Retained Surgical Item or Unretrieved Device Fragment Using Linked Data
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
The number of discharges (complications during the surgical admission, readmissions into the same hospital, readmissions into different hospitals) in which a surgical item or device fragment was retained during the procedure.
Numerator
Discharges (NUM1 + NUM2 + NUM3) among cases defined in the denominator with ICD code for foreign body left in during procedure in a secondary diagnosis field during the surgical admission (see ICD codes). • NUM1: complications during the surgical admissions • NUM2: readmissions into the same hospital • NUM3: readmissions into different hospitals
Denominator
All patients aged 15 and older with any surgical and medical discharges (including PDX and short LOS).
Exclusions
From NUM1 only: • PDX - with ICD- code for foreign body left in during procedure in a) the principal diagnosis field or b) secondary diagnosis present on admission (if known). • LOS - with a length of stay less than 24 hours where patient is discharged alive (in those countries where a timestamp of admission or discharge is not available, cases with a length of stay of 0 days shall be excluded). From NUM2 and NUM3: • Admission occurs more than 30 days after a previous one (matched record is not readmission)
Use of Risk Adjustment
Risk Adjustments
Standardised (or adjusted) by age and sex.
Stratifications
By sex, age group (5-years) and country.
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Data requested from OECD countries
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
OECD Data Explorer Website and Health at a glance publications