Hospital discharges with postoperative respiratory failure (secondary diagnosis), prolonged mechanical ventilation, or intubation cases per 1,000 elective surgical discharges for patients ages 18 years and older.

Hospital discharges with postoperative respiratory failure (secondary diagnosis), prolonged mechanical ventilation, or intubation cases.

Elective surgical discharges for patients ages 18 years and older.

Exclude discharges: with a principal ICD-10-CM diagnosis code (or secondary diagnosis present on admission) of acute respiratory failure (ACURF3D* ), with any listed ICD-10-CM diagnosis code present on admission for tracheostomy (TRACHID* ), where the only operating room procedure is tracheostomy (TRACHIP* ), where a procedure for tracheostomy (TRACHIP* ) occurs before the first operating room procedure (Appendix A: ORPROC) , if the dates of both procedures are available, with any listed ICD-10-CM diagnosis code for malignant hyperthermia (MALHYPD* ), with any listed ICD-10-CM diagnosis code present on admission for neuromuscular disorder (NEUROMD* ), with any listed ICD-10-CM diagnosis code present on admission for degenerative neurological disorder (DGNEUID), with any listed ICD-10-PCS procedure code for laryngeal, pharyngeal, nose, mouth, or facial surgery involving significant risk of airway compromise (NUCRANP ), with any listed ICD-10-PCS procedure code for esophageal surgery (PRESOPP* ), with any listed ICD-10-PCS procedure code for lung cancer (LUNGCIP* ), with any listed ICD-10-PCS procedure code for lung or heart transplant (LUNGTRANSP* ), MDC 4 (Diseases & Disorders of the Respiratory System), with a principal ICD-10-CM diagnosis code assigned to MDC 14 Pregnancy, Childbirth & the Puerperium (Appendix O: MDC14PRINDX ), 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

Agency for Healthcare Research and Quality Patient Safety Indicators

Used to calculate PSI-90, which is publicly reported on CMS Care Compare website

qualityindicators.ahrq.gov/measures/PSI_TechSpec

qualityindicators.ahrq.gov/Downloads/Modules/PSI/V2024/TechSpecs/PSI11PostoperativeRespiratoryFailure_Rate.pdf