某三甲医院国际疾病分类编码质量分析

Ying She, Ping Song
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引用次数: 1

摘要

AbstractObjective。根据ICD-10编码原则,对病案首页疾病诊断编码进行质量分析,提高编码精度。方法。从我院2011 - 2012年108363份病历中随机抽取4335份,逐条核对疾病编码。结果。4335份病历中有261份存在错误,错误率为6.0%。结论。编码员应加强医学知识和ICD-10相关知识的学习,不断拓宽知识的广度和深度,增强工作责任心,提高疾病编码的准确性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Quality Analysis on International Classification of Disease Coding in a 3A Hospital
AbstractObjective. A quality analysis is performed on the coding of disease diagnosis in medical record home pages according to the coding principle of ICD-10, so as to improve the coding accuracy. Method. A total of 4,335 copies are randomly sampled from 108,363 medical records of our hospital, taken from the period between 2011 and 2012, and the disease coding is checked one by one. Result. A total of 261 out of 4,335 medical records have mistakes and the error rate is 6.0%. Conclusion. Coders should strengthen their study of medical knowledge as well as ICD-10 related knowledge, continuously broaden the width and the depth of their knowledge, enhance work responsibility and improve the accuracy of disease coding.
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