Hospital Harm - Severe Hypoglycaemia

Identifying Attributes

Care Settings
Hospital Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Eligible Hospital / Critical Access Hospital eCQMs
Type of Quality Indicator
Outcome
IOM Quality Dimension
Safety
Domain
Complications and Adverse Events

Defining Attributes

Definition

The measure assesses the number of inpatient hospitalisations for patients age 18 and older who were administered at least one hypoglycaemic medication during the encounter and who suffer the harm of a severe hypoglycaemic event during the encounter.

Numerator

Inpatient hospitalisations where a severe hypoglycaemic event occurred during the encounter. A severe hypoglycaemic event is: A glucose test with a result less than 40 mg/dL AND A hypoglycaemic medication was administered within 24 hours before the start of the severe hypoglycaemic event (i.e., the glucose test with a result less than 40 mg/dL) AND There was no subsequent repeat test for glucose with a result greater than 80 mg/dL within five minutes or less from the start of the initial glucose test with a result less than 40 mg/dL

Denominator

Inpatient hospitalisations that end during the measurement period for patients age 18 and older and at least one hypoglycaemic medication administration starts during the encounter.

Exclusions

None

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Collection and Reporting Attributes

Type of Data Collection
Electronic/paper chart records
Data Collection Methods
Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods
Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025