Journal of Patient Safety

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this.features)));n.length>0&&(0,e.R)(36,{targetFeature:r.featureName,missingDependencies:n}),this.features[r.featureName]=new r(this)}))}catch(t){(0,e.R)(22,t);for(const e in this.features)this.features[e].abortHandler?.();const r=(0,w.Zm)();delete r.initializedAgents[this.agentIdentifier]?.api,delete r.initializedAgents[this.agentIdentifier]?.features,delete this.sharedAggregator;return r.ee.get(this.agentIdentifier).abort(),!1}}}({features:[fe,y,S,Se,Oe,O,H,it,st,Ie,rt],loaderType:"spa"})})()})();</script><meta charset="utf-8"/><meta name="viewport" content="width=device-width, initial-scale=1"/><meta http-equiv="Expires" content="0"/><meta name="DCSext.AbsHTMLview" content="1"/><meta name="WT.cg_n" content="journalpatientsafety"/><meta name="WT.cg_s" content="Articles"/><meta name="wkhealth_journal_title" content="Journal of Patient Safety"/><meta name="wkhealth_journal_title_legacy" content="Journal of Patient Safety"/><meta name="wkhealth_issue" content="2"/><meta name="wkhealth_article_publication_date" content="June 2007"/><meta name="wkhealth_volume" content="3"/><meta name="wkhealth_ovid_accession_number" content="01209203-200706000-00007"/><meta name="wkhealth_issn" content="1549-8417"/><meta name="wkhealth_title" content="Cost-Effective Enhancement of Claims Data to Improve Comparisons of Patient Safety"/><meta name="wkhealth_authors" content="Jordan, Harmon S.;Pine, Michael;Elixhauser, Anne;Hoaglin, David C.;Fry, Donald;Coleman, Kevin;Deitz, Deborah;Warner, David;Gonzales, Junius;Friedman, Zachary"/><meta name="wkhealth_doi" content="10.1097/01.jps.0000242988.01413.fb"/><meta name="wkhealth_abstract_html_url" content="https://journals.lww.com/journalpatientsafety/abstract/2007/06000/cost_effective_enhancement_of_claims_data_to.7.aspx"/><meta name="wkhealth_fulltext_html_url" content="https://journals.lww.com/journalpatientsafety/fulltext/2007/06000/cost_effective_enhancement_of_claims_data_to.7.aspx"/><meta name="wkhealth_toc_section" content="Original Articles"/><meta name="wkhealth_toc_sub_section"/><meta name="wkhealth_eJpId" content="journalpatientsafety:2007:06000:00007"/><meta name="wkhealth_firstpage" content="82"/><meta name="wkhealth_date" content="June 2007"/><meta name="wkhealth_pdf_url" content="https://journals.lww.com/journalpatientsafety/_layouts/15/oaks.journals/downloadpdf.aspx?trckng_src_pg=Other&an=01209203-200706000-00007"/><meta name="Description" content="Tools that support screening for medical errors can help to identify potential patient safety events"/><meta property="og:site_name" content="LWW"/><meta property="og:type" content="article"/><meta property="og:title" content="Cost-Effective Enhancement of Claims Data to Improve... : Journal of Patient Safety"/><meta property="og:description" content="s, which are based solely on hospital administrative or claims data, represent one such tool. Without sufficient clinical detail, measures based on claims data may not accurately reflect hospital quality of care. To construct risk-adjustment models, we used hospital discharge data from July 2000 to June 2003 from 188 Pennsylvania hospitals supplied by the Pennsylvania Health Care Cost Containment Council. We augmented the hospital claims data with clinical data (also supplied by the Pennsylvania Health Care Cost Containment Council) abstracted from medical records using MediQual's proprietary Atlas™ (MediQual, Westborough, MA, a subsidiary of CardinalHealth) clinical information system. Clinical data elements included such items as patient history, laboratory results, vital signs, and other clinical findings. Our cost-effectiveness analyses strongly support the value of enhancing administrative claims data with a present-on-admission code and adding a limited set of numerical laboratory values. Reasonable additional benefit may be gained by adding vital signs to this data set, but the trade-off between effectiveness and cost is not as clear. Also, more accurate International Classification of Diseases, Ninth Revision, Clinical Modification coding of specific secondary diagnoses that are currently undercoded could improve the validity of risk-adjustment equations without the added cost of abstracting clinical findings from medical records. There seems to be little justification for secondary abstraction of medical records to obtain data for risk-adjusting the Agency for Healthcare Research and Quality Patient Safety Indicators...."