUE TO STAPHYLOCOCCUS ? PNEUMONIA DUE TO STAPHYLOCOCCUS, UNSPECIFIED
48241 48242 48249 4828 48281 48282 48283 48284
METHICILLIN SUSCEPTIBLE PNEUMONIA DUE TO STAPHYLOCOCCUS AUREUS OCT08METHICILLIN RESISTANT PNEUMONIA DUE TO STAPHYLOCOCCUS AUREUS OCT08PNEUMONIA DUE TO STAPHYLOCOCCUS ? OTHER STAPHYLOCOCCUS PNEUMONIA PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA ? ANAEROBES PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA ? EXCHERICHIA COLI [E COLI] PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA ? OTHER GRAM-NEGATIVE BACTERIA PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA ? LEGIONNAIRES' DISEASE
Patient Safety Indicators Technical Specifications PSI #4 Death among Surgical Inpatients with Serious Treatable Complications
Version 4.1 ? 2009
Page 2
AHRQ Quality Indicators Web Site:
48289
4829 485 486
PNEUMONIA DUE TO OTHER SPECIFIED BACTERIA ? OTHER SPECIFIED BACTERIA BACTERIAL PNEUMONIA UNSPECIFIED BRONCHOPNEUMONIA, ORGANISM UNSPECIFIED PNEUMONIA, ORGANISM UNSPECIFIED
5070 514
DUE TO INHALATION OF FOOD OR VOMITUS PULMONARY CONGESTION AND HYPOSTASIS
Exclude cases: ? with a diagnosis of pneumonia or respiratory complications in the primary diagnosis field ? with any diagnosis code for viral pneumonia ? with any diagnosis of or procedure for immunocompromised state. ? MDC 4 (diseases/disorders of respiratory system)
See Patient Safety Indicators Appendices: ? Appendix I ? Immunocompromised State Diagnosis and Procedure Codes
ICD-9-CM Respiratory Complications diagnosis code:
9973 RESPIRATORY COMPLICATIONS
ICD-9-CM Viral Pneumonia diagnosis codes:
4800 4801
4802 4803 4808
4809 481 4830
4831 4838
ADENOVIRAL PNEUMONIA RESPIRATORY SYNCYTIAL VIRAL PNEUMONIA PARAINFLUENZA VIRAL PNEUMONIA PNEUMONIA DUE TO SARS OCT03VIRAL PNEUMONIA NOT ELSEWHERE CLASSIFIED VIRAL PNEUMONIA UNSPECIFIED PNEUMOCOCCAL PNEUMONIA PNEUMONIA DUE TO MYCOPLASMA PNEUMONIAE PNEUMONIA DUE TO CHLAMYDIA PNEUMONIA DUE TO OTHER SPECIFIED ORGANISM
4841
4843 4845 4846 4847
4848
4870 4871
4878
488
PNEUMONIA IN CYTOMEGALIC INCLUSION DISEASE PNEUMONIA IN WHOOPING COUGH PNEUMONIA IN ANTHRAX PNEUMONIA IN ASPERGILLOSIS PNEUMONIA IN OTHER SYSTEMIC MYCOSES PNEUMONIA IN INFECTIOUS DISEASE NOT ELSEWHERE CLASSIFIED INFLUENZA W/ PNEUMONIA FLU W/ RESPIRATORY MANIFEST NOT ELSEWHERE CLASSIFIED FLU W/ MANIFESTATION NOT ELSEWHERE CLASSIFIED FLU D/T AVIAN FLU VIRUS
FTR 4 ? Sepsis
A diagnosis of sepsis in any secondary diagnosis field
Include ICD-9-CM Sepsis diagnosis codes:
0380 0381 03810 03811
03812
03819
STREPTOCOCCAL SEPTICEMIA STAPHYLOCOCCAL SEPTICEMIA STAPHYLOCOCCAL SEPTICEMIA, UNSPECIFIED METHICILLIN SUSCEPTIBLE STAPHYLOCOCCUS AUREUS SEPTICEMIA OCT08METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS SEPTICEMIA OCT08OTHER STAPHYLOCOCCAL SEPTICEMIA
0382
0383 03840
03841 03842 03843 03844 03849
0388
PNEUMOCOCCAL SEPTICEMIA (STREPTOCOCCUS PNEUMONIAE SEPTICEMIA) SEPTICEMIA DUE TO ANAEROBES GRAM-NEGATIVE ORGANISM, UNSPECIFIED HEMOPHILUS INFLUENZAE ESCHERICHIA COLI PSEUDOMONAS SERRATIA SEPTICEMIA DUE TO OTHER GRAMNEGATIVE ORGANISMS OTHER SPECIFIED SEPTICEMIAS
Patient Safety Indicators Technical Specifications PSI #4 Death among Surgical Inpatients with Serious Treatable Complications
Version 4.1 ? 2009
Page 3
AHRQ Quality Indicators Web Site:
