{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T05:38:45Z","timestamp":1792820325480,"version":"4.5.0"},"reference-count":16,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T00:00:00Z","timestamp":1776211200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patient Safety Indicators (PSIs) are quality metrics developed by the Agency for Healthcare Research and Quality (AHRQ) to identify potentially preventable postoperative complications. The rate of PSIs after lung resection remains poorly defined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed our institutional database for all lung resection patients age \u226516 from 2014 to 2024. Patient Safety Indicators evaluated were PSI-9 (hemorrhage\/hematoma), PSI-10 (acute kidney injury requiring dialysis), PSI-12 (peri-operative pulmonary embolism [PE] or deep vein thrombosis [DVT]), and PSI-13 (post-operative sepsis). The primary outcome was the incidence of preventable PSIs following lung resection. Secondary outcomes included clinical predictors of PSI, short-term outcomes by PSI status, and PSI-related costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 2701 lung resection patients, 35 (1.29%) experienced at least one PSI, totaling 43 PSI events (1.59%). Patient Safety Indicator patients were more often male (65.7% vs 48.3%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .04), had higher comorbidity burden (Charlson-Deyo 3+: 97.1% vs 73.5%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .02), and more frequently had prior lung cancer (80.0% vs 52.3%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .001). Patient Safety Indicator patients had higher 30-day mortality (11.4% vs 1.2%,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; .001). Logistic regression identified male sex (aOR 2.20 [1.08-4.46],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .03) and prior lung cancer (aOR 2.95 [1.22-7.12],\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .02) as independent predictors of PSI. After review, 37 PSIs were classified as preventable or possibly preventable (1.37%), generating an estimated cost burden of $983,059 and largely driven by PSI-13 sepsis events.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although PSIs after lung resection are infrequent, focus on preventing post-operative adverse outcomes should remain paramount. Targeted strategies to prevent these preventable complications can help improve outcomes and provide a significant cost-saving opportunity.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348261443344","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T14:06:36Z","timestamp":1776261996000},"page":"2832-2838","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Preventable Patient Safety Indicators After Lung Resection: Outcomes and Cost at a Large High-Volume Institution"],"prefix":"10.1177","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0789-9883","authenticated-orcid":false,"given":"Vikram","family":"Krishna","sequence":"first","affiliation":[{"name":"Cedars Sinai Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oana","family":"Popescu","sequence":"additional","affiliation":[{"name":"Cedars Sinai Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9414-4977","authenticated-orcid":false,"given":"Raffaele","family":"Rocco","sequence":"additional","affiliation":[{"name":"Cedars Sinai Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philicia","family":"Moonsamy","sequence":"additional","affiliation":[{"name":"Cedars Sinai Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harmik J.","family":"Soukiasian","sequence":"additional","affiliation":[{"name":"Cedars Sinai Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew R.","family":"Brownlee","sequence":"additional","affiliation":[{"name":"Cedars Sinai Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo F.","family":"Alban","sequence":"additional","affiliation":[{"name":"Cedars Sinai Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,15]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"Ahrq. Get to know the AHRQ quality indicators psi patient safety indicators IQI inpatient quality indicators PQI prevention quality indicators in inpatient settings PDI pediatric quality indicators PQE prevention quality indicators in emergency department sett\u2026. Accessed December 7 2025.https:\/\/qualityindicators.ahrq.gov\/measures\/M"},{"key":"e_1_3_4_3_2","unstructured":"Agency for Healthcare Research and Quality. Get to know the AHRQ quality indicators. https:\/\/qualityindicators.ahrq.gov\/measures\/M. Accessed 7 December 2025."},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/1077558707309611"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/THX.2009.123083"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.7812\/TPP\/24.180"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1371\/JOURNAL.PONE.0219124"},{"key":"e_1_3_4_8_2","unstructured":"Results | Agency for healthcare research and quality. Accessed December 7 2025.https:\/\/www.ahrq.gov\/hai\/pfp\/haccost2017-results.html"},{"key":"e_1_3_4_9_2","unstructured":"American Data Network. A Business Case: Identifying Excess Cost and Length of Stay of Adverse Patient Safety Events. American Data Network; 2015. Accessed December 7 2025. https:\/\/www.americandatanetwork.com\/wp-content\/uploads\/2015\/01\/A-Business-Case-Identifying-Excess-Cost-and-Length-of-Stay-of-Adverse-Patient-Safety-Events1.pdf"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.02.098"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.21037\/TLCR-24-428\/COIF"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.21037\/JTD-2025-169\/PRF"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.3390\/CANCERS17172784"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2024.01.005"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.21037\/JTD.2018.07.127"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1055\/S-0036-1579657"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/J.CCC.2015.06.007"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261443344","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348261443344","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261443344","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T05:10:30Z","timestamp":1792818630000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348261443344"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,15]]},"references-count":16,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1177\/00031348261443344"],"URL":"https:\/\/doi.org\/10.1177\/00031348261443344","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,15]]}}}