Quality of Coding for Trauma Using ICD10

IF 0.2 Q4 EMERGENCY MEDICINE Trauma monthly Pub Date : 2021-06-01 DOI:10.30491/TM.2021.243773.1157
R. Rabiei, F. Asadi, H. Emami, M. Hosseini
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Abstract

Background: The quality of coding for diagnoses and external causes of trauma to a great extend contributes to trauma classification, monitoring, and prevention. Objectives: The present study aimed to assess the trauma coding quality using ICD10. Methods: In this descriptive applied study, 591 records of trauma patients in educational hospitals affiliated to the Shahid Beheshti University of Medical Sciences (SBUM) were selected to assess coding quality based on ICD10 in 2018. Data were collected using a checklist and analyzed using IBM SPSS Statistics 20.0. Results: The mean accuracy, completeness, and quality of trauma coding were 64.5%, 70%, and 67.5%, respectively. Conclusion: High-quality coding of trauma diagnosis creates a more reliable databank which can be used for planning and policy-making aiming to prevent and reduce traumatic events. The accuracy and completeness of medical diagnoses should be regularly and periodically reviewed to ensure the quality of the codes.
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使用ICD10进行创伤编码的质量分析
背景:创伤诊断和外因编码的质量在很大程度上有助于创伤的分类、监测和预防。目的:应用ICD10评估创伤编码质量。方法:采用描述性应用研究方法,选取沙希德·贝赫什蒂医科大学(SBUM)附属教育医院2018年591例创伤患者病历,基于ICD10评估编码质量。使用检查表收集数据,并使用IBM SPSS Statistics 20.0进行分析。结果:创伤编码的平均准确率为64.5%,完整性为70%,质量为67.5%。结论:高质量的创伤诊断编码为预防和减少创伤事件的发生提供了可靠的数据库和决策依据。应定期审查医疗诊断的准确性和完整性,以确保代码的质量。
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来源期刊
Trauma monthly
Trauma monthly EMERGENCY MEDICINE-
CiteScore
0.60
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