Hospital Harm - Severe Hypoglycaemia
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
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
Risk Adjustments
None
Stratifications
None