Design limitations and unintended consequences of the AHRQ patient safety indicator for endovascular thrombectomy stroke care
AHRQ Patient Safety Indicator-4 does not identify preventable events among EVT patients and misleadingly suggests poor quality of care in hospitals having high EVT volume. To avoid discouraging institutions from pursuing EVT or incorrectly profiling their safety performance, PSI 04 should be revised.
Authors
- Smit Patel (ORCID: https://orcid.org/0000-0003-4369-7816)
- Melissa Reider-Demer (ORCID: https://orcid.org/0000-0001-9161-6932)
- Paul Vespa (ORCID: https://orcid.org/0000-0003-0936-9501)
- Viktor Szeder
- Geoffrey Philip Colby (ORCID: https://orcid.org/0000-0002-3376-0933)
- Jeffrey L. Saver (ORCID: https://orcid.org/0000-0001-9141-2251)
Institutions
- University of California, Los Angeles (US)
- Los Angeles Medical Center (US)
Publication Details
- Journal
- Journal of NeuroInterventional Surgery
- Published
- 2025-10-12
- DOI
- https://doi.org/10.1136/jnis-2025-023727
- Primary Topic
- Acute Ischemic Stroke Management
- Type
- article
- Field-Weighted Citation Impact
- 0.00