0389 78552 78559*
99591
UNSPECIFIED SEPTICEMIA SEPTIC SHOCK OCT03SHOCK W/O MENTION OF TRAUMAOTHER SYSTEMIC INFLAMMATORY RESPONSE SYNDROME DUE TO INFECTIOUS PROCESS W/O ORGAN DYSFUNCTION
99592 9980
SYSTEMIC INFLAMMATORY RESPONSE SYNDROME DUE TO INFECTIOUS PROCESS W/ ORGAN DYSFUNCTION POSTOPERATIVE SHOCK
*No longer valid in FY2005
Exclude cases: ? with a diagnosis of sepsis in the primary diagnosis field ? with any diagnosis of infection ? with any diagnosis of or procedure for immunocompromised state ? with a length of stay of less than 3 days
See Patient Safety Indicators Appendices:
? Appendix F ? Infection Diagnosis Codes ? Appendix I ? Immunocompromised State Diagnosis and Procedure Codes
FTR 5 - Shock or Cardiac Arrest
A diagnosis of shock or cardiac arrest in any secondary field or any procedure for shock or cardiac arrest
Include ICD-9-CM Shock or Cardiac Arrest diagnosis codes:
4275 6395 66910
66911
66912
CARDIAC ARREST COMPLICATIONS FOLLOWING ABORTION AND ECTOPIC AND MOLAR PREGNANCIES, SHOCK SHOCK DURING OR FOLLOWING LABOR AND DELIVERY ? UNSPECIFIED AS TO EPISODE OF CARE OR NOT APPLICABLE SHOCK DURING OR FOLLOWING LABOR AND DELIVERY ? DELIVERED, W/ OR W/O MENTION OF ANTEPARTUM CONDITION SHOCK DURING OR FOLLOWING LABOR AND DELIVERY ? DELIVERED, W/ MENTION OF POSTPARTUM COMPLICATION
ICD-9-CM Shock or Cardiac Arrest procedure codes:
66913
66914
7855 78550 78551 78552 78559
7991 9950 9954 9980 9994
SHOCK DURING OR FOLLOWING LABOR AND DELIVERY ? ANTEPARTUM CONDITION OR COMPLICATION SHOCK DURING OR FOLLOWING LABOR AND DELIVERY ? POSTPARTUM CONDITION OR COMPLICATION SHOCK NOS SHOCK, UNSPECIFIED CARDIOGENIC SHOCK SEPTIC SHOCK OCT03SHOCK W/O MENTION OF TRAUMAOTHER RESPIRATORY ARREST OTHER ANAPHYLACTIC SHOCK SHOCK DUE TO ANESTHESIA POSTOPERATIVE SHOCK ANAPHYLACTIC SHOCK DUE TO SERUM
9393 9960
NONMECHANICAL METHODS OF RESUSCITATION CARDIOPULMONARY RESUSCITATION, NOS
9963 CLOSED CHEST CARDIAC MASSAGE
Exclude cases ? with a primary diagnosis of shock or cardiac arrest ? with a primary diagnosis of trauma ? with a primary diagnosis of hemorrhage or GI hemorrhage ? with a primary diagnosis of abortion-related shock ? MDC 4 (diseases/disorders of respiratory system)
Patient Safety Indicators Technical Specifications PSI #4 Death among Surgical Inpatients with Serious Treatable Complications
Version 4.1 ? 2009
Page 4
AHRQ Quality Indicators Web Site:
? MDC 5 (diseases/disorders of circulatory system)
See Patient Safety Indicators Appendices: ? Appendix G ? Trauma Diagnosis Codes
ICD-9-CM Hemorrhage diagnosis codes:
2851 4590
56881
ACUTE POSTHEMORRHAGIC ANEMIA OTHER DISORDERS OF CIRCULATORY SYSTEM, HEMORRHAGE, UNSPECIFIED HEMOPERITONEUM (NONTRAUMATIC)
9582 99811
CERTAIN EARLY COMPLICATIONS OF TRAUMA, SECONDARY AND RECURRENT HEMORRHAGE HEMORRHAGE COMPLICATING A PROCEDURE
ICD-9-CM Gastrointestinal (GI) Hemorrhage diagnosis codes:
4560 45620 5307 53082 53100
53101 53120 53121
53140 53141
53160
53161
53200 53201 53220
53221 53240
