Developing and Validating a Pediatric Potentially Avoidable Transfer Quality Metric.

ABSTRACT: This study aimed to evaluate a quality metric that identifies pediatric potentially avoidable transfers from diagnosis and procedure codes. Using physician medical record review as the gold standard, the following steps were used: (1) develop the initial metric definition, (2) estimate initial metric definition operating characteristics, (3) refine this definition to optimize the c-statistic, and (4) validate this optimized metric definition using a separate sample. The initial metric using Sample A patient transfers had a c-statistic of 0.63 (95% confidence interval = 0.53-0.73). Following 22 revisions, the optimized metric definition was a transfer discharged within 24 hours that did not receive any of a select list of 60 268 specialized diagnoses or procedures. The optimiz

SUBMITTER: Rosenthal JL 

PROVIDER: S-EPMC6901803 | biostudies-literature | 2020 Mar/Apr

REPOSITORIES: biostudies-literature