| Indicator no and name | Details, denominator and exclusions | Coding issues |
| 2. Death in low mortality HRGs | HRGs must have less than 0.5% mortality (calculated over 4 years) | If an HRG is divided into with/without complications (including >69 or <70 ages), both HRGs must have mortalities below 0.5% to qualify for inclusion |
| Denominator comprises ages 18+ or admissions related to pregnancy, childbirth and puerperium | ||
| 3. Decubitus ulcer (pressure sore) | Ages 18+, code in secondary diagnosis fields only | Requires definition operating theatre procedure codes |
| 5. Foreign body left during procedure | Ages 18+ | |
| 7. Selected infections due to medical care | Numerator includes only “Infections following infusion transfusion and therapeutic injection” and “Infection and inflammatory reaction due to other cardiovascular devices, implants and grafts” | |
| Denominator comprises ages 18+ with LOS of 2+ days | ||
| 8. Post-op hip fracture | Ages 18+ | Date of fracture is not recorded, so cannot be sure that it is post- rather than preoperative; however, if the repair procedure is recorded and dated, the relative timing can be determined |
| Exclude if hip fracture repair is the only operating room procedure or if patient has certain conditions (eg, musculoskeletal) | ||
| 13. Postop sepsis | Ages 18+, LOS of 4+ days | Date of sepsis onset is not recorded, so one cannot be sure that it is post- rather than preoperative |
| 18. Obstetric trauma, third- and fourth-degree lacerations—vaginal with instrument | No exclusions | Requires either a diagnosis of tear or procedure for repair of tear |
| 19. Obstetric trauma, third- and fourth-degree lacerations—vaginal without instrument | No exclusions | Requires either a diagnosis of tear or procedure for repair of tear |
| 20. Obstetric trauma, third- and fourth-degree lacerations—Caesarean delivery | No exclusions | Requires either a diagnosis of tear or procedure for repair of tear |
HRG, Healthcare Resource Group; LOS, length of stay.