Evidence map›Paper›PMID 26660153›Full record

ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2016

Opportunities and challenges for quality and safety applications in ICD-11: an international survey of users of coded health data.

Danielle A Southern, Marc Hall, Deborah E White, Patrick S Romano, Vijaya Sundararajan, Saskia E Droesler, Harold A Pincus, William A Ghali

Abstract read
In one paragraph

Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Impact of data sources and ascertainment methods on reporting paediatric genetic condition prevalence: A scoping review.Health information management : journal of the Health Information Management Association of Australia · 2026
    Article
  2. Coding rules for uncertain and "ruled out" diagnoses in ICD-10 and ICD-11.BMC medical informatics and decision making · 2024
    Article
  3. Article
  4. Preliminary study of patient safety and quality use cases for ICD-11 MMS.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Danielle A SouthernDepartment of Community Health Sciences and the O'Brien Institute for Public Health, University of Calgary, Calgary, AB, Canada.
Marc HallFaculty of Nursing, University of Calgary, Calgary, AB, Canada.
Deborah E WhiteFaculty of Nursing, University of Calgary, Calgary, AB, Canada.
Patrick S RomanoDivision of General Medicine, University of California-Davis School of Medicine, Sacramento, CA, USA.
Vijaya SundararajanDepartment of Medicine, St Vincent's Hospital, University of Melbourne, Parkville, Australia Department of Medicine, Southern Clinical School, Monash University, Melbourne, Australia.
Saskia E DroeslerFaculty of Health Care, Niederrhein University of Applied Sciences, Reinarzstrasse 49, 48705, Krefeld, Germany.
Harold A PincusDepartment of Psychiatry, Columbia University and the New York State Psychiatric Institute, New York, NY, USA Irving Institute for Clinical and Translational Research at Columbia University and New York-Presbyterian Hospital, New York, NY, USA RAND Corporation, Pittsburgh, PA, USA.
William A GhaliCumming School of Medicine, University of Calgary, Calgary, AB, Canada.

Funding

Clinical and Translational Science AwardUL1TR000040 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$26.2M
Building Toward ICD-11. Improving the Coding of Quality and Patient Safety DataR13HS020543 · AHRQ · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PINCUS, HAROLD A. · 2011 to 2012
$200k
Developing ICD-11: Coding of Quality and Patient Safety Data to support health services and outcomes research in the US and internationallyR13HS024891 · AHRQ · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PINCUS, HAROLD A. · 2016 to 2018
$105k
AHRQ HHS 5R13HS020543-02AHRQ HHS R13 HS024891NCATS NIH HHS UL1 TR000040
6 · The paper itself

Abstract

objectiveIn 2018, the World Health Organization (WHO) plans to release the 11th revision of the International Classification of Diseases (ICD). The overall goal of the WHO is to produce a new disease classification that has an enhanced ability to capture health concepts in a manner that is compatible with contemporary information systems. Accordingly, our objective was to identify opportunities and challenges in improving the utility of ICD-11 for quality and safety applications.

designA survey study of international stakeholders with expertise in either the production or use of coded health data.

settingInternational producers or users of ICD-coded health care data. STUDY

participantsWe used a snowball sampling approach to identify individuals with relevant expertise in 12 countries, mostly from North America, Europe, and Australasia. An 8-item online survey included questions on demographic characteristics, familiarity with ICD, experience using ICD-coded data on healthcare quality and safety, opinions regarding the use of ICD classification systems for quality and safety measurement, and current limitations and potential future improvements that would permit better coding of quality and safety concepts in ICD-11.

resultsTwo-hundred fifty-eight unique individuals accessed the online survey; 246 provided complete responses. The respondents identified specific desires for the ICD revision: more code content for adverse events/complications; a desire for code clustering mechanisms; the need for diagnosis timing information; and the addition of better code definitions to reference materials.

conclusionThese findings reinforce the vision and existing work plan of the WHO's ICD revision process, because each of these desires is being addressed.

Indexed as

International Classification of DiseasesPatient SafetyQuality of Health CareHumansWorld Health OrganizationInternational Classification of Diseasespatient safetyquality indicatorsWorld Health Organization

Identifiers

PMID26660153
PMCPMC4767047

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.