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Common problems in ICD-10code of acute myocardial infarction |
HAN Xueying,ZHANG Hongying,REN Jianling,LIU Xunxun,FANG Min, ZHANG Fang |
Department of Quality Management, General Hospital of Chinese People’s Armed Police Forces,Beijing 100039,China |
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Abstract Objective To investigate of acute myocardial infarction (referred to as AMI) the problems of accuracyinICD-10 classification and coding, and analyzeits causes of error, and countermeasures. Methods 348 copies of medical records ofinpatientsfrom November 2013 to October 2014 in this hospital with discharge diagnosis code of I21.-,were consulted. Results In the 348 copies of medical record with discharge main diagnosis coded as I21.-, the total code error rate was 33.91%. Conclusions The hospital leadership should invite experts to hold ICD-10 related lectures,so as clinicians have the opportunity to learn about the content of ICD-10, writestandard disease diagnosis, as complete and specific as possible.The coding staffshould find problems in the work hard,learnbasic knowledge of ICD-10,be familiar with ICD-10 structure, learn the relevant medical knowledge, carefully communicate with clinicians, when necessary, to correct code, and constantly improve their coding skills.
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Received: 16 December 2014
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[1] |
董景五.疾病和有关健康问题的国际疾病分类(第十次修订本,第一卷)[M].2版.北京:人民卫生出版社,2008:383-395.
|
[2] |
王淑华.分析ICD-10中未特指编码误用问题及对策[J].中国病案,2014,15(11):29-30.
|
[3] |
赵红梅.临床诊断书写规范化方法研究[J].中国医院管理,2014,10(34):26-29.
|
[4] |
古莲香,邢庆芳,黄 慧.出院疾病诊断名称书写不规范的探讨[J].医院管理,2009,47(5):117-118.
|
[5] |
云风翔. 国际疾病分类在病案归档疾病诊断书写中的应用[J].中国医药导报,2012,9(6):156-157.
|
[6] |
褚云生,段永光.心脏破裂疾病分类的探讨[J].中国病案,2013,14(7):28-29.
|
[7] |
方崇亮,马志晖,孙 辉.冠心病编码思路[J].中国病案,2014,15(4):29-32.
|
[1] |
. [J]. Med. J. Chin. Peop. Armed Poli. Forc., 2019, 30(9): 802-803. |
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