/><meta property="og:image" content="https://web.archive.org/web/20241113030454im_/https://images.journals.lww.com/journalpatientsafety/SocialThumb.01209203-200706000-00007.T1-7.jpeg"/><meta property="og:image:width" content="800"/><meta property="og:image:height" content="335"/><meta property="og:url" content="https://web.archive.org/web/20241113030454/https://journals.lww.com/journalpatientsafety/fulltext/2007/06000/cost_effective_enhancement_of_claims_data_to.7.aspx"/><meta property="twitter:card" content="summary"/><meta name="robots" content="index, follow, noarchive"/><meta name="WT.sv" content="ZUSE1PEJPWEB01"/><meta name="Title" content="Journal of Patient Safety"/><style id="SPThemeHideForms" type="text/css">body {opacity:0 !important}</style>  <link 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<div id="ej-box-modal-style-1"> <div id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_pnlMain"> <div id="tocUnsubscribeModal"> <section class="wk-modal-content"> <header class="wk-modal-header ejp-modal-header"> <div class="wk-modal-title ejp-modal-title"></div> <button aria-label="close dialog" class="js-close primary-button wk-button-icon wk-modal-close ejp-modal-close "><i class="fa fa-times"></i></button> </header> <div class="wk-modal-body"> <div class="wk-field-item"> <p> <span id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_lblUnsubscribeMessage"></span> </p> <div class="wk-button-bar"> <div class="wk-button-group-left"> <p id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_pUnsubscribeButtons" style="display: none;"> <input type="submit" name="ctl00$ctl51$Header$UserActionTools$ucUnsubscribeToAlertsUserControl$btnContinue" value="Yes" onclick="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions("ctl00$ctl51$Header$UserActionTools$ucUnsubscribeToAlertsUserControl$btnContinue", "", true, "", "", false, false))" id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_btnContinue" class="primary-button"/> <input type="button" value="No" id="btnCancel" aria-label="close dialog" class="js-close secondary-button"/> </p> </div> </div> </div> </div> </section> </div> </div> </div> </div> </div> <div id="ej-clear-float"> </div> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$ucUnsubscribeToAlertsUserControl$hiddenUnSubscribeAlertType" id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnSubscribeAlertType"/> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$ucUnsubscribeToAlertsUserControl$hiddenUnsubscribeJournalId" id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnsubscribeJournalId"/> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$ucUnsubscribeToAlertsUserControl$hiddenUnsubscribeMessage" id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnsubscribeMessage"/> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$ucUnsubscribeToAlertsUserControl$hiddenTopicalCollectionId" id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenTopicalCollectionId"/> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$ucUnsubscribeToAlertsUserControl$hiddenOvidId" id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenOvidId"/> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$ucUnsubscribeToAlertsUserControl$hiddenJournalId" id="ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenJournalId"/> <script type="text/javascript"> function alerts_ShowUnSubscribeeTOCPopup(title, alertType, journalId) { var unSubscribeeTocPopup = $find('unSubscribeToAlerts'); var lblUnsubscribeMessage = document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_lblUnsubscribeMessage'); lblUnsubscribeMessage.innerHTML = title; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnSubscribeAlertType').value = alertType; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnsubscribeMessage').value = title; $('#' + 'ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_pUnsubscribeButtons').show(); if (document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenJournalId').value == null || document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenJournalId').value == '') { document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenJournalId').value = journalId; } if (unSubscribeeTocPopup != null) { unSubscribeeTocPopup.show(); } } function alerts_ShowUnSubscribeeTOCPopup_Root(title, journalId, alertType) { var unSubscribeeTocPopup = $find('unSubscribeToAlerts'); var lblUnsubscribeMessage = document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_lblUnsubscribeMessage'); lblUnsubscribeMessage.innerHTML = title; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnsubscribeMessage').value = title; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnSubscribeAlertType').value = alertType; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnsubscribeJournalId').value = journalId; $('#' + 'ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_pUnsubscribeButtons').show(); if (unSubscribeeTocPopup != null) { unSubscribeeTocPopup.show(); } } function alerts_ShowUnSubscribeeTOCPopup_Citation(title, journalId, ovidId) { var unSubscribeeTocPopup = $find('unSubscribeToAlerts'); var lblUnsubscribeMessage = document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_lblUnsubscribeMessage'); lblUnsubscribeMessage.innerHTML = title; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnsubscribeMessage').value = title; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnSubscribeAlertType').value = 'Citation'; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnsubscribeJournalId').value = journalId; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenOvidId').value = ovidId; $('#' + 'ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_pUnsubscribeButtons').show(); if (unSubscribeeTocPopup != null) { unSubscribeeTocPopup.show(); } } function alerts_ShowUnSubscribeeTOCPopup_Topical(title, journalId, topicalCollectionId) { var unSubscribeeTocPopup = $find('unSubscribeToAlerts'); var lblUnsubscribeMessage = document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_lblUnsubscribeMessage'); lblUnsubscribeMessage.innerHTML = title; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnsubscribeMessage').value = title; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnSubscribeAlertType').value = 'Topical'; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenUnsubscribeJournalId').value = journalId; document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenTopicalCollectionId').value = topicalCollectionId; $('#' + 'ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_pUnsubscribeButtons').show(); if (document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenJournalId').value == null || document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenJournalId').value == '') { document.getElementById('ctl00_ctl51_Header_UserActionTools_ucUnsubscribeToAlertsUserControl_hiddenJournalId').value = journalId; } if (unSubscribeeTocPopup != null) { unSubscribeeTocPopup.show(); } } function alerts_ShowUnSubscribeeTOCSuccessPopup() { var unSubscribeeTocPopup = $find('unSubscribeToAlerts'); if (unSubscribeeTocPopup != null) { unSubscribeeTocPopup.show(); } } $('.js-close').on('click', function() { var unSubscribeeTocPopup = $find('unSubscribeToAlerts'); if (unSubscribeeTocPopup != null) { unSubscribeeTocPopup.hide(); } return false; }); </script> <span id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_dummyTargetControl"></span> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$SubscribeToEtocPopupControl$hiddenSubscribeToEtocPopupState" id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenSubscribeToEtocPopupState" value="showemail"/> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$SubscribeToEtocPopupControl$hiddenConfirmSubscriptionPageUrl" id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenConfirmSubscriptionPageUrl"/> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$SubscribeToEtocPopupControl$hiddenJournalId" id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenJournalId"/> <input type="hidden" name="ctl00$ctl51$Header$UserActionTools$SubscribeToEtocPopupControl$hiddenSubscriptionType" id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenSubscriptionType"/> <div id="divPopupOverLay" class="Popup-Overlay" style="display: none; position: fixed; left: 0; top: 0; z-index: 3800; width: 1920px; height: 4517px;"></div> <div id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_pnlSubscribeToEtoc" class="etoc-popup ej-box-modal-drop-shadow" style="display: none;"> <div tabindex="-1" role="dialog" class="wk-modal