ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2016
Enhanced capture of healthcare-related harms and injuries in the 11th revision of the International Classification of Diseases (ICD-11).
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 10 papers.
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10 citing papers in PubMed.
- Coding Diagnoses from the Electronic Death Certificate with the 11th Revision of the International Statistical Classification of Diseases and Related Health Problems: An Exploratory Study from Germany.Healthcare (Basel, Switzerland) · 2024Article
- Interpreting and coding causal relationships for quality and safety using ICD-11.BMC medical informatics and decision making · 2023Review
- ICD-11: A catalyst for advancing patient safety surveillance globally.BMC medical informatics and decision making · 2023Article
- Coding mechanisms for diagnosis timing in the International Classification of Diseases, Version 11.BMC medical informatics and decision making · 2022Article
- The three-part model for coding causes and mechanisms of healthcare-related adverse events.BMC medical informatics and decision making · 2022Review
- ICD-11: an international classification of diseases for the twenty-first century.BMC medical informatics and decision making · 2021Review
- ICD-11 extension codes support detailed clinical abstraction and comprehensive classification.BMC medical informatics and decision making · 2021Review
- A comparison of two structured taxonomic strategies in capturing adverse events in U.S. hospitals.Health services research · 2019Article
- Exploring similarities and differences in hospital adverse event rates between Norway and Sweden using Global Trigger Tool.BMJ open · 2017Article
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18 authors.
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Abstract
The World Health Organization (WHO) plans to submit the 11th revision of the International Classification of Diseases (ICD) to the World Health Assembly in 2018. The WHO is working toward a revised classification system that has an enhanced ability to capture health concepts in a manner that reflects current scientific evidence and that is compatible with contemporary information systems. In this paper, we present recommendations made to the WHO by the ICD revision's Quality and Safety Topic Advisory Group (Q&S TAG) for a new conceptual approach to capturing healthcare-related harms and injuries in ICD-coded data. The Q&S TAG has grouped causes of healthcare-related harm and injuries into four categories that relate to the source of the event: (a) medications and substances, (b) procedures, (c) devices and (d) other aspects of care. Under the proposed multiple coding approach, one of these sources of harm must be coded as part of a cluster of three codes to depict, respectively, a healthcare activity as a 'source' of harm, a 'mode or mechanism' of harm and a consequence of the event summarized by these codes (i.e. injury or harm). Use of this framework depends on the implementation of a new and potentially powerful code-clustering mechanism in ICD-11. This new framework for coding healthcare-related harm has great potential to improve the clinical detail of adverse event descriptions, and the overall quality of coded health data.
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