Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: Clinical and research implications

International Journal for Quality in Health Care

Volumn 24, Issue 4, 2012, Pages 321-329

  Smith, Eric G ^a,b   Zhao, Shibei ^a   Rosen, Amy K ^c,d  

^a VETERANS AFFAIRS MEDICAL CENTER   (United States)

^b UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL   (United States)

^c VA BOSTON HEALTHCARE SYSTEM   (United States)

^d BOSTON UNIVERSITY SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

Appropriateness, under use and over use; Hospital care; Mental health disorders; Patient outcomes (health status, quality of life, mortality); Pressure ulcers; Psychosis; Quality indicators; Respiratory failure; Safety indicators

Indexed keywords

ACCIDENTAL INJURY; ADULT; ARTICLE; COHORT ANALYSIS; DECUBITUS; FEMALE; HUMAN; MAJOR CLINICAL STUDY; MALE; PATIENT SAFETY; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; PSYCHOSIS; RESPIRATORY FAILURE; RETROSPECTIVE STUDY; SCHIZOAFFECTIVE PSYCHOSIS; SCHIZOPHRENIA; VETERAN; WOUND DEHISCENCE;

ACUTE DISEASE; AGE DISTRIBUTION; AGED; COMORBIDITY; FEMALE; HOSPITALS, VETERANS; HUMANS; MALE; MIDDLE AGED; PATIENT SAFETY; PSYCHOTIC DISORDERS; QUALITY INDICATORS, HEALTH CARE; RETROSPECTIVE STUDIES; SEX DISTRIBUTION; UNITED STATES; UNITED STATES AGENCY FOR HEALTHCARE RESEARCH AND QUALITY; VETERANS;

EID: 84864525867     PISSN: 13534505     EISSN: 14643677     Source Type: Journal    
DOI: 10.1093/intqhc/mzs026     Document Type: Article

References (43)

