Patient Safety and Adverse Events Composite Measure
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
The Patient Safety Indicator (PSI) 90 composite measure captures hospital performance related to the occurrence of 10 preventable adverse events among hospitalised patients.
Numerator
This is a weighted composite measure of Patient Safety Indicators, each of which evaluate pressure ulcer rate, iatrogenic pneumothorax rate, in-hospital fall with hip fracture rate, perioperative haemorrhage and haematoma rate, postoperative respiratory failure rate, perioperative pulmonary embolism and deep vein thrombosis rate, postoperative sepsis rate, postoperative wound dehiscence rate, and unrecognized abdominopelvic accidental puncture/laceration rate.
Denominator
Detailed calculations for this composite measure are reported in the technical specifications.
Exclusions
See technical specifications for each PSI's exclusion criteria.
Use of Risk Adjustment
Risk Adjustments
See each PSI for risk-adjustment models.
Stratifications
By hospital and state.
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Medicare fee-for-service (FFS) discharges and Medicare beneficiary enrolment data
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
HAC Reduction Program data is displayed at data.cms.gov