• AHRQ quality indicators. Pediatric quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. various p.



• McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudhry K. Measures of pediatric health care quality based on hospital administrative data: the pediatric quality indicators. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Sep. 130 p. [82 references]

Does not apply to this measure

This measure is used to assess the number of cases of technical difficulty (e.g., accidental cut or laceration during procedure) per 1,000 eligible discharges.

This indicator is intended to track injuries occurring during a procedure, specifically accidental cut, puncture, perforation, or laceration. These procedures may be prevented through proper technique during procedures.

Accidental cut; puncture; perforation; laceration

All surgical and medical discharges under age 18 defined by specific Diagnosis Related Groups (DRGs)

Exclude cases:

• with International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code denoting technical difficulty (e.g., accidental cut, puncture, perforation, or laceration) in the principal diagnosis field
• Major Diagnostic Category (MDC) 14 (pregnancy, childbirth, and puerperium)
• normal newborn (DRG 391)
• neonates with a birth weight less than 500 grams

Note: Refer to the original measure documentation for specific DRG and ICD-9-CM codes.

Discharges among cases meeting the inclusion and exclusion rules for the denominator with International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) code denoting accidental cut, puncture, perforation or laceration during a procedure in any secondary diagnosis field

Note: Refer to the original measure documentation for specific ICD-9-CM codes.

Administrative data

Accidental puncture or laceration (PDI 1).

Agency for Healthcare Research and Quality

Agency for Healthcare Research and Quality (AHRQ)

The Agency for Healthcare Research and Quality (AHRQ) Quality Indicators are in the public domain and the specifications come from multiple sources, including the published and unpublished literature, users, researchers, and other organizations. AHRQ as an agency is responsible for the content of the indicators.

None

National Quality Forum

This measure was adapted from the AHRQ Patient Safety Quality Indicators.

Accidental Puncture or Laceration, Provider Level (PSI 15) (Agency for Healthcare Research and Quality [AHRQ])

2006 Feb

2007 Mar

This is the current release of the measure.

• AHRQ quality indicators. Pediatric quality indicators: technical specifications [version 3.2]. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2008 Feb 29. various p.



• McDonald K, Romano P, Davies S, Haberland C, Geppert J, Ku A, Choudhry K. Measures of pediatric health care quality based on hospital administrative data: the pediatric quality indicators. Rockville (MD): Agency for Healthcare Research and Quality (AHRQ); 2006 Sep. 130 p. [82 references]

This NQMC summary was completed by ECRI Institute on December 28, 2007.

No copyright restrictions apply.