Hospital discharges with accidental punctures or lacerations (secondary diagnosis) per 1,000 discharges for patients ages 18 years and older who have undergone an abdominopelvic procedure, followed by a potentially related procedure for evaluation or treatment of the accidental puncture or laceration, one to 30 days after the index abdominopelvic procedure.

Hospital discharges with accidental punctures or lacerations, followed by a potentially related procedure for evaluation or treatment of the accidental puncture or laceration, one to 30 days after the index abdominopelvic procedure.

Surgical or medical discharges for patients ages 18 years and older for an abdominopelvic procedure.

Exclude discharges: with a missing index abdominopelvic procedure date and/or missing all subsequent abdominopelvic procedure dates, 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.

Discharges are grouped by Risk Categories based on counts of Procedure Class categories (PClassR ) for all procedures performed on the date of the first qualifying abdominopelvic procedure. Risk Categories are mutually exclusive. Discharges cannot qualify for more than one category. For risk category definitions, see Patient Safety Indicators (PSI) Parameter Estimates, v2024 on the AHRQ QI website.

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/PSI15AbdominopelvicAccidentalPunctureorLaceration_Rate.pdf