Measurable Hospital-Acquired Conditions (Composite Patient Safety and Adverse Events Indicator) Statewide Rate, California (LGHC Indicator)

This dataset contains the statewide composite patient safety indicator (PSI) rate used to determine the “Incidence of measurable hospital-acquired conditions” rate for the Let’s Get Healthy California Initiative. PSI rates may not be comparable across years as significant changes were made to composition, definition, and calculation of PSI since 2018. The current composite PSI includes the following component indicators: pressure ulcer, iatrogenic pneumothorax, in-hospital fall with hip fracture, postoperative hemorrhage or hematoma, postoperative acute kidney injury requiring dialysis, postoperative respiratory failure, perioperative pulmonary embolism or deep vein thrombosis, postoperative sepsis, postoperative wound dehiscence, abdominopelvic accidental puncture or laceration.

This report contains the statewide composite patient safety and adverse events indicator (PSI) rate used to determine the “Incidence of measurable hospital-acquired conditions” rate for the Let’s Get Healthy California Initiative. PSI rates may not be comparable across years as significant changes were made to composition, definition, and calculation of PSI since 2018. The current composite PSI includes the following component indicators: pressure ulcer, iatrogenic pneumothorax, in-hospital fall with hip fracture, postoperative hemorrhage or hematoma, postoperative acute kidney injury requiring dialysis, postoperative respiratory failure, perioperative pulmonary embolism or deep vein thrombosis, postoperative sepsis, postoperative wound dehiscence, abdominopelvic accidental puncture or laceration.

California spends $3.1 billion each year on hospital-acquired infections.[1] This indicator includes incidence of measurable hospital-acquired conditions (per 1,000 discharges). This data is comprised of a composite patient safety indicator, which includes an average of the observed-to-expected ratios of several other selected indicators of quality. The available data is limited and there remains opportunity for further development to establish a more definitive measure. At present, this indicator serves as a useful starting point for examining hospital quality. With sustained and system-wide quality improvement efforts in hospitals, safety and quality of care for patients can be enhanced and billions of dollars saved. Learn more at [Let's Get Healthy California](https://letsgethealthy.ca.gov/goals/redesigning-the-health-system/hospital-safety-and-quality-of-care-acquired-conditions/#_data-snapshot) [1] Let’s Get Healthy California Task Force. (December 2012). Let’s Get Healthy California Task Force Final Report. Let’s Get Healthy California Task Force.