1. Copeland LA, Mortensen EM, Zeber JE et al. Pulmonary disease among inpatient decedents: impact of schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry 2007;31:720-6.
2. Dickerson FB, Brown CH, Daumit GL et al. Health status of individuals with serious mental illness. Schizophr Bull 2006;32:584-9.
3. Nasrallah HA, Meyer JM, Goff DC et al. Low rates of treatment for hypertension, dyslipidemia and diabetes in schizophrenia: data from the CATIE schizophrenia trial sample at baseline. Schizophr Res 2006;86:15-22.
4. Druss BG, Bradford DW, Rosenheck RA et al. Mental disorders and use of cardiovascular procedures after myocardial infarction. JAMA 2000;283:506-11.
5. Druss BG, Bradford WD, Rosenheck RA et al. Quality of medical care and excess mortality in older patients with mental disorders. Arch Gen Psychiatry 2001;58:565-72.
6. Folsom DP, McCahill M, Bartels SJ et al. Medical comorbidity and receipt of medical care by older homeless people with schizophrenia or depression. Psychiatr Serv 2002;53:1456-60.
7. Goldberg RW, Kreyenbuhl JA, Medoff DR et al. Quality of diabetes care among adults with serious mental illness. Psychiatr Serv 2007;58:536-43.
8. Zubenko GS, Marino LJ, Jr, Sweet RA et al. Medical comorbidity in elderly psychiatric inpatients. Biol Psychiatry 1997; 41:724-36.
9. Weiss AP, Henderson DC, Weilburg JB et al. Treatment of cardiac risk factors among patients with schizophrenia and diabetes. Psychiatr Serv 2006;57:1145-52.
10. Roberts L, Roalfe A, Wilson S, Lester H. Physical health care of patients with schizophrenia in primary care: a comparative study. Fam Pract 2007;24:34-40.
11. Zubenko GS, Mulsant BH, Sweet RA et al. Mortality of elderly patients with psychiatric disorders. Am J Psychiatry 1997; 154:1360-8.
12. Hippisley-Cox J, Parker C, Coupland C et al. Inequalities in the primary care of patients with coronary heart disease and serious mental health problems: a cross-sectional study. Heart 2007;93:1256-62.
13. Sullivan G, Han X, Moore S et al. Disparities in hospitalization for diabetes among persons with and without co-occurring mental disorders. Psychiatr Serv 2006;57:1126-31.
14. Johannessen L, Strudsholm U, Foldager L et al. Increased risk of hypertension in patients with bipolar disorder and patients with anxiety compared to background population and patients with schizophrenia. J Affect Disord 2006;95:13-7.
15. Strudsholm U, Johannessen L, Foldager L et al. Increased risk for pulmonary embolism in patients with bipolar disorder. Bipolar Disord 2005;7:77-81.
16. Copeland LA, Zeber JE, Rosenheck RA et al. Unforeseen inpatient mortality among veterans with schizophrenia. Med Care 2006;44:110-6.
17. Kilbourne AM, McCarthy JF, Welsh D et al. Recognition of cooccurring medical conditions among patients with serious mental illness. J Nerv Ment Dis 2006;194:598-602.
18. Institute of Medicine. Patient Safety: Achieving a New Standard of Care. Washington, DC: The National Academies Press, 2003, 550.
19. Daumit GL, Pronovost PJ, Anthony CB et al. Adverse events during medical and surgical hospitalizations for persons with schizophrenia. Arch Gen Psychiatry 2006;63:267-72.
20. National Quality Forum. http://www.qualityforum.org/ Measures_List (10 January 2012, date last accessed).
21. Miller MR, Elixhauser A, Zhan C, Meyer GS. Patient Safety Indicators: using administrative data to identify potential patient safety concerns. Health Serv Res 2001;36(6 Pt 2):110-32.
22. Zrelak PA, Utter GH, Sadeghi B et al. Using the Agency for Healthcare Research and Quality patient safety indicators for targeting nursing quality improvement. J Nurs Care Qual 2012;27:99-108.
23. Miller MR, Pronovost P, Donithan M et al. Relationship between performance measurement and accreditation: implications for quality of care and patient safety. Am J Med Qual 2005;20:239-52.
24. Kaafarani HM, Borzecki AM, Itani KM et al. Validity of selected patient safety indicators: opportunities and concerns. J Am Coll Surg 2011;212:924-34.
25. Romano PS, Mull HJ, Rivard PE et al. Validity of selected AHRQ patient safety indicators based on VA National Surgical Quality Improvement Program data. Health Serv Res 2009; 44:182-204.
26. Isaac T, Jha AK. Are patient safety indicators related to widely used measures of hospital quality? J Gen Intern Med 2008; 23:1373-8.
27. Cima RR, Lackore KA, Nehring SA et al. How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. Surgery 2011;150:943-9.
28. Drosler SE, Romano PS, Tancredi DJ et al. International comparability of patient safety indicators in 15 OECD Member countries: a methodological approach of adjustment by secondary diagnoses. Health Serv Res 2012;47(1 Pt 1):275-92.
29. Rosen AK, Loveland S, Anderson JJ et al. Evaluating diagnosisbased case-mix measures: how well do they apply to the VA population? Med Care 2001;39:692-704.
30. Rosen AK, Rivard P, Zhao S et al. Evaluating the patient safety indicators: how well do they perform on Veterans Health Administration data? Med Care 2005;43:873-84.
31. Rivard PE, Luther SL, Christiansen CL et al. Using patient safety indicators to estimate the impact of potential adverse events on outcomes. Med Care Res Rev 2008;65:67-87.
32. Agency for Healthcare Research and Quality. AHRQ Quality Indicators: Guide to Patient Safety Indicators, Version 3.1. Rockville, MD: Agency for Healthcare Research and Quality, 2007.
33. Agency for Healthcare Research and Quality. Patient Safety Indicators: Technical Specifications, Version 3.1. Rockville, MD: Agency for Healthcare Research and Quality, 2007.
34. Agency for Healthcare Research and Quality. Patient Safety Indicators SAS Software Documentation, Version 3.1. Rockville, MD: Agency for Healthcare Research and Quality, 2007.
35. Li Y, Glance LG, Cai X et al. Adverse hospital events for mentally ill patients undergoing coronary artery bypass surgery. Health Serv Res 2008;43:2239-52.
36. Elixhauser A, Steiner C, Harris DR et al.. Comorbidity measures for use with administrative data. Med Care 1998;36:8-27.
37. Schwartz JE, Fennig S, Tanenberg-Karant M et al. Congruence of diagnoses 2 years after a first-admission diagnosis of psychosis. Arch Gen Psychiatry 2000;57:593-600.
38. Shimada SL, Montez-Rath ME, Loveland SA et al. Racial disparities in patient safety indicator (PSI) rates in the Veterans Health Administration (Vol. 1: Assessment), 2008.
39. Horwitz LI, Cuny JF, Cerese J et al. Failure to rescue: validation of an algorithm using administrative data. Med Care 2007;45:283-7.
40. White RH, Sadeghi B, Tancredi DJ et al. How valid is the ICD-9-CM based AHRQ patient safety indicator for postoperative venous thromboembolism? Med Care 2009;47:1237-43.
41. Henderson KE, Recktenwald A, Reichley RM et al. Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. Jt Comm J Qual Patient Saf 2009;35:370-6.
42. Talsma A, Bahl V, Campbell DA. Exploratory analyses of the 'failure to rescue' measure: evaluation through medical record review. J Nurs Care Qual 2008;23:202-10.
43. Iezzoni LI, Daley J, Heeren T et al. Using administrative data to screen hospitals for high complication rates. Inquiry 1994; 31:40-55.