ESOPHAGEAL VARICES W/ BLEEDING ESOPHAGEAL VARICES IN DISEASES CLASSIFIED ELSEWHERE W/ BLEEDING GASTROESOPHAGEAL LACERATION ? HEMORRHAGE SYNDROME ESOPHAGEAL HEMORRHAGE GASTRIC ULCER ACUTE W/ HEMORRHAGE ? W/O MENTION OF OBSTRUCTION GASTRIC ULCER ACUTE W/ HEMORRHAGE ? W/ OBSTRUCTION GASTRIC ULCER ACUTE W/ HEMORRHAGE AND PERFORATION ? W/O MENTION OF OBSTRUCTION GASTRIC ULCER ACUTE W/ HEMORRHAGE AND PERFORATION ? W/ OBSTRUCTION GASTRIC ULCER CHRONIC OR UNSPECIFIED W/ HEMORRHAGE ? W/O MENTION OF OBSTRUCTION GASTRIC ULCER CHRONIC OR UNSPECIFIED W/ HEMORRHAGE ? W/ OBSTRUCTION GASTRIC ULCER CHRONIC OR UNSPECIFIED W/ HEMORRHAGE AND PERFORATION ? W/O MENTION OF OBSTRUCTION GASTRIC ULCER CHRONIC OR UNSPECIFIED W/ HEMORRHAGE AND PERFORATION ? W/ OBSTRUCTION DUODENAL ULCER ACUTE W/ HEMORRHAGE ? W/O MENTION OF OBSTRUCTION DUODENAL ULCER ACUTE W/ HEMORRHAGE ? W/ OBSTRUCTION DUODENAL ULCER ACUTE W/ HEMORRHAGE AND PERFORATION ? W/O MENTION OF OBSTRUCTION DUODENAL ULCER ACUTE W/ HEMORRHAGE AND PERFORATION ? W/ OBSTRUCTION DUODENAL ULCER CHRONIC OR UNSPECIFIED W/ HEMORRHAGE ? W/O MENTION OF OBSTRUCTION
53241 53260 53261 53300 53301 53320 53321 53340 53341 53360 53361 53400 53401
DUODENAL ULCER CHRONIC OR UNSPECIFIED W/ HEMORRHAGE ? W/ OBSTRUCTION DUODENAL ULCER CHRONIC OR UNSPECIFIED W/ HEMORRHAGE AND PERFORATION ? W/O MENTION OF OBSTRUCTION DUODENAL ULCER CHRONIC OR UNSPECIFIED W/ HEMORRHAGE AND PERFORATION ? W/ OBSTRUCTION PEPTIC ULCER, SITE UNSPECIFIED, ACUTE W/ HEMORRHAGE ? W/O MENTION OF OBSTRUCTION PEPTIC ULCER, SITE UNSPECIFIED, ACUTE W/ HEMORRHAGE ? W/ OBSTRUCTION PEPTIC ULCER, SITE UNSPECIFIED, ACUTE W/ HEMORRHAGE AND PERFORATION ? W/O MENTION OF OBSTRUCTION PEPTIC ULCER, SITE UNSPECIFIED, ACUTE W/ HEMORRHAGE AND PERFORATION ? W/ OBSTRUCTION PEPTIC ULCER, SITE UNSPECIFIED, CHRONIC OR UNSPECIFIED W/ HEMORRHAGE ? W/O MENTION OF OBSTRUCTION PEPTIC ULCER, SITE UNSPECIFIED, CHRONIC OR UNSPECIFIED W/ HEMORRHAGE ? W/ OBSTRUCTION PEPTIC ULCER, SITE UNSPECIFIED, CHRONIC OR UNSPECIFIED W/ HEMORRHAGE AND PERFORATION ? W/O MENTION OF OBSTRUCTION PEPTIC ULCER, SITE UNSPECIFIED, CHRONIC OR UNSPECIFIED W/ HEMORRHAGE AND PERFORATION ? W/ OBSTRUCTION GASTROJEJUNAL ULCER, ACUTE W/ HEMORRHAGE ? W/O MENTION OF OBSTRUCTION GASTROJEJUNAL ULCER, ACUTE W/ HEMORRHAGE ? W/ OBSTRUCTION
Patient Safety Indicators Technical Specifications PSI #4 Death among Surgical Inpatients with Serious Treatable Complications
Version 4.1 ? 2009
Page 5
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- validation of icd 9 cm diagnosis codes for surgical site infection and
- icd 10 cm home health diagnosis codes
- applying patient safety indicators psis across health care systems
- psi 4 death among surgical inpatients with serious treatable complications
- top 20 general surgery icd 9 to icd 10 codes curemd
- validation of icd 9 cm diagnosis codes for surgical site core
- patient safety indicator 04 psi 04 death rate among surgical
- surgical site infection centers for disease control and prevention
- and coding of complications acdis
- vehss diagnosis code categories and crosswalk norc
Related searches
- 4 letter words that begin with e
- pregnancy complications with twins
- complications with below knee amputation icd 10
- 4 letter word that starts with e
- common surgical instruments with names
- 4 letter words that start with q
- 4 letter words that end with a
- 4 letter words that start with que
- death from complications of pneumonia
- diabetes with complications icd 10
- surgical complications icd 10
- how treatable is thyroid cancer