Cases of iatrogenic pneumothorax can be identified from icd-9-cm coded data

Banafsheh Sadeghi, Ruth Baron, Patricia Zrelak, Garth H Utter, Jeffrey J. Geppert, Daniel J Tancredi, Patrick S Romano

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Hospital administrative data are being used to identify hospitals with hospital-acquired complications such as iatrogenic pneumothorax. This was a retrospective cross-sectional study of hospitalization records to estimate the positive predictive value (PPV) of the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for iatrogenic pneumothorax. A probability sample of inpatient medical records from 2006 to 2007 was reviewed in a national sample of 28 volunteer hospitals. Among the 200 flagged cases, the PPV was 78% (95% confidence interval = 73%-82%). False positive cases were mostly a result of exclusionary conditions (11%) and pneumothoraxes that were present on admission (7%). About 44% of events followed attempted central venous catheter (CVC) placement. Of the 69 CVCassociated events, only 5 occurred with ultrasound guidance. AHRQ's iatrogenic pneumothorax indicator can serve in quality of care improvement. At least 1725 hospital-acquired pneumothoraxes could have been prevented in 2004 through universal use of ultrasound guidance during internal jugular cannulation.

Original languageEnglish (US)
Pages (from-to)218-224
Number of pages7
JournalAmerican Journal of Medical Quality
Volume25
Issue number3
DOIs
StatePublished - May 2010

Fingerprint

Pneumothorax
Hospital Volunteers
Sampling Studies
Central Venous Catheters
Quality of Health Care
Health Services Research
Patient Safety
Quality Improvement
Catheterization
Medical Records
Inpatients
Hospitalization
Neck
Cross-Sectional Studies
Confidence Intervals

Keywords

  • Agency for Healthcare Research and Quality
  • Iatrogenic pneumothorax
  • ICD-9-CM data
  • Patient safety indicators

ASJC Scopus subject areas

  • Health Policy

Cite this

Cases of iatrogenic pneumothorax can be identified from icd-9-cm coded data. / Sadeghi, Banafsheh; Baron, Ruth; Zrelak, Patricia; Utter, Garth H; Geppert, Jeffrey J.; Tancredi, Daniel J; Romano, Patrick S.

In: American Journal of Medical Quality, Vol. 25, No. 3, 05.2010, p. 218-224.

Research output: Contribution to journalArticle

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