Perioperative Pulmonary Embolism or Deep Vein Thrombosis

Identifying Attributes

Care Settings
Hospital Care
Country
United States of America
Publishing Organisation
Agency for Healthcare Research and Quality (AHRQ): Patient Safety Indicators, Centers for Medicare & Medicaid Services (CMS): Hospital Inpatient Quality Reporting Program, Veterans Health Administration (VHA)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Safety
Domain
Discharges

Defining Attributes

Definition

Hospital discharges with perioperative pulmonary embolism or proximal deep vein thrombosis (secondary diagnosis) per 1,000 surgical discharges for patients ages 18 years and older.

Numerator

Hospital discharges with perioperative pulmonary embolism or proximal deep vein thrombosis.

Denominator

Surgical discharges for patients ages 18 years and older.

Exclusions

Exclude discharges: with a principal ICD-10-CM diagnosis code (or secondary diagnosis present on admission) for proximal deep vein thrombosis (DEEPVIB), with a principal ICD-10-CM diagnosis code (or secondary diagnosis present on admission) for pulmonary embolism (PULMOID), with any listed secondary ICD-10-CM diagnosis code for heparin-induced thrombocytopenia (HITD ), where a procedure for interruption of vena cava (VENACIP ) occurs before or on the same day as the first operating room procedure (Appendix A: ORPROC), where a procedure for pulmonary arterial or dialysis access thrombectomy (THROMP) occurs before or on the same day as the first operating room procedure (Appendix A: ORPROC), where the first operating room procedure (Appendix A: ORPROC) occurs after or on the 10th day following admission, where the only operating room procedure(s) is/are for interruption of vena cava (VENACIP) and/or pulmonary arterial or dialysis access thrombectomy (THROMP), with any listed ICD-10-CM diagnosis code present on admission for acute brain or spinal injury (NEURTRAD), with any listed ICD-10-PCS procedure code for extracorporeal membrane oxygenation (ECMO) (ECMOP*), 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

Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Agency for Healthcare Research and Quality Patient Safety Indicators

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

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

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025