The number of hospital discharges with a retained surgical item or unretrieved device fragment (secondary diagnosis) among surgical and medical hospitalisations for patients ages 18 years and older or obstetric hospitalisations for patients of any age.

Surgical or medical discharges for patients ages 18 years and older or with a principal ICD-10-CM diagnosis code assigned to MDC 14 Pregnancy, Childbirth & the Puerperium (Appendix O: MDC14PRINDX ) with any secondary ICD-10-CM diagnosis code for retained surgical item or unretrieved device fragment (FOREIID *). Surgical (Appendix E: SURGI2R ) and medical (Appendix C: MEDIC2R ) discharges are defined by specific MS-DRG codes.

This QI is a count of cases

Exclude discharges: with a principal ICD-10-CM diagnosis code (or secondary diagnosis present on admission) for retained surgical item or unretrieved device fragment (FOREIID* ) with a principal ICD-10-CM diagnosis code assigned to MDC 15 Newborns & Other Neonates with Conditions Originating in Perinatal Period (Appendix O: MDC15PRINDX ) with an ungroupable DRG (DRG=999) with missing gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing), or principal diagnosis (DX1=missing) • with missing MDC (MDC=missing) when the user indicates that MDC is provided

qualityindicators.ahrq.gov/measures/PSI_TechSpec

qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2024/TechSpecs/PSI05RetainedSurgicalItemorUnretrievedDeviceFragment_Count.pdf