From: Identifying paediatric nursing-sensitive outcomes in linked administrative health data
Nursing-sensitive outcome | Numerator1 | Denominator | Key exclusions |
---|---|---|---|
As per Needleman et al. [9] | |||
Pressure ulcer | Pressure ulcer (ICD2 L89) | All medical and surgical inpatients | MDC9-skin conditions |
 |  | LOS > =4 days | All diagnosis of hemiplegia, paraplegia, |
 |  |  | paralysis; cerebral palsy; (ICD > =G80 and < =G84) |
Pneumonia | Aspiration, post-operative, hypostatic, bacterial, broncho and unspecified pneumonias: (ICD > =J14. and < =J15.6, J15.8 J15.9 J18.0 J18.2 J18.8 J18.9 J69.0 J95.8, J95.9) | All medical and surgical inpatients | MDC4-respiratory conditions |
 |  |  | Immunocompromised, AIDS; (ICD > =B20. and < =B24., > = D80. and < =D89.9, M35.9) |
All diagnoses of probable community acquired pneumonia (ICD > =J10. and < =J10.8, > = J11. and < =J11.8, =J12. and < =J12.9, J13., J15.7, J16.8, > = J17. and < =J17.8) | |||
Postoperative pneumonia [24] | Aspiration, post-operative, hypostatic, bacterial, viral, broncho pneumonias | All surgical inpatients | Â |
 | (ICD J12. and < =J12.9, J13., > = J14. and < =J15.6, J15.7, J15.8, J15.9, > = J17. and < =J17.8, J18.0, J18.1, J18.2, J18.8, J18.9, J69.0, J95.851, J95.9) |  | |
Surgical wound infection | Surgical wounds, including surgery post traumatic injury (ICD T79.3, T81.4 T81.41 T81.42) | All surgical inpatients |  |
 |  | Total discharges only | |
Recommended paediatric algorithm | |||
Pressure ulcer | Pressure ulcer (ICD L89) | All medical and surgical inpatients | All diagnosis of hemiplegia, paraplegia, paralysis; cerebral palsy; spina bifida. (ICD > =G80 and < =G84; > = Q05. and < =Q05.9 or > =Q07. and < =Q07.03) |
 |  | LOS > =3 days | All diagnoses of paralysis found in look back period |
Pneumonia | As per Needleman et al. plus J15.7, J18.1, J69.8 | All medical and surgical inpatients | MDC4-respiratory conditions |
 |  |  | All diagnoses of probable community acquired pneumonia (ICD as per Needleman et al.) |
Aspiration pneumonia and epilepsy (ICD J69.0, 69.8, > = G40. and < =G40.9, > = G41. and < =G41.9) | |||
All diagnosis of epilepsy found in look back period | |||
Surgical wound infection | Surgical wounds, including surgery post traumatic injury plus those found in 30 day ’look forward period’ (ICD T79.3, T81.4 T81.41 T81.42) | All surgical inpatients |  |
 |  | Total discharges only |