BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also a...BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also achieved favorable results in clinical medical record management.However,research on their combined application is relatively lacking.Objective:it was to explore the impact of network systems and PDCA management mode on ICD-10 encoding.Material and Method:a retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.AIM To study the adoption of network and PDCA in the ICD-10.METHODS A retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.RESULTS In the 3,6,12,18,and 24 months of PDCA cycle management mode,the coding accuracy and medical record completion rate were higher,and the coding time was lower in the observation group as against the controls(P<0.05).The satisfaction of coders(80.22%vs 53.45%)and patients(84.89%vs 51.72%)in the observation group was markedly higher as against the controls(P<0.05).CONCLUSION The combination of computer networks and PDCA can improve the accuracy,efficiency,completion rate,and satisfaction of ICD-10 coding.展开更多
为推进国际疾病分类第十一次修订本(international classification of diseases-11,ICD-11)在我国的落地应用,相关部门已积极采取多项举措,包括建设ICD-11中文官方平台、在全国范围组织开展试点工作,以及研发基于ICD-11的疾病诊断相关分...为推进国际疾病分类第十一次修订本(international classification of diseases-11,ICD-11)在我国的落地应用,相关部门已积极采取多项举措,包括建设ICD-11中文官方平台、在全国范围组织开展试点工作,以及研发基于ICD-11的疾病诊断相关分组(diagnosis related groups,DRGs)等,全面加速ICD-11在我国的推广与实施进程。通过对比分析明确ICD-11中妊娠期高血糖相关内容与现行国际疾病分类第十次修订本(international classification of diseases-10,ICD-10)之间的异同,同时结合疾病最新国内外指南,明确各版ICD与临床最新进展之间的差异。研究结果表明ICD-11解决了ICD-10中原有的胰岛素依赖型糖尿病、原有的非胰岛素依赖型糖尿病与临床医师诊断不匹配的问题,解决了原有与营养不良有关糖尿病的归属问题。同时针对妊娠期高血糖临床指南与ICD之间的差异,对新版本修订提出了建议。本研究的核心目标在于深化病案编码人员对ICD-11中妊娠期高血糖分类的认知与应用能力,从而为我国ICD-11的顺利推行做好必要的专业人才储备。展开更多
目的分析质控小组审核下对国际疾病分类第10次修订版(international classification of diseases-10,ICD-10)编码准确性的影响。方法选取2021年1月—2022年12月盘州市人民医院病案室编码人员10名为研究对象,2021年1—12月(实施前)开展...目的分析质控小组审核下对国际疾病分类第10次修订版(international classification of diseases-10,ICD-10)编码准确性的影响。方法选取2021年1月—2022年12月盘州市人民医院病案室编码人员10名为研究对象,2021年1—12月(实施前)开展常规管理,2022年1—12月(实施后)则开展质控小组审核下的精细化管理。对精细化管理实施前后的ICD-10编码情况进行观察比较。结果与实施前相比较,实施后的ICD-10编码错误更少,差异均有统计学意义(P均<0.05)。与实施前相比较,实施后的病案管理质量评分均更高,差异均有统计学意义(P均<0.05)。实施前,10名编码人员中,不满意3名,一般满意5名,十分满意2名,满意度为70.00%(7/10);实施后,10名编码人员中,一般满意3名,十分满意7名,满意度为100.00%(10/10)。结论应用质控小组审核下的精细化管理,能减少ICD-10编码错误,而且还能进一步提升ICD-10编码管理的整体质量及病案管理质量、满意度。展开更多
目的:设计国际疾病分类(international classification of diseases,ICD)国际疾病编码管理信息系统,以为医疗机构提供高效、准确、安全的编码管理服务。方法:该系统基于客户端/服务器(Client/Server,C/S)模式设计,使用Oracle数据库,通过...目的:设计国际疾病分类(international classification of diseases,ICD)国际疾病编码管理信息系统,以为医疗机构提供高效、准确、安全的编码管理服务。方法:该系统基于客户端/服务器(Client/Server,C/S)模式设计,使用Oracle数据库,通过Dapper对象关系映射(object-relational mapping,ORM)技术实现与Oracle数据库的数据交互,采用C#编程语言开发。整个系统包括用户权限管理、疾病编码管理、患者信息管理、疾病统计分析和系统管理5个功能模块。结果:采用该系统可以高效地进行ICD编码的查询、审核及数据统计分析,显著提高了ICD编码管理的效率和准确性。结论:该系统为医疗机构提供了一种有效的疾病编码管理工具,有助于医疗服务质量和管理效率的提升。展开更多
文摘BACKGROUND with the widespread