Iatrogenic Pneumothorax Rate

Identifying Attributes

Care Settings
Hospital Care
Country
United States of America
Publishing Organisation
Agency for Healthcare Research and Quality (AHRQ)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Safety
Domain
Infection and Sepsis

Defining Attributes

Definition

Iatrogenic pneumothorax cases (secondary diagnosis) per 1,000 surgical and medical discharges for patients ages 18 years and older. Excludes cases with chest trauma, pleural effusion, thoracic surgery, lung or pleural biopsy, diaphragmatic repair, or cardiac procedures; cases with a principal diagnosis of iatrogenic pneumothorax; cases with a secondary diagnosis of iatrogenic pneumothorax present on admission; and obstetric cases.

Numerator

Discharges, among cases meeting the inclusion and exclusion rules for the denominator, with any secondary ICD-10-CM diagnosis codes for iatrogenic pneumothorax.

Denominator

Surgical and medical discharges, for patients ages 18 years and older. Surgical and medical discharges are defined by specific MS-DRG codes.

Exclusions

With a principal ICD-10-CM diagnosis code (or secondary diagnosis present on admission) for iatrogenic pneumothorax (see above), With any-listed ICD-10-CM diagnosis codes for specified chest trauma (rib fractures, traumatic pneumothorax and related chest wall injuries), With any-listed ICD-10-CM diagnosis codes for pleural effusion, With any-listed ICD-10-PCS procedure codes for thoracic surgery, With any-listed ICD-10-PCS procedure codes for lung or pleural biopsy, With any-listed ICD-10-PCS procedure codes for diaphragmatic repair, With any-listed ICD-10-PCS procedure codes for cardiac procedure, MDC 14 (pregnancy, childbirth, and puerperium), With missing gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing), or principal diagnosis (DX1=missing).

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source
Technical Specifications
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
Can the Quality Indicator be Readily Implemented at a Population Level in Australia Given its Current Data Landscape?
Implementation of this quality indicator was not assessed.
Identified by PHARMA-Care Project
No
Upload Date
31 March 2026