horizontally-centered small wk-modal-with-overlay wk-modal-small ejp-modal"> <div id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_pnlMain" onkeypress="javascript:return WebForm_FireDefaultButton(event, 'ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_btnContinue')"> <section class="wk-modal-content"> <header class="wk-modal-header ejp-modal-header"> <div class="wk-modal-title ejp-modal-title"> <span id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_lblTitle"></span> </div> <button aria-label="close dialog" class="js-close primary-button wk-button-icon wk-modal-close ejp-modal-close "> <i class="fa fa-times"></i> </button> </header> <div class="wk-modal-body"> <div class="wk-field-item"> <div class="wk-field-body"> <strong> <span id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_lblThankYouMessage"></span></strong> </div> <div class="wk-field-body"> <span id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_cvEmailError" style="color:Black;display:none;"> <div class="ej-error-message"> <p class="ej-error-message-icon error-red"> </p> </div> </span> <label for="Email input">Enter your Email address:</label> <div class="wk-field-body"> <input name="ctl00$ctl51$Header$UserActionTools$SubscribeToEtocPopupControl$txtEmailAddress" type="text" id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_txtEmailAddress" class="ej-box-modal-style-1-input"/> </div> </div> <div class="wk-button-bar"> <div class="wk-button-group-left"> <input type="submit" name="ctl00$ctl51$Header$UserActionTools$SubscribeToEtocPopupControl$btnContinue" value="Continue" onclick="javascript:WebForm_DoPostBackWithOptions(new WebForm_PostBackOptions("ctl00$ctl51$Header$UserActionTools$SubscribeToEtocPopupControl$btnContinue", "", true, "", "", false, false))" id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_btnContinue" class="primary-button"/> <input type="button" value="Cancel" id="btnCancel" class="js-close secondary-button"/> </div> </div> </div> <div class="wk-field-item"> <div class="wk-field-body"> <a id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hypPrivacy" href="https://web.archive.org/web/20241113030454/https://journals.lww.com/journalpatientsafety/_layouts/oaks.journals/privacy.aspx" target="_blank">Privacy Policy</a> </div> </div> </div> </section> </div> <div id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_pnlAuthenticatedUser" style="display: none;"> <section class="wk-modal-content"> <header class="wk-modal-header ejp-modal-header"> <div class="wk-modal-title ejp-modal-title"></div> <button aria-label="close dialog" class="js-close primary-button wk-button-icon wk-modal-close ejp-modal-close "><i class="fa fa-times"></i></button> </header> <div class="wk-modal-body"> <div class="wk-field-item"> <p> <strong> <span id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_lblAuthenticatedUserTitle"></span> </strong> </p> </div> <p id="ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_pAuthenticatedUserMessage"> </p> </div> </section> </div> </div> </div> <div id="ej-clear-float"> </div> <script type="text/javascript"> function alerts_SaveSubscriptionTypeInHiddenField(url, subscriptionType, journalId, yearId, issueId, articleId) { if (journalId && yearId && issueId && articleId) { logCounterDataAlertWhenCitedSynchronously(journalId, yearId, issueId, articleId); } $('#' + 'ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenSubscriptionType').val(subscriptionType); $('#' + 'ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenJournalId').val(journalId); if (url) window.location = url; else __doPostBack('hypSubscribeToAlerts'); return false; } function alerts_ShowSubscribeeTOCPopup(journalTitle, journalId, subscriptionType, displaySubscriptionType) { $('#' + 'ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenSubscriptionType').val(subscriptionType); var subscribeToEtocPopup = $find('subscribeToEtoc'); subscribeToEtocPopup.show(); document.getElementsByTagName( 'html' )[0].classList.add('no-scroll'); var modelPopupState = document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenSubscribeToEtocPopupState'); var emailTextBox = document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_txtEmailAddress'); var thanksPanel = document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_pnlAuthenticatedUser'); var mainPanel = document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_pnlMain'); var thankYouMessageUnAuthenticated = document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_lblThankYouMessage'); var thankYouMessageAuthenticated = document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_lblAuthenticatedUserTitle'); if (!displaySubscriptionType) { displaySubscriptionType = subscriptionType; } if (modelPopupState.value == 'showthanksmessage') { thanksPanel.style.display = "block"; mainPanel.style.display = "none"; thankYouMessageAuthenticated.innerHTML = "Thank you for subscribing to the " + displaySubscriptionType + " for " + journalTitle + "."; } if (modelPopupState.value == 'showemail') { thanksPanel.style.display = "none"; mainPanel.style.display = "block"; thankYouMessageUnAuthenticated.innerHTML = "Thank you for choosing to subscribe to the " + displaySubscriptionType + " for " + journalTitle + "."; } if ($('.etoc-popup') != null) { document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenJournalId').value = journalId; if (modelPopupState.value == 'showemail') emailTextBox.focus(); } } $('.js-close').on('click', function () { document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_txtEmailAddress').value = ""; document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_cvEmailError').style.display = "none"; var pageUrl = document.getElementById('ctl00_ctl51_Header_UserActionTools_SubscribeToEtocPopupControl_hiddenConfirmSubscriptionPageUrl'); var subscribeeTocPopup = $find('subscribeToEtoc'); if (subscribeeTocPopup != null) { subscribeeTocPopup.hide(); document.getElementsByTagName( 'html' )[0].classList.remove('no-scroll'); if (pageUrl.value !== '' && pageUrl.value !== window.location.pathname) window.location = pageUrl.value; } return false; }); </script> <div id="ctl00_ctl51_Header_UserActionTools_eTocTopContainer"> <div id="eTocTop" style="display: none;"> <a rel="nofollow" title href="javascript:javascript: alerts_ShowSubscribeeTOCPopup('Journal of Patient Safety','journalpatientsafety','eTOC', 'eTOC');;" onclick="javascript: alerts_ShowSubscribeeTOCPopup('Journal of Patient Safety','journalpatientsafety','eTOC', 'eTOC');"><span id="ctl00_ctl51_Header_UserActionTools_alertLinkControlTop_defaultText" class="hideOnFixed">Subscribe to eTOC</span></a> </div> </div> <script> $(function () { //find recent searches link and move container var recentSearchesControl = $("a[id$='RecentSearches']"); if (recentSearchesControl.length) { recentSearchesControl.click(function (e) { e.stopPropagation(); if ($("#ResentSearchContainer").is(":hidden")) { $("#ResentSearchContainer").slideDown("slow"); recentSearchesControl.addClass('open'); } else { $("#ResentSearchContainer").hide(); recentSearchesControl.removeClass('open'); } }); } var eTocAccountLink = $("ul.js-user-action-toolbar__dropdown>li>a[id='SubscribeToEToc']"); if (eTocAccountLink.length) { eTocAccountLink.parent().html($("#eTocTop>a")); } }); </script> <a class="logo-secondary white" href="https://web.archive.org/web/20241113030454/http://wolterskluwer.com/" target="_blank"> <h3 class="logo-secondary-text">Secondary Logo</h3> </a> <a href="#" class="sticky-search"><i class="fa fa-search"></i></a> </div> <div class="header__layout-bottom wk-grid-page-container"> <a id="hypJournals" class="logo-main" href="https://web.archive.org/web/20241113030454/https://journals.lww.com/journalpatientsafety/pages/default.aspx"> <h3 class="logo-main-text">Journal Logo </h3> </a> <div class="search-v2"> <div class="search-wrapper"> <select name="ctl00$ctl51$Header$SearchTopBoxControl$ddlContentScope" id="ctl00_ctl51_Header_SearchTopBoxControl_ddlContentScope"> <option value="All">All</option> <option selected="selected" value="Articles">Articles</option> <option value="Images">Images</option> <option value="Videos">Videos</option> <option value="Podcasts">Podcasts</option> <option value="Blogs">Blogs</option> </select> <div class="input-group" id="globalSearch"> <input name="ctl00$ctl51$Header$SearchTopBoxControl$txtKeywords" type="text" value="Search" id="ctl00_ctl51_Header_SearchTopBoxControl_txtKeywords" class="form-control searchText"/> <span class="input-group-btn"> <button id="ctl00_ctl51_Header_SearchTopBoxControl_btnGlobalSearchMagnifier" type="submit" class="btn btn-default"><i class="fa fa-search"></i></button> </span> <input