a . Deviations from appropriate length of stay and utilization of resources ; b . Patient Safety Indicators : i . PSI-02 : Death Rate in Low-Mortality Diagnosis Related Groups ( DRGs ); ii . PSI-06 : Iatrogenic Pneumothorax Rate ; iii . PSI-07 : Central Venous Catheter-related Blood Stream Infection Rate ; iv . PSI-08 : In Hospital Fall with Hip Fracture Rate .
B . Emergency Department Indicators 1 . Case Review : a . Unscheduled returns to ED within 48 hours C . Surgical Section Indicators
1 . Case Review : a . Unplanned return to surgery within 30 days .
2 . Rule Indicators : a . History & Physical not performed within 30 days , no H & P update completed ; b . Surgical / Procedure Consent not completed and signed prior to Time Out ; c . Universal Protocol , including the time-out not performed .
3 . Rate Indicators : a . PSI-04 : Death Rate among Surgical Inpatients with Serious Treatable Complications ; b . PSI-05 : Retained Surgical Item or Unretrieved Device Fragment Count ; c . PSI-09 : Postoperative Hemorrhage or Hematoma Rate ; d . PSI-10 : Postoperative Acute Kidney Injury Requiring Dialysis ; e . PSI-11 : Postoperative Respiratory Failure Rate ; f . PSI-12 : Perioperative Pulmonary Embolism or Deep Vein Thrombosis Rate ; g . PSI-13 : Postoperative Sepsis Rate ; h . PSI-14 : Postoperative Wound Dehiscence Rate ; i . PSI-15 : Abdominopelvic Accidental Puncture or Laceration Rate ;
D . Anesthesiology Section Indicators : 1 . Case Review ( as per General Indicators ); 2 . Rule Indicators ( as per General Indicators ); 3 . Rate Indicators : a . PSI-11 : Postoperative Respiratory Failure Rate . E . Ob / Gyn and Family Practice Section Indicators
1 . Case Review : a . postpartum return to delivery room or operating room for management ; b . delivery of an infant with birth weight less than 2500 grams or respiratory distress syndrome after a planned cesarean section or induction of labor ; c . Apgar score < 4 or less at five ( 5 ) minutes ; d . fetal demise .
2 . Rule Indicators a . Elective induction prior to 39 weeks gestation
3 . Rate Indicators a . PSI-17 : Birth Trauma Rate – Injury to Neonate ; b . PSI-18 : Obstetric Trauma Rate – Vaginal Delivery with Instrument ; c . PSI-19 : Obstetric Trauma Rate – Vaginal Delivery without Instrument .
F . Radiology Section Indicators 1 . Case Review a . Significant reading or communication omission .