Postoperative Wound Dehiscence

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 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
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)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025