type="hidden" name="ctl00$ctl51$Header$SearchTopBoxControl$IsAutoCompleteEnabled" id="ctl00_ctl51_Header_SearchTopBoxControl_IsAutoCompleteEnabled" value="true"/> <input type="hidden" name="ctl00$ctl51$Header$SearchTopBoxControl$AutocompleteApiUrl" id="ctl00_ctl51_Header_SearchTopBoxControl_AutocompleteApiUrl" value="https://platformservices.wolterskluwerhealth.com/autocomplete/JPATS/shingle/"/> </div> </div> <div class="advance-search" style=""> <a id="ctl00_ctl51_Header_SearchTopBoxControl_lnkAdvanceSearch" href="https://web.archive.org/web/20241113030454/https://journals.lww.com/journalpatientsafety/pages/advancedsearch.aspx">Advanced Search</a> <input type="submit" name="ctl00$ctl51$Header$SearchTopBoxControl$btnGlobalSearch" value="" id="ctl00_ctl51_Header_SearchTopBoxControl_btnGlobalSearch" disabled="disabled" class="aspNetDisabled btnGlobalSearch" style="display: none;"/> <input name="ctl00$ctl51$Header$SearchTopBoxControl$hfldKeywords" type="hidden" id="ctl00_ctl51_Header_SearchTopBoxControl_hfldKeywords" class="hfldKeywords" value="disableButton"/> </div> </div> <script> $(function() { try { var objSearchBox = { btnGlobalSearchMagnifierId: 'ctl00_ctl51_Header_SearchTopBoxControl_btnGlobalSearchMagnifier', searchButtonId: 'ctl00_ctl51_Header_SearchTopBoxControl_btnGlobalSearch', txtKeywordsId: 'ctl00_ctl51_Header_SearchTopBoxControl_txtKeywords', hfldKeywordsHiddenId: 'ctl00_ctl51_Header_SearchTopBoxControl_hfldKeywords', defaultSearchText: 'Search' }; new Searchbox(objSearchBox).Init(); } catch (e) { console.error(e); } }); //autocomplete functionality for basic search //this functionality will call the SBA url and start suggesting after typing 3rd character var textKeywords = null; var hiddenAutocompleteApiUrl = null; var buttonGlobalSearch = null; $(function () { try { var objAutocomplete = { hiddenIsAutoCompleteEnabled: $('#ctl00_ctl51_Header_SearchTopBoxControl_IsAutoCompleteEnabled'), textKeywords: $('#ctl00_ctl51_Header_SearchTopBoxControl_txtKeywords'), hiddenAutocompleteApiUrl: $('#ctl00_ctl51_Header_SearchTopBoxControl_AutocompleteApiUrl'), buttonGlobalSearch: $('#ctl00_ctl51_Header_SearchTopBoxControl_btnGlobalSearch'), enableNewAutoComplete: true, newAutoCompleteUrl: 'https://web.archive.org/web/20241113030454/https://dxg-search-na-prd.wkgposvc.cloud/Query.svc/Query_Expand', newAutoCompleteMaxSuggestions: '10', newAutoCompleteDictionaryIds: 'ovid_sted28_mesh22' }; autoComplete(objAutocomplete); } catch (e) { console.error(e); } }); $(function () { let searchSelect = $('select[id$="ddlContentScope"]');; if (searchSelect.length){ searchSelect.selectize(); } }); </script> </div> <div id="main-nav-container-v2"> <nav id="main-nav" class="navbar navbar-default yamm wk-grid-page-container"> <div class="navbar-header"> <button id="fatJuicy" type="button" class="navbar-hamburger-button navbar-toggle collapsed pull-left" data-bs-toggle="collapse" data-bs-target="#zz1_TopNavigationMenu" aria-expanded="false" aria-controls="navbar"> <span class="visually-hidden">Toggle navigation</span> <span class="icon-bar"></span> <span class="icon-bar"></span> <span class="icon-bar"></span> <span class="navbar-hamburger-button__text"></span> </button> </div> <div id="navActionButtons" class="btn-group navbar-hover-color" role="group" aria-label="..."> <a id="ctl00_ctl51_lnkRegister" class="btn btn-default navbar-button" href="https://web.archive.org/web/20241113030454/https://journals.lww.com/journalpatientsafety/pages/register.aspx?ContextUrl=%2fjournalpatientsafety%2fpages%2farticleviewer.aspx%3fyear%3d2007%26issue%3d06000%26article%3d00007%26type%3dabstract">Register</a> <button class="user-menu__link user-menu__link--login js-ejp-login-btn btn btn-default navbar-button" type="button" data-config="{"eventName":"login","eventDetail":{},"isNull":false}"> <span>Login</span> </button> </div> <div id="ctl00_ctl51_TopNavigationMenuConfiguration" style="display:none" class="js-top-navigation-menu-configuration" data-config="{"browsingHistory":{"isEnabled":true,"serviceUrl":"https://apim-hlrp-ejp-prod.azure-api.net/ee","pdfDownloadUrl":"/_layouts/15/oaks.journals/downloadpdf.aspx?trckng_src_pg=HistoryTab"}}"></div> <div id="zz1_TopNavigationMenu" class="navbar-collapse collapse js-top-navigation-menu noindex ms-core-listMenu-horizontalBox"> <ul