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Comment & Response |

Flaws in Patient Safety Measures—Reply

Ravi Rajaram, MD1; Cynthia Barnard, MBA2; Karl Y. Bilimoria, MD, MS1
[+] Author Affiliations
1Surgical Outcomes and Quality Improvement Center, Feinberg School of Medicine of Northwestern University, Chicago, Illinois
2Division of Quality, Northwestern Memorial HealthCare, Chicago, Illinois
JAMA. 2015;313(24):2495. doi:10.1001/jama.2015.5751.
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In Reply In addition to the several methodological concerns we described regarding the AHRQ’s PSI-90 composite measure, Dr Glaser and colleagues note that the PSI-90 and other administratively derived measures can also be influenced by nuances in coding. In the example they described, their hospital’s performance on the PSI-90 was worsened because their coding software precluded the entering of exclusion criteria for iatrogenic pneumothorax (PSI-6).


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June 23, 2015
Jordan B. Glaser, MD; Dina Wong, MHSA; Rabih Maroun, MD
1Staten Island University Hospital, Staten Island, New York
JAMA. 2015;313(24):2494-2495. doi:10.1001/jama.2015.5736.
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