Iatrogenic Pneumothorax Rate
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
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
Risk Adjustments
None
Stratifications
None