UMHS Patient Safety Indicator – Case Review System

UMHS Patient Safety Indicator – Case Review System

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Contents

[edit] Project Contact

If you have questions or would like more information, please contact Vinita Bahl (vbahl@umich.edu).

[edit] Project Description

The Patient Safety Indicator – Case Review System (PSI-CRS) enables identification of inpatients who acquired a medical condition after hospital admission. It sends information about each patient to clinicians who analyze the condition and determine if the problem was preventable. The PSI-CRS enables the University of Michigan Health System (UMHS) to take corrective action and improve patient safety.

[edit] Business Need

  • Identify inpatients with a condition acquired after hospital admission and refer cases to the appropriate clinician for review.
  • Provide more accurate results than U.S. government indicators, which identified false positive cases.
  • Prepare UMHS for new federal laws that will reduce Medicare reimbursement for hospital-acquired complications of care.

[edit] System/Application & Data Sources

The system uses data that are a by-product of the Hospital billing process. These data include codes of patient diagnoses, some which describe complications of care. To identify potential patient-safety events, UMHS applies to this data a set of algorithms which are part of the Patient Safety Indicators developed by the U.S. Health & Human Services, Agency for Healthcare Research & Quality (AHRQ).

[edit] Project Purpose, Scope, & Deliverables

Design and pilot-test a system that:

  • Identifies and analyzes otherwise unreported adverse events using readily available hospital data
  • Improves on existing error reporting systems.
  • Incorporates a diagnosis timing variable to exclude cases where inpatients have a condition acquired prior to hospital admission.
  • Captures information about the preventability of these events to facilitate interventions and quality improvement in patient care.

[edit] Audience/Users

  • Physicians in surgical and medical specialties
  • Nurses
  • Quality improvement and risk management specialists
  • Infection control staff
  • Health Information Management coding experts.

Note: The PSI-CRS has the potential for commercial development and licensing to other acute care hospitals.

[edit] Duration/Timeline

UMHS has pilot-tested the Patient Safety Indicator – Case Review System, and it plans to implement the system across U-M inpatient facilities for use by UMHS faculty and staff who are involved in clinical care and quality improvement.