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An Analysis of ICD Coding ICD编码分析
Chinese Medical Record English Edition Pub Date : 2014-10-13 DOI: 10.3109/23256176.2014.970366
Xianbing Ling, Lan Xiao
{"title":"An Analysis of ICD Coding","authors":"Xianbing Ling, Lan Xiao","doi":"10.3109/23256176.2014.970366","DOIUrl":"https://doi.org/10.3109/23256176.2014.970366","url":null,"abstract":"AbstractObjective. To explore issues relating to inaccurate coding in the classification of diseases related to poisoning, and to discuss the solutions. Methods. The current case management information system in the hospital was used to search for the classification of diseases related to poisoning during 2012 and 2013. The original medical records were compared with the results given by the system, followed by analyses of incorrect coding. Results. During the study period, the frequency of incorrect coding and additional coding was 14.7% and 32.4%, respectively. Conclusion. Staff in charge of disease coding should regularly examine the quality of data coded in the system, and a QC system should be added into the system to ensure its accuracy.","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126283902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of the Close-value Method and the RSR Method for Medical Quality for Nearly Ten Years in an Upper First-Class Hospital in Guangxi 近十年近值法和RSR法在广西某三甲医院医疗质量评价中的应用
Chinese Medical Record English Edition Pub Date : 2014-10-13 DOI: 10.3109/23256176.2014.969478
Lianfeng Li, Xiong Zou
{"title":"Application of the Close-value Method and the RSR Method for Medical Quality for Nearly Ten Years in an Upper First-Class Hospital in Guangxi","authors":"Lianfeng Li, Xiong Zou","doi":"10.3109/23256176.2014.969478","DOIUrl":"https://doi.org/10.3109/23256176.2014.969478","url":null,"abstract":"AbstractOn the Evaluation of the Medical Quality of a Grade-A Hospital in Guangxi Province Over the Last Ten Years with the Application of the Close-value Method and the RSR Grading Method.With the progress of the new health care reform [], competition in the health care market has become fiercer and medical quality has become the core and essence of modern hospital management, which is not only closely related to the patients’ life expectancy and quality but also directly affects the survival and development of the hospitals themselves. Identifying ways to optimize and continuously improve both the medical quality as well as the comprehensive competitiveness of hospitals has become the main theme of hospital management []. Medical quality is a complex, multi-factor, and multi-index system, and the primary problem to be solved in the continuous process of improving medical quality is carrying out an objective, comprehensive, and accurate analysis and evaluation of the medical quality. The present thesis e...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"42 16","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120835816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Composition Analysis of the Top Ten Diseases of Hospitalized Patients in a University Hospital, between 2008 and 2012 2008 - 2012年某高校医院住院患者十大疾病构成分析
Chinese Medical Record English Edition Pub Date : 2014-10-13 DOI: 10.3109/23256176.2014.969475
Wen Chen, Kui Duan
{"title":"Composition Analysis of the Top Ten Diseases of Hospitalized Patients in a University Hospital, between 2008 and 2012","authors":"Wen Chen, Kui Duan","doi":"10.3109/23256176.2014.969475","DOIUrl":"https://doi.org/10.3109/23256176.2014.969475","url":null,"abstract":"AbstractObjective. To acquire information on the disease composition and entity distribution of hospitalized patients, to provide evidence for improving the service level of hospital management and strengthening disease prevention. Methods. To conduct syn-position statistical analysis on the hospitalized patients by age and gender, according to the annual statement of disease classification at our hospital, from 2008 to 2012, on the basis of ICD-10. Results. Between 2008 and 2012, the top 10 diseases accounted for 90.97% of the total diseases, of which the top 5 diseases were, respectively, circulatory diseases, respiratory diseases, digestive diseases, diseases of the urogenital system, and injury and poisoning. Respiratory diseases (26.1%), circulatory diseases (20.9%) and digestive diseases (16.8%) ranked as the top three for a long time, and circulatory diseases, diseases of the urogenital system, and injury and poisoning, had a tendency to increase. Conclusions. In order to further guarantee the leve...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126265346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Discrimination of the Term ‘Space-Occupying Lesion’ Used in ICD-10 ICD-10中“占位性病变”一词的区分
Chinese Medical Record English Edition Pub Date : 2014-10-13 DOI: 10.3109/23256176.2014.970006
Binglin Liu, Zhen-sheng Liu
