Postoperative Wound Dehiscence
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Hospital discharges with postoperative reclosure procedures involving the abdominal wall with a diagnosis of disruption of internal operation (surgical) wound per 1,000 abdominopelvic surgery discharges for patients ages 18 years and older.
Numerator
Hospital discharges with postoperative reclosure procedures involving the abdominal wall with a diagnosis of disruption of internal operation (surgical) wound.
Denominator
Abdominopelvic surgery discharges, for patients ages 18 years and older.
Exclusions
Exclude discharges: the last date of a procedure for abdominal wall reclosure (RECLOIP* ) occurs on or before the date of the first open abdominopelvic surgery procedure (ABDOMIPOPEN* ), if any, and on or before the date of the first abdominopelvic surgery, other than open approach (ABDOMIPOTHER* ), if any , with an ICD-10-CM principal or secondary diagnosis code present on admission for disruption of internal operation (surgical) wound (ABWALLCD*), with length of stay less than two (2) days, 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
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Agency for Healthcare Research and Quality Patient Safety Indicators
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Used to calculate PSI-90, which is publicly reported on CMS Care Compare website