Data is collected through manual review of written patient care reports or electronic capture of data fields from electronic patient care reports. Electronic capture from electronic billing data is typically very inaccurate. Many hospitals patient care reports do not currently have unplanned extubation and related components (self extubation, accidental extubation, and requirement for reintubation) as data fields.
Mortality (will be calculated by the Patient Safety Movement Foundation): The PSMF, when available, will use the mortality rates associated with Hospital Acquired Conditions targeted in the Partnership for Patient’s (PfP) grant funded Hospital Engagement Networks (HEN). The program targeted 10 hospital acquired conditions to reduce medical harm and costs of care. “At the outset of the Partnership for Patients initiative, HHS agencies contributed their expertise to developing a measurement strategy by which to track national progress in patient safety—both in general and specifically related to the preventable HACs being addressed by the PfP. In conjunction with CMS’s overall leadership of the PfP, AHRQ has helped coordinate development and use of the national measurement strategy. The results using this national measurement strategy have been referred to as the “AHRQ National Scorecard,” which provides summary data on the national HAC rate.\cite{sepsis13} Adverse events related to unplanned extubation was not included in the AHRQ National Scorecard document. 53% of patients experiencing unplanned extubation do not require reintubation and those patients have a low mortality rate (3%). 47% of patients experiencing unplanned extubation require reintubation and those patients have a high mortality rate (37%). The overall mortality rate for all incidences of unplanned extubation is 18%.\cite{de2011risk}
Appendix A: Safer Airway Essential Components