Foreign Body Left During Procedure (PDI 3) (NQF 0362)

eMeasure Name Foreign Body Left During Procedure (PDI 3) eMeasure Id B1916442-068B-43CB-913C-138ADFDD4D52
Version number 1 eMeasure Set Id 2615FF32-A2E4-4167-B63D-FD8ED925B84F
Available Date No information Measurement Period January 1, 20xx through December 31, 20xx
Measure Steward Agency for Healthcare Research and Quality
Endorsed by National Quality Forum
Description The number of hospital discharges with foreign body accidently left in during procedure
Copyright
Measure scoring Continuous Variable
Measure type Outcome
Stratification
None
Risk Adjustment
None
Data Aggregation
Rationale
Hospitals in the United States provide the setting for some of life's most pivotal events - the birth of a child, major surgery, treatment for otherwise fatal illnesses. These hospitals house the most sophisticated medical technology in the world and provide state-of-the-art diagnostic and therapeutic services. But access to these services comes with certain costs. About 30% of personal health care expenditures in the United States go towards hospital care, and the rate of growth in spending for hospital services has only recently leveled out after several years of increases following a half a decade of declining growth. Simultaneously, concerns about the quality of health care services have reached a crescendo with the Institute of Medicine's series of reports describing the problem of medical errors and the need for a complete restructuring of the health care system to improve the quality of care. Policymakers, employers, and consumers have made the quality of care in U.S. hospitals a top priority and have voiced the need to assess, monitor, track, and improve the quality of inpatient care.

Widespread consensus exists that health care organizations can reduce patient injuries by improving the environment for safety from implementing technical changes, such as electronic medical record systems, to improving staff awareness of patient safety risks. Clinical process interventions also have strong evidence for reducing the risk of adverse events related to a patient's exposure to hospital care. Patient Safety Indicators (PSIs), which are based on computerized hospital discharge abstracts from the AHRQ's Healthcare Cost and Utilization Project (HCUP), can be used to better prioritize and evaluate local and national initiatives. Analyses of these and similar inexpensive, readily available administrative data sets may provide a screen for potential medical errors and a method for monitoring trends over time.
Clinical Recommendation Statement
The Foreign Body Left During Procedure indicator is intended to flag cases of a foreign body accidentally left in a patient during a procedure. This indicator is defined on both a provider level (by restricting cases to those flagged by a secondary diagnosis or procedure code) and an area level (by including all cases).
Improvement notation
No information
Measurement duration
12 month(s)
Reference
AHRQ quality indicators. Guide to patient safety indicators [version 3.1]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2007 Mar 12. 76 p. (AHRQ Pub; no. 03-R203).
Definition
Initial Patient Population(s): Discharges under age 18 at the time of hospital admission with a diagnosis code of foreign body left in during a procedure.
Exclusion(s), i.e., patients excluded within the Initial Patient Population section:
E1:Cases with a diagnosis code of foreign body left in during a procedure in the principal diagnosis field or the secondary diagnosis field if present on admission
E2: Normal newborns
E3: Newborns weighing less than 500 grams
E4: Cases in MDC 14 (pregnancy, childbirth and puerperium)
Definition
Measure Population(s): All patients in the initial patient population.
Definition
Measure Observation(s):  Discharges with a diagnosis code of foreign body left in during a procedure in any secondary diagnosis field
Guidance
Supplemental Data Elements
Report "Patient Characteristic: Gender" using "Gender HL7 Value Set (2.16.840.1.113883.1.11.1)"; Report "Patient Characteristic: Race" using "Race CDC Value Set (2.16.840.1.114222.4.11.836)"; Report "Patient Characteristic: Ethnicity" using "Ethnicity CDC Value Set (2.16.840.1.114222.4.11.837)"; Report "Patient Characteristic: Payer" using "Payer Source of Payment Typology Value Set (2.16.840.1.113883.3.221.5)".

Table of Contents


Population criteria

Measure observations

Data criteria (QDM Data Elements)

Supplemental Data Elements




Measure set CLINICAL QUALITY MEASURE SET 2011-2012