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Accidental Puncture or Laceration Rate (PDI #1)

CBE ID
0344
1.4 Project
Patient Safety
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
Previous Endorsement Cycle
Fall 2017
Is Under Review
No
1.3 Measure Description

Accidental punctures or lacerations (secondary diagnosis) during procedure per 1,000 discharges for patients ages 17 years and younger. Includes metrics for discharges grouped by risk category. Excludes obstetric discharges, spinal surgery discharges, discharges with accidental puncture or laceration as a principal diagnosis, discharges with accidental puncture or laceration as a secondary diagnosis that is present on admission, normal newborns, and neonates with birth weight less than 500 grams.

[NOTE: The software provides the rate per hospital discharge. However, common practice reports the measure as per 1,000 discharges. The user must multiply the rate obtained from the software by 1,000 to report events per 1,000 hospital discharges.]

    • 1.14 Numerator

      Discharges, among cases meeting the inclusion and exclusion rules for the denominator, with any secondary ICD-10-CM diagnosis codes for accidental puncture or laceration during a procedure.

    • 1.15 Denominator

      Surgical and medical discharges, for patients ages 17 years and younger. Surgical and medical discharges are defined by specific MS-DRG codes.

    • Exclusions

      Exclude cases:
      • with a principal ICD-10-CM diagnosis code (or secondary diagnosis present on admission) for accidental puncture or laceration during a procedure (see above)
      • with any-listed ICD-10-PCS procedure codes for spine surgery
      • normal newborn
      • neonate with birth weight less than 500 grams (Birth Weight Category 1)
      • 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)

      Note: The Denominator Exclusions are identical for Overall and Risk Categories 1, 2, 3, 4, 5, 6, 9

    • Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Patient Safety Fall Cycle 2017
      Initial Endorsement
      Last Updated
      Removal Date
    • Steward
      Agency for Healthcare Research and Quality
      Steward Organization POC Email
      [email protected]
      Steward Organization Copyright

      Not applicable