Updates to QUAD A's PSDR Portal

Patient Safety Data Reporting (PSDR) is QUAD A's quality control initiative, performed by accredited facilities within the outpatient setting, with the aim of ongoing data collection to identify potential patient risk. Those participating in the data reporting process create a system-wide culture of clinical quality and demonstrate the positive results of accreditation.

QUAD A is excited to announce several enhancements to the PSDR portal. These changes aim to streamline the reporting process and facilitate accurate data submission. 

Log-in Changes 

To encourage timely participation, any facility contact can now log in to PSDR to complete the required reporting. This individual must have a facility contact role within QUAD A's Web Portal. Expanding the staff who may submit to the PSDR gives facilities a better opportunity to report promptly, without forcing the requirements onto the busy schedules of a select few reporting staff members.

Instructions for logging in:

1. Visit the QUAD A Portal and reset your password

2. Log into the PSDR Portal

New Data Fields

• ASA Classification: This field is optional and requires the patient’s American Society of Anesthesiologists (ASA) Physical Status Level to be selected for each applicable case submitted.

  • The ASA Physical Status Classification System is a 6-tier (I-VI), evidence-based scale used by anesthesia providers to assess and communicate a patient’s preoperative physical status and comorbidities. It serves as a standardized, high-predictive tool for perioperative risk, with higher classes (III-V) indicating more severe disease.

    • ASA Physical Status Classification Levels (Adults):

      • ASA I: A normal healthy patient (non-smoker, no/minimal alcohol use).
      • ASA II: A patient with mild systemic disease (e.g., controlled hypertension, mild diabetes, social smoking, BMI 30-40, pregnancy).
      • ASA III: A patient with severe systemic disease that is not immediately life-threatening (e.g., morbid obesity (BMI 40), chronic kidney disease, poor-controlled diabetes, pacemaker).
      • ASA IV: A patient with severe systemic disease that is a constant threat to life (e.g., recent MI/stroke, severe valve dysfunction, sepsis).
      • ASA V: A moribund patient who is not expected to survive without the operation.
      • ASA VI: A declared brain-dead patient whose organs are being removed for donation.
      • Additional information and examples, including pediatrics, about the ASA Physical Status Classification System can be found HERE.
        

• ADM Used: This field is required only when a ‘Breast Augmentation’ procedure is selected and requires a yes or no answer if Acellular Dermal Matrix (ADM) was used.

  • Reference:
    • ADM is a biocompatible mesh used in breast augmentation and reconstruction to provide support, cover implants (especially in prepectoral placement), help create a more natural shape, reinforce weak tissue, reduce capsular contracture (hardening), and allow for immediate reconstruction with tissue expanders.
    • ADM is also widely used in hernia repairs, burn and wound care, and other plastic and reconstructive surgery. At this point, QUAD A is only collecting information about the use of ADM in breast augmentation procedures.

All facilities must have a written process for selecting patients for procedures and for identifying which patients are inappropriate for procedures at the facility. The ASA Physical Status Classification System assesses and communicates a patient’s pre-anesthesia medical comorbidities and guides the facility's decision-making.

A patient who, by reason of pre-existing or other medical conditions, is at significant risk for outpatient surgery in a facility must be referred to alternative facilities as defined in facility policy (i.e. ASA classification of 3 or higher). These two data points are specifically related to initiatives to study outcomes based on ASA classification and ADM use for breast augmentation.

As with the rest of PSDR, these new enhancements are designed to support patient safety research by tracking outcomes and identifying trends. Participation in this important process will continue to serve as one of QUAD A’s most powerful tools for improving care and putting Patients First. Always.

As always, QUAD A is available to assist with any issues regarding the new PSDR enhancements by emailing helpdesk@quada.org or calling 224-643-7704.

Since 1980, QUAD A (a non-profit, physician-founded and led global accreditation organization) has worked with thousands of healthcare facilities to standardize and improve the quality of healthcare they provide – believing that patient safety should always come first.