Abstract:
BACKGROUND:Administrative data can be used to identify cases of postoperative respiratory failure (PRF). We aimed to determine if recent changes to the Agency for Healthcare Research and Quality Patient Safety Indicator 11 (PSI 11) and adoption of clinical documentation improvement programs have improved the validity of PSI 11. We also analyzed reasons why PSI 11 was falsely triggered. STUDY DESIGN:Cross-sectional study of all eligible discharges using health record data from five academic medical centers between October 1, 2012 and September 30, 2015. RESULTS:Of 437 flagged records, 434 (99.3%) were accurately coded and 414 (94.7%) represented true clinical PRF. None of the false positive records involved respiratory failure present on admission. Most (78.3%) false positive records required airway protection but did not have respiratory failure. CONCLUSION:The validity of PSI 11 has improved with recent changes to the code criterion and adoption of clinical documentation improvement programs.
journal_name
Am J Surgjournal_title
American journal of surgeryauthors
Stocking JC,Utter GH,Drake C,Aldrich JM,Ong MK,Amin A,Marmor RA,Godat L,Cannesson M,Gropper MA,Romano PSdoi
10.1016/j.amjsurg.2019.11.019subject
Has Abstractpub_date
2020-07-01 00:00:00pages
222-228issue
1eissn
0002-9610issn
1879-1883pii
S0002-9610(19)31064-5journal_volume
220pub_type
杂志文章,多中心研究abstract::When dense hemiparesis has developed appropriate to the operated vessel after carotid surgery, the patient has been immediately returned to the operating room for reexploration of the vessel and thrombectomy. Over a 5-year period, we identified four patients who developed dense hemiparesis in the recovery room postope...
journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/s0002-9610(05)81262-0
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abstract:BACKGROUND:Immunosuppressed patients have an increased risk of developing anal cancer, but little data exists regarding outcomes of this population. METHODS:A retrospective review of anal cancer patients at a single academic institution from 2006 to 2017 was performed. RESULTS:19 (14%) of 136 anal cancer patients wer...
journal_title:American journal of surgery
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abstract::The salient clinical and pathological features of verrucous carcinoma, as first described by Ackerman in 1948, are reviewed. Two case reports are presented. The first concerns a personal experience with a patient who had five surgical procedures for multifocal oral verrucous carcinoma and remains alive and well 28 yea...
journal_title:American journal of surgery
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doi:10.1016/s0002-9610(98)00232-3
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abstract:BACKGROUND:Prospective evaluation of the percutaneous tracheostomy by the guide wire dilating forceps (GWDF) technique. METHODS:In 50 selected patients percutaneous tracheostomy with fiberscopic control was performed and evaluated. RESULTS:Most percutaneous tracheostomies were performed without any adverse effect. No...
journal_title:American journal of surgery
pub_type: 临床试验,杂志文章
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journal_title:American journal of surgery
pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:American journal of surgery
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doi:10.1016/j.amjsurg.2005.08.015
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journal_title:American journal of surgery
pub_type: 临床试验,杂志文章
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abstract::Microvascular free tissue transfer has provided a variety of methods of restoring vascularized bone and soft tissue to difficult defects created by tumor resection and trauma. Over 7 years, 26 patients have undergone 28 free flaps for mandibular reconstruction, 15 for primary squamous cell carcinoma of the floor of th...
journal_title:American journal of surgery
pub_type: 杂志文章
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journal_title:American journal of surgery
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journal_title:American journal of surgery
pub_type: 杂志文章
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journal_title:American journal of surgery
pub_type: 杂志文章
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journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/0002-9610(86)90116-9
更新日期:1986-04-01 00:00:00
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journal_title:American journal of surgery
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journal_title:American journal of surgery
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journal_title:American journal of surgery
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0002-9610(98)00275-x
更新日期:1998-12-01 00:00:00
abstract:BACKGROUND:Michigan repealed a 35-year mandatory helmet law on April 13, 2012. We examined the early clinical impacts at a level 1 trauma center in West Michigan. METHODS:Retrospective cohort study comparing outcomes among motorcycle crash victims in a 7-month period before and after the helmet law repeal. RESULTS:On...
journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/j.amjsurg.2013.12.001
更新日期:2014-03-01 00:00:00
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journal_title:American journal of surgery
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journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/s0002-9610(97)00048-2
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journal_title:American journal of surgery
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journal_title:American journal of surgery
pub_type: 杂志文章
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更新日期:2006-05-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
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journal_title:American journal of surgery
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journal_title:American journal of surgery
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更新日期:2003-08-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
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更新日期:1978-07-01 00:00:00
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journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/j.amjsurg.2013.01.007
更新日期:2013-04-01 00:00:00
abstract:BACKGROUND:We hypothesized that mandatory multidisciplinary team (MDT) participation improves process evaluation, outcomes, and technical aspects of surgery for rectal cancer in a stable practice of colorectal surgery. METHODS:A retrospective review of MDT data was conducted of all patients with colorectal cancer sinc...
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pub_type: 杂志文章
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更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Surgical therapy for advanced-stage pressure ulcers recalcitrant to healing is a widely accepted practice. The present study examined the incidence of wound recurrence after reconstruction with fasciocutaneous versus combined (biplanar) muscle and fasciocutaneous flaps. METHODS:A retrospective review identi...
journal_title:American journal of surgery
pub_type: 杂志文章
doi:10.1016/j.amjsurg.2011.10.007
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