{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T04:21:35Z","timestamp":1791174095202,"version":"4.1.0"},"reference-count":23,"publisher":"BMJ","issue":"10","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2013,9,8]]},"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess if the Agency for Healthcare Research and Quality \u00a0patient safety indictors (PSIs) could be used for case findings in the International Classification of Disease 10th revision (ICD-10) hospital discharge abstract data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>We identified and randomly selected 490 patients with a foreign body left during a procedure (PSI 5\u2014foreign body), selected infections (IV site) due to medical care (PSI 7\u2014infection), postoperative pulmonary embolism (PE) or deep vein thrombosis (DVT; PSI 12\u2014PE\/DVT), postoperative sepsis (PSI 13\u2014sepsis)and accidental puncture or laceration (PSI 15\u2014laceration) among patients discharged from three adult acute care hospitals in Calgary, Canada in 2007 and 2008. Their charts were reviewed for determining the presence of PSIs and used as the reference standard, positive predictive value (PPV) statistics were calculated to determine the proportion of positives in the administrative data representing \u2018true positives\u2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The PPV for PSI 5\u2014foreign body was 62.5% (95% CI 35.4% to 84.8%), PSI 7\u2014infection was 79.1% (67.4% to 88.1%), PSI 12\u2014PE\/DVT was 89.5% (66.9% to 98.7%), PSI 13\u2014sepsis was 12.5% (1.6% to 38.4%) and PSI 15\u2014laceration was 86.4% (75.0% to 94.0%) after excluding those who presented to the hospital with the condition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Several PSIs had high PPV in the ICD administrative data and are thus powerful tools for true positive case finding. The tools could be used to identify potential cases from the large volume of admissions for verification through chart reviews. In contrast, their sensitivity has not been well characterised and users of PSIs should be cautious if using them for \u2018quality of care reporting\u2019 presenting the rate of PSIs because under-coded data would generate falsely low PSI rates.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjopen-2013-003716","type":"journal-article","created":{"date-parts":[[2013,10,11]],"date-time":"2013-10-11T15:26:37Z","timestamp":1381505197000},"page":"e003716","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":51,"title":["Validity of AHRQ patient safety indicators derived from ICD-10 hospital discharge abstract data (chart review study)"],"prefix":"10.1136","volume":"3","author":[{"given":"Hude","family":"Quan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cathy","family":"Eastwood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ceara Tess","family":"Cunningham","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mingfu","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ward","family":"Flemons","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolyn","family":"De Coster","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William A","family":"Ghali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"for the IMECCHI investigators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,10,10]]},"reference":[{"key":"2024051511124974000_3.10.e003716.1","first-page":"353","article-title":"Adverse events and patient safety in Canadian health care","volume":"170","author":"Baker","year":"2004","journal-title":"CMAJ"},{"issue":"(Suppl 3)","key":"2024051511124974000_3.10.e003716.2","first-page":"42","article-title":"Assessing patient safety in the United States: challenges and opportunities","volume":"43","author":"Zhan","year":"2005","journal-title":"Med Care"},{"key":"2024051511124974000_3.10.e003716.3","doi-asserted-by":"publisher","DOI":"10.1136\/qhc.12.1.58"},{"key":"2024051511124974000_3.10.e003716.4","unstructured":"Agency for Healthcare Research and Quality. 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