婴儿腹泻病ICD-10编码探讨

Daqiao Zhu, Lijiang Yong, Wenjun Zhang, Shaoyong Huang
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摘要

AbstractPurpose。提高小儿腹泻编码的准确性。方法。通过病案管理系统检索某医院2011年1月至2013年12月腹泻病例记录,并对记录首页的编码进行回顾性调查分析。结果。这些年出院患者中,婴儿腹泻占5.44%,其中以婴儿为主,占61.27%,其次是儿童,占17.27%。2011年和2012年,婴儿腹泻的编码被错误地归类为K52.9。通过查阅病历发现,感染性腹泻实际占70.49%,非感染性腹泻占29.56%。结论。医院应加强对临床医生撰写病历首页的培训,以及ICD-10培训。参与编码工作的人员应与临床医生更好地沟通,从而…
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Discussion on ICD-10 Coding of Infantile Diarrheal Disease
AbstractPurpose. To increase the accuracy of coding for infantile diarrhea. Method. Case records of diarrhea, from January 2011 to December 2013, were searched in a hospital through the medical record management system, and the coding on the front page of the records was subjected to retrospective investigation and analysis. Results. During these years, 5.44% of all discharged patients were cases of infantile diarrhea, the majority of which were infants, accounting for 61.27%, followed by children, accounting for 17.27%. In 2011 and 2012, the codes for infantile diarrhea were mistakenly classified as K52.9. Through reviews of medical records, it was found that as a matter of fact, infectious diarrhea accounted for 70.49%, and non-infectious diarrhea accounted for 29.56%. Conclusion. The hospital should reinforce the training given to clinicians in writing the front page of medical records, along with ICD-10 training. The staff involved in the coding work should communicate with clinicians better, thereby ...
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