The accuracy of failure-to-rescue exclusion rules can be improved using data with good POA coding to identify POA comorbidities compared with the current AHRQ rule. Of note, modifying the rules is unlikely to compromise the nursing-sensitive nature of the measure.
About the Study:
The final validation dataset for this study included 82,871 discharges from California hospitals (from 2000–2002) with good POA coding practices. The three new alternative exclusion rules were developed from POA-coded data from a large academic medical center.