{"title":"Discrimination of the Term ‘Space-Occupying Lesion’ Used in ICD-10","authors":"Binglin Liu, Zhen-sheng Liu","doi":"10.3109/23256176.2014.970006","DOIUrl":"https://doi.org/10.3109/23256176.2014.970006","url":null,"abstract":"AbstractObjective. The correct use of terms for space-occupying lesions. Method. Analyze the use of the keyword, ‘space-occupying lesion’, in the national standard electronic version of ICD-10. Results. In a total of 13 records, the first 3 had errors, and the term had been correctly applied in the other 10. Conclusion. Space-occupying lesions are classified into R90-R93; the small nodules and masses diagnosed in imaging belong to space-occupying lesions. If the keyword used is not ‘space-occupying lesions’, the classification should be shifted to other categories.","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126356722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Management of Medical Dispute Files 医疗纠纷档案管理
Chinese Medical Record English Edition Pub Date : 2014-07-31 DOI: 10.3109/23256176.2014.942972
Rong-lin Yan
{"title":"Management of Medical Dispute Files","authors":"Rong-lin Yan","doi":"10.3109/23256176.2014.942972","DOIUrl":"https://doi.org/10.3109/23256176.2014.942972","url":null,"abstract":"AbstractMedical dispute files are the sum of a series of data which are gathered by medical institutions in the process of dealing with medical disputes, and they give a true picture of the process by which medical disputes are handled. The management system for medical dispute files should be established and improved by the medical institutions; the valuable data should be collected regularly, promptly and completely by persons specially assigned to the task, in the process of dealing with medical disputes; through the scientific filing and appropriate storage, the medical dispute files can quickly and conveniently serve medical workers and researchers. Practice shows that the effective management of medical dispute files plays an important role in standardizing the practices in a hospital, improving the quality of the medical workers, maintaining continuous improvement of medical quality and medical safety, and building a harmonious doctor-patient relationship.","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130687840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Study on Effects of Clinical Pathways on the Hospital Stay and Cost of Patients with Ureteral Calculi 输尿管结石患者临床路径对住院时间及费用影响的研究
Chinese Medical Record English Edition Pub Date : 2014-07-31 DOI: 10.3109/23256176.2014.945268
Junfeng Liu, Jianli Du, Qiuqiong Zou
{"title":"Study on Effects of Clinical Pathways on the Hospital Stay and Cost of Patients with Ureteral Calculi","authors":"Junfeng Liu, Jianli Du, Qiuqiong Zou","doi":"10.3109/23256176.2014.945268","DOIUrl":"https://doi.org/10.3109/23256176.2014.945268","url":null,"abstract":"AbstractObjective. To discuss the effect of clinical pathways applied to ureteroscopic lithotomy for ureteral calculi. Method. By retrospective investigation and a concurrent comparative analysis, the hospital stays, preoperative hospital stays, hospitalization costs, expenses on medication, and so on, for patients receiving ureteroscopic lithotomy for ureteral calculi in 2013, without or with clinical pathways implemented, were compared and analyzed. Results. Compared with the control group, the average hospital stay of the CP group is shortened by 1.72 days, the average hospitalization cost is reduced by 3,012.47 Yuan, and the average expense on medication is reduced by 1,613.32 Yuan; there is a statistically significant difference (P 0.05). Conclusion. After clinical pathways were implemented, the average hospital stay, average hospital cost for a specif...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129691404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis of Factors Influencing Hospitalization Costs for Patients with Lung Cancer Surgery Based on the BP Neural Network 基于BP神经网络的肺癌手术患者住院费用影响因素分析
Chinese Medical Record English Edition Pub Date : 2014-07-31 DOI: 10.3109/23256176.2014.942971
Lijuan Huang, X. Liang, J. Zha
{"title":"Analysis of Factors Influencing Hospitalization Costs for Patients with Lung Cancer Surgery Based on the BP Neural Network","authors":"Lijuan Huang, X. Liang, J. Zha","doi":"10.3109/23256176.2014.942971","DOIUrl":"https://doi.org/10.3109/23256176.2014.942971","url":null,"abstract":"AbstractObjective. To analyze the factors influencing the hospitalization costs of patients undergoing lung cancer surgery, based on the back-propagation (BP) neural network model, and to provide support for controlling the costs effectively. Method. To collect the hospitalization data of 168 cases of patients with lung cancer surgery from January 2010 to December 2013, and then analyze the influencing factors of the different classified hospitalization costs based on the BP neural network. Results. The expenses on drugs and consumables comprise the largest proportion of the total cost of hospitalization, at 34.35% and 23.24% respectively. The length of hospital stay is the most important factor in the hospital costs. The patients with longer hospital stay have higher costs and the difference is significant (P < 0.05). Conclusion. The hospitals should control their charges on drugs and consumables reasonably and reduce the length of hospital stay effectively, so as to reduce the economic burden on lung ca...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134472515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Study of Prior Intervention Measures to Improve the Reporting Quality of Hospital Information 提高医院信息报告质量的前期干预措施研究
