Validity of the Agency for Health Care Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: A Systematic Review and Meta-Analysis.

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Abstract

The Agency for Health Care Research and Quality Patient Safety Indicators (PSIs) and Centers for Medicare and Medicaid Services Hospital-acquired Conditions (HACs) are increasingly being used for pay-for-performance and public reporting despite concerns over their validity. Given the potential for these measures to misinform patients, misclassify hospitals, and misapply financial and reputational harm to hospitals, these need to be rigorously evaluated. We performed a systematic review and meta-analysis to assess PSI and HAC measure validity.

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Journal

Journal ID (iso-abbrev): Med Care

Title: Medical care

Publisher: Ovid Technologies (Wolters Kluwer Health)

ISSN (Electronic): 1537-1948

ISSN (Print): 0025-7079

Publication date (Electronic): Dec 2016

Volume: 54

Issue: 12

Affiliations

[1 ] *Johns Hopkins School of Medicine Armstrong Institute for Patient Safety and Quality, Baltimore, MD Departments of †Health Policy and Management, Johns Hopkins School of Medicine ‡Anesthesiology and Critical Care Medicine, Johns Hopkins School of Medicine §Johns Hopkins University Bloomberg School of Public Health ∥Department of Internal Medicine, Johns Hopkins School of Medicine, Baltimore, MD.

Article

DOI: 10.1097/MLR.0000000000000550

PubMed ID: 27116111

SO-VID: 6f4358f5-d103-4702-826a-e4ab2a1eb511

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