Patient Safety Indicators Download

User Guide

The User Guide provides direction on the interpretation of the Patient Safety Indicators (PSIs). It also provides an overview of the methods used to identify, select, and evaluate the Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs), a summary of the literature based evidence, empirical rates based on the State Inpatient Databases, and detailed definitions for each PSI. Potential users of this document include hospitals, State data organizations, and hospital associations.

• Patient Safety Indicators (PSI) Brochure, February 2006

• Guide to Patient Safety Indicators, Ver. 3.1, March 2007

• PSI Technical Specifications, Ver 3.2, March 2008

• PSI Technical Specifications, Ver 4.0, June 2009  (Updated!)

• PSI Comparative Data for Provider Indicators, Ver 3.1

• PSI Comparative Data for Area Indicators, Ver 3.1

Software

• Link to the QI Software Download Page
   

Covariates Used in Risk Adjustment

Two sets of covariates are  provided for the PSIs.  One group is based on a reference population that includes "Present on Admission" data (new in v3.1), and the other does not.  The two versions correspond to the two selections you may make within the QI software.  (SAS Control file, WinQI is determined automatically based on the loaded data.)

• PSI Covariates, Ver 3.1

• PSI Covariates with POA, Ver 3.1

Change Documents

PSI Change Log:  The Change Log document provides a cumulative summary of all changes to the PSI software, software documentation, and guide made since the release of version 2.1 of the software in March 2003.

• Change Log to PSI Guide and Software, May 2003 - Present

  • PSI Change Log  (Updated!)

PSI ICD-9-CM Coding Changes:  This document summarizes the changes to the indicator definitions resulting from FY 2006 changes to ICD-9-CM coding and DRG changes. These changes will only affect data from FY 2006 (October 1, 2005) or later. With this software update, the PSI software definitions now incorporate ICD-9-CM codes valid from October 1, 1994 through September 30, 2008.

• Fiscal Year 2009 Coding Changes (effective October 1, 2008)

  • PSI FY2009 Coding Changes  (Updated!)

Technical Documentation

The technical review of research underlying the development of the Patient Safety Indicators is available here.  A current summary of the evidence can be found in the PSI Guide that may be downloaded above.  Consult the Change Log and the archived coding changes documents for changes that have been made since the original PSI release.

• Measures of Patient Safety Based on Hospital Administrative Data -
  The Patient Safety Indicators, August 2002
  • Zipped — 825 KB
  • File Inventory
• Measures of Patient Safety Based on Hospital Administrative Data -
  The Patient Safety Indicators (Summary), August 2002
  • Word® format — 159 KB
  • PDF Format — 171 KB | (PDF help)
• Patient Safety Indicators (PSI) Composite Measure Workgroup Final Report, March 2008
  • PDF format - 7.2 MB | (PDF help)

Documentation in Microsoft Word® Format

• PSI Guide

• PSI Technical Specifications

• PSI FY2008 Indicator Changes