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Iatrogenic Pneumothorax Rate (PSI 6)

CBE ID
0346
1.4 Project
Patient Safety
Endorsed
Endorsement Status
Endorsement Removed
1.1 New or Maintenance
Maintenance
E&M Cycle
Fall 2017
Is Under Review
No
1.3 Measure Description

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.

[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 iatrogenic pneumothorax.

    • 1.15 Denominator

      Surgical and medical discharges, for patients ages 18 years and older. 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 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)

    • Most Recent Endorsement Activity
      Measure Retired and Endorsement Removed Patient Safety Fall Cycle 2017
      Initial Endorsement
      Last Updated
      Removal Date