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W2953135125 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 optimized metric on Sample B demonstrated a sensitivity of 80.6%, specificity of 85.7%, and c-statistic of 0.83 (95% confidence interval = 0.75-0.91). The quality metric developed and validated in this study demonstrated satisfactory operating characteristics, providing a feasible means to measure this important outcome." @default.
W2953135125 created "2019-06-27" @default.
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W2953135125 date "2019-06-10" @default.
W2953135125 modified "2023-09-26" @default.
W2953135125 title "Developing and Validating a Pediatric Potentially Avoidable Transfer Quality Metric" @default.
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W2953135125 doi "https://doi.org/10.1177/1062860619854535" @default.
W2953135125 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/6901803" @default.
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