How many diagnosis fields are needed to capture safety events in administrative data? Findings and recommendations from the WHO ICD-11 Topic Advisory Group on Quality and Safety

Détails

Ressource 1Demande d'une copieEtat: Supprimée
Version: de l'auteur
ID Serval
serval:BIB_81B76FF9E8E4
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
How many diagnosis fields are needed to capture safety events in administrative data? Findings and recommendations from the WHO ICD-11 Topic Advisory Group on Quality and Safety
Périodique
International Journal for Quality in Health Care
Auteur(s)
Drösler S.E., Romano P.S., Sundararajan V., Burnand B., Colin C., Pincus H., Ghali W., World Health Organization Quality
Collaborateur(s)
Safety Topic Advisory Group
Contributeur(s)
World Health Organization Quality
ISSN
1464-3677 (Electronic)
ISSN-L
1353-4505
Statut éditorial
Publié
Date de publication
2014
Peer-reviewed
Oui
Volume
26
Numéro
1
Pages
16-25
Langue
anglais
Résumé
OBJECTIVE: As part of the WHO ICD-11 development initiative, the Topic Advisory Group on Quality and Safety explores meta-features of morbidity data sets, such as the optimal number of secondary diagnosis fields.
DESIGN: The Health Care Quality Indicators Project of the Organization for Economic Co-Operation and Development collected Patient Safety Indicator (PSI) information from administrative hospital data of 19-20 countries in 2009 and 2011. We investigated whether three countries that expanded their data systems to include more secondary diagnosis fields showed increased PSI rates compared with six countries that did not. Furthermore, administrative hospital data from six of these countries and two American states, California (2011) and Florida (2010), were analysed for distributions of coded patient safety events across diagnosis fields.
RESULTS: Among the participating countries, increasing the number of diagnosis fields was not associated with any overall increase in PSI rates. However, high proportions of PSI-related diagnoses appeared beyond the sixth secondary diagnosis field. The distribution of three PSI-related ICD codes was similar in California and Florida: 89-90% of central venous catheter infections and 97-99% of retained foreign bodies and accidental punctures or lacerations were captured within 15 secondary diagnosis fields.
CONCLUSIONS: Six to nine secondary diagnosis fields are inadequate for comparing complication rates using hospital administrative data; at least 15 (and perhaps more with ICD-11) are recommended to fully characterize clinical outcomes. Increasing the number of fields should improve the international and intra-national comparability of data for epidemiologic and health services research, utilization analyses and quality of care assessment.
Pubmed
Web of science
Open Access
Oui
Création de la notice
10/04/2014 10:16
Dernière modification de la notice
08/05/2019 21:10
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