id="zz2_RootAspMenu" class="root 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'https://web.archive.org/web/20241113030454/https://s100.copyright.com/AppDispatchServlet', 'WoltersKluwer', 'PTS', 'Cost-Effective Enhancement of Claims Data to Improve Comparisons of Patient Safety', '06012007', 'Harmon Jordan, Michael Pine, Anne Elixhauser, et al', '3', '2', '\u00A9 2007 Lippincott Williams & Wilkins, Inc.', '01209203-200706000-00007', '', false, ''); } </script> <div id="ArticleContainer"> <article id="ej-abstract-view" xmlns:ssr="http://ssr-eus-go-csi.cloudapp.net/v1/assets" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xhtml="http://www.w3.org/1999/xhtml"><section class="ejp-r-article-subsection"><div class="ejp-r-article-subsection__text">Original Articles</div></section><header class="ejp-article-header"><h1 class="ejp-article-title">Cost-Effective Enhancement of Claims Data to Improve Comparisons of Patient Safety</h1></header><section id="ejp-article-authors"><p id="P7">Jordan, Harmon S. ScD<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">†</sup>; Pine, Michael MD, MBA<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">‡§</sup>; Elixhauser, Anne PhD<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">∥</sup>; Hoaglin, David C. PhD<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">*</sup>; Fry, Donald MD<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">‡</sup>; Coleman, Kevin MS<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">¶</sup>; Deitz, Deborah RN, BSN<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">*</sup>; Warner, David MS<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">*</sup>; Gonzales, Junius MD, MBA<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">¶</sup>; Friedman, Zachary BA<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">*</sup></p><section><a href="#" id="ejp-article-authors-link"> Author Information <i class="wk-icon-arrow-down-r"></i></a></section></section><section id="ejp-article-authors-info" class="ejp-article-authors-info ejp-article-authors-info--hidden"><div class="ejp-article-authors-info-holder"> <p id="AF_ID_d1931e141">From the *Abt Associates Inc., Cambridge; †Tufts University School of Medicine, Boston, Massachusetts; ‡Michael Pine and Associates, Inc.; §The University of Chicago, Chicago, Illinois; ∥Agency for Healthcare Research and Quality, Rockville; and ¶Abt Associates Inc., Bethesda, Maryland.</p> <p id="BT_ID_d1931e148">One of the authors (D.C.H.) owns stock in Cardinal Health, the parent company of MediQual.</p> <p id="BT_ID_d1931e148">The Pennsylvania Health Care Cost Containment Council (PHC4) is an independent state agency responsible for addressing the problem of escalating health costs, ensuring the quality of health care, and increasing access to health care for all citizens regardless of ability to pay. The PHC4 has provided data to this entity in an effort to further PHC4's mission of educating the public and containing health care costs in Pennsylvania. The PHC4, its agents, and staff have made no representation, guarantee, or warranty, expressed or implied, that the data-financial-, patient-, payor-, and physician- specific information-provided to this entity are error-free or that the use of the data will avoid differences of opinion or interpretation. This analysis was not prepared by the PHC4. This analysis was done by Abt Associates Inc. The PHC4, its agents, and staff bear no responsibility or liability for the results of the analysis, which are solely the opinion of this entity.</p> <p id="BT_ID_d1931e148">Correspondence: Harmon S. Jordan, ScD, 66 Kingston Road, Waltham, MA 02451 (e-mail: <span><a href="/web/20241113030454/https://journals.lww.com/cdn-cgi/l/email-protection#82eaf1e8edf0e6e3ecc2f0e1ecace1edef" onclick="javascript:window.open('mailto:hsjordan@rcn.com');return false"><span class="__cf_email__" data-cfemail="4d253e27223f292c230d3f2e23632e2220">[email protected]</span></a></span>).</p> </div></section><section id="article-journal-info"><div class="ej-journal-info"><span class="ej-journal-name">Journal of Patient Safety </span><span id="ej-journal-date-volume-issue-pg"><a href="/web/20241113030454/https://journals.lww.com/journalpatientsafety/toc/2007/06000">3(2):p 82-90, June 2007.