Chinese Medical Record English Edition Pub Date : 2014-07-31 DOI: 10.3109/23256176.2014.945277
Dayan Shen, Xiaomei Fang, Xingchen Ming, Qiong Deng
{"title":"Study of Prior Intervention Measures to Improve the Reporting Quality of Hospital Information","authors":"Dayan Shen, Xiaomei Fang, Xingchen Ming, Qiong Deng","doi":"10.3109/23256176.2014.945277","DOIUrl":"https://doi.org/10.3109/23256176.2014.945277","url":null,"abstract":"AbstractObjective. To find effective prior intervention measures for improving the reporting quality of hospital information. Methods. Analyzing the effect of improvement in information quality before and after the intervention by the methods of contrast, chi-square and Pareto diagram. Results. The information error rate from June 2013 to October 2013 is significantly lower than that from January 2013 to May 2013; the error rate of blood type value and main diagnostic code is significantly reduced; the error rate of outpatient and emergency diagnostic codes and other diagnostic codes before and after the intervention has no significant difference; the error rate of pathological diagnostic codes and baby information loss is significantly increased. The main error items of information have been effectively improved; we have put an end to the individual errors. Conclusion. The quality of the information report is obviously improved through the prior intervention countermeasures of developing and refining the...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128856523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Effect of Information Quality of the First Page of Medical Records on Single Disease Management 病案首页信息质量对单病管理的影响
Chinese Medical Record English Edition Pub Date : 2014-07-31 DOI: 10.3109/23256176.2014.945267
Yun Pan, Pengfei Du, Shengying Hu, Jun-min Hu, Shuzhi Wang, Li-hua Xiao, Wenwen Jiang, Minghao Geng
{"title":"Effect of Information Quality of the First Page of Medical Records on Single Disease Management","authors":"Yun Pan, Pengfei Du, Shengying Hu, Jun-min Hu, Shuzhi Wang, Li-hua Xiao, Wenwen Jiang, Minghao Geng","doi":"10.3109/23256176.2014.945267","DOIUrl":"https://doi.org/10.3109/23256176.2014.945267","url":null,"abstract":"AbstractObjective. To analyze some quality control indices of the major hospitalized diseases in the hospital and to provide a basis for the medical quality management, using data collected about the information in the first page of medical records over a period of 3 years in a 3A hospital. Method. The part of the information in the first pages of the discharged patients’ medical records, from 2009 to 2011, is summarized, and ten representative diseases of the hospital (such as acute myocardial infarction) are selected, the perioperative mortality and other major quality control indices of the ten diseases are analyzed; the results are compared with the indices of 300 hospitals at the same level in the whole country. Results. The perioperative mortalities in 2009–2011 are 0.10% higher than the reference value of the hospitals; the occurrence rates of pressure sores in hospitalized patients in 2010 and 2011 are 0.05% higher than the reference value of the hospitals; the fatality rate of the main diseases m...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127807798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of the Zero Defect Theory in Medical Record Management 零缺陷理论在病案管理中的应用
Chinese Medical Record English Edition Pub Date : 2014-07-31 DOI: 10.3109/23256176.2014.942973
Ruifan Tang, W. Lv, Chunxia Dai, Ruiyan Liang, Xiaolan Lu
{"title":"Application of the Zero Defect Theory in Medical Record Management","authors":"Ruifan Tang, W. Lv, Chunxia Dai, Ruiyan Liang, Xiaolan Lu","doi":"10.3109/23256176.2014.942973","DOIUrl":"https://doi.org/10.3109/23256176.2014.942973","url":null,"abstract":"AbstractObjective. To pursue and reach the quality goal of zero defects and to further improve the quality of medical record management. Method. Apply the theory of zero defects to medical record management; the zero defect quality goal was gradually reached through total involvement in education, the construction of a professional team, improvement in the quality control system, quality standardization, removal of out-of-control quality problems, and continuous quality improvement. Results. After the implementation of zero-defect management, the accuracy of recovering medical records has increased from 97.1% to 100%; the accuracy of sorting discharge records has increased from 93.5% to 99.8%; the accuracy of medical record information processing has increased from 95.8% to 99.2%; and the accuracy of binding discharge records has increased from 99.8% to 100%; the on-the-shelf accuracy of medical records has increased from 99.9% to 100%; in two years, there has been no missing of medical records or filing ...","PeriodicalId":163748,"journal":{"name":"Chinese Medical Record English Edition","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116580003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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