Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care
Nguyen MC, Moffatt-Bruce SD, Strosberg DS, Puttmann KT, Pan YL, Eiferman DS. Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicator for Postoperative Respiratory Failure (PSI 11) does not identify accurately patients who received unsafe care. Surgery 2016, 160: 858-868. PMID: 27528212, DOI: 10.1016/j.surg.2016.05.032.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedFemaleHealth Services ResearchHospital MortalityHumansMaleMiddle AgedPatient SafetyPostoperative ComplicationsQuality Indicators, Health CareRespiratory InsufficiencyRetrospective StudiesRisk AssessmentSafety ManagementSeverity of Illness IndexSurgical Procedures, OperativeSurvival RateUnited StatesUnited States Agency for Healthcare Research and QualityConceptsPostoperative respiratory failureRespiratory failureUnsafe carePositive predictive valueHealthcare ResearchClinical factorsPredictive valueQuality Patient Safety IndicatorsDiseases-9 codesPatient safety indicatorsElectronic medical recordsPatient safety eventsTrue positive casesInpatient electronic medical recordHospital performance measuresClinical characteristicsMedical recordsOperative procedureExclusion criteriaInternational ClassificationSafety eventsCareDocumentation errorsPatientsIndependent reviewDischarge destination and readmission rates in older trauma patients
Strosberg DS, Housley BC, Vazquez D, Rushing A, Steinberg S, Jones C. Discharge destination and readmission rates in older trauma patients. Journal Of Surgical Research 2016, 207: 27-32. PMID: 27979485, DOI: 10.1016/j.jss.2016.07.015.Peer-Reviewed Original ResearchConceptsExtended care facilitiesOlder trauma patientsDischarge destinationInpatient rehabilitation facilityMultiple logistic regressionReadmission ratesTrauma patientsRisk factorsRehabilitation facilityInjury severityLevel 1 trauma centerLogistic regressionPreinjury functional statusIndependent risk factorRate of readmissionUS medical centersTrauma activation levelPotential confounding variablesChi-square testingHospital readmissionTrauma centerReadmission riskTrauma evaluationFunctional statusUnivariate analysisUmbilical hernias: the cost of waiting
Strosberg DS, Pittman M, Mikami D. Umbilical hernias: the cost of waiting. Surgical Endoscopy 2016, 31: 901-906. PMID: 27334965, DOI: 10.1007/s00464-016-5052-1.Peer-Reviewed Original ResearchConceptsHealth care utilizationSurgery groupNS groupUmbilical hernia patientsEarly operative interventionNon-operative managementBackgroundUmbilical herniaComorbidity indexIndex dateOperative interventionLaparoscopic repairAdjusted analysisHernia patientsSubgroup analysisUmbilical herniaWork absenteeismHealth databasesSurgeryHealth plansPatientsProcedure costsHealth careHerniaDaysMonths