Adaptation of AHRQ patient safety indicators for use in ICD-10 administrative data by an international consortium.

Détails

ID Serval
serval:BIB_4B9A73A3A70B
Type
Partie de livre
Sous-type
Chapitre: chapitre ou section
Collection
Publications
Institution
Titre
Adaptation of AHRQ patient safety indicators for use in ICD-10 administrative data by an international consortium.
Titre du livre
Advances in patient safety : new directions and alternative approaches. Vol. 1, Assessment
Auteur⸱e⸱s
Quan Hude, Drösler Saskia, Sundararajan Vijaya, Wen Eugene, Burnand Bernard, Couris Chantal Marie, Halfon Patricia, Januel Jean-Marie, Kelley Edward, Klazinga Niek, Luthi Jean-Christophe, Moskal Lori, Pradat Eric, Romano Patrick S., Shepheard Jennie, So Lawrence, Sundaresan Lalitha, Tournay-Lewis Linda, Trombert-Paviot Béatrice, Webster Greg, Ghali William A., International methodology consortium for coded health information (IMECCHI) 
Editeur
Rockville (MD): Agency for Healthcare Research and Quality
Statut éditorial
Publié
Date de publication
2008
Pages
19 p.
Langue
anglais
Notes
Texte intégral: http://www.ncbi.nlm.nih.gov/books/NBK43634/
Résumé
Objective: The Agency for Healthcare Research and Quality (AHRQ) developed Patient Safety Indicators (PSIs) for use with ICD-9-CM data. Many countries have adopted ICD-10 for coding hospital diagnoses. We conducted this study to develop an internationally harmonized ICD-10 coding algorithm for the AHRQ PSIs. Methods: The AHRQ PSI Version 2.1 has been translated into ICD-10-AM (Australian Modification), and PSI Version 3.0a has been independently translated into ICD-10-GM (German Modification). We converted these two country-specific coding algorithms into ICD-10-WHO (World Health Organization version) and combined them to form one master list. Members of an international expert panel-including physicians, professional medical coders, disease classification specialists, health services researchers, epidemiologists, and users of the PSI-independently evaluated this master list and rated each code as either "include," "exclude," or "uncertain," following the AHRQ PSI definitions. After summarizing the independent rating results, we held a face-to-face meeting to discuss codes for which there was no unanimous consensus and newly proposed codes. A modified Delphi method was employed to generate a final ICD-10 WHO coding list. Results: Of 20 PSIs, 15 that were based mainly on diagnosis codes were selected for translation. At the meeting, panelists discussed 794 codes for which consensus had not been achieved and 2,541 additional codes that were proposed by individual panelists for consideration prior to the meeting. Three documents were generated: a PSI ICD-10-WHO version-coding list, a list of issues for consideration on certain AHRQ PSIs and ICD-9-CM codes, and a recommendation to WHO to improve specification of some disease classifications. Conclusion: An ICD-10-WHO PSI coding list has been developed and structured in a manner similar to the AHRQ manual. Although face validity of the list has been ensured through a rigorous expert panel assessment, its true validity and applicability should be assessed internationally.
Mots-clé
Safety Management , Quality Indicators, Health Care/standards , Data Collection , International Classification of Diseases
Pubmed
Création de la notice
25/02/2011 16:48
Dernière modification de la notice
20/08/2019 13:59
Données d'usage