</a></span><span> | </span><span class="ej-journal-doi">DOI: </span>10.1097/01.jps.0000242988.01413.fb</div></section><section id="ejp-article-indicators" class="ejp-article-indicators"><ul class="ejp-article-indicators__list"> <li id="ej-article-indicators-buy" class="ejp-article-indicators__list-item" onmouseover="javascript:Tooltip_Buy()" onmouseout="javascript:Tooltip_MouseOut()"><a href="#ContentAccessOptions"><span class="ejp-indicator">Buy</span></a></li> </ul><button id="openArticleMetricsPopupButton" type="button" class="wk-button wk-button-ghost wk-button-icon-left ejp-article-metrics-btn" data-articlemetricsendpoint="//services.journals.lww.com/IntegrationServices/ArticleMetricsService.svc" data-articlemetricsdetailsurl="https://wolterskluwer.altmetric.com/details/" data-doi="10.1097/01.jps.0000242988.01413.fb" data-suiteid="vrs_woltere_journalsglobalvrs" data-articlepublicationdate="2007-06-01" data-articlepublicationdatestring="June 2007" data-receiveddate="" data-revisionreceiveddate="" data-accepteddate="" data-crossrefreflinkroot="https://doi.org/" data-medlinereflinkroot="http://www.ncbi.nlm.nih.gov/pubmed/" data-pubmedid=""><i class="wk-icon-filled-chart-r"></i><i class="wk-icon-filled-chart-white-r"></i> Metrics </button></section><section class="ejp-article-tabs" id="abstractWrap"><h2 class="ejp-article-tabs-heading">Abstract</h2> <div class="ejp-article-tabs__tabpanel" id="panel1" role="tabpanel" aria-labelledby="tab1"> <div id="article-abstract-content1"> <div class="ejp-article-text-abstract"> <p>Tools that support screening for medical errors can help to identify potential patient safety events for further investigation and can provide benchmarks against which providers, localities, and states can compare themselves. The Agency for Healthcare Research and Quality Patient Safety Indicators, which are based solely on hospital administrative or claims data, represent one such tool. Without sufficient clinical detail, measures based on claims data may not accurately reflect hospital quality of care. To construct risk-adjustment models, we used hospital discharge data from July 2000 to June 2003 from 188 Pennsylvania hospitals supplied by the Pennsylvania Health Care Cost Containment Council. We augmented the hospital claims data with clinical data (also supplied by the Pennsylvania Health Care Cost Containment Council) abstracted from medical records using MediQual's proprietary Atlas<sup xmlns:mrws="http://webservices.ovid.com/mrws/1.0">™</sup> (MediQual, Westborough, MA, a subsidiary of CardinalHealth) clinical information system. Clinical data elements included such items as patient history, laboratory results, vital signs, and other clinical findings. Our cost-effectiveness analyses strongly support the value of enhancing administrative claims data with a present-on-admission code and adding a limited set of numerical laboratory values. Reasonable additional benefit may be gained by adding vital signs to this data set, but the trade-off between effectiveness and cost is not as clear. Also, more accurate <em xmlns:mrws="http://webservices.ovid.com/mrws/1.0">International Classification of Diseases, Ninth Revision, Clinical Modification</em> coding of specific secondary diagnoses that are currently undercoded could improve the validity of risk-adjustment equations without the added cost of abstracting clinical findings from medical records. There seems to be little justification for secondary abstraction of medical records to obtain data for risk-adjusting the Agency for Healthcare Research and Quality Patient Safety Indicators.</p> </div> </div> </div></section><section class="ej-article-copyright">© 2007 Lippincott Williams & Wilkins, Inc.</section></article> </div> </div> <section id="ContentAccessOptions" class="article-not-authorized-msg"> <div class="ejp-access-options-wrapper"> <div class="ejp-access-options ejp-access-options--desktop"> <div id="ctl00_ctl29_g_0378a4cb_4f67_42fc_9ed0_6866125dfb16_ctl00_FullTextAccessOptionsContainer" class="ejp-access-options__subscriber-access"> <h3 class="ejp-access-options__subscriber-access-title">Full Text Access for Subscribers:</h3> <div class="ejp-access-options__subscriber-access-society-list"> <div id="ctl00_ctl29_g_0378a4cb_4f67_42fc_9ed0_6866125dfb16_ctl00_PrimaryLoginBox" class="box-ssologin primary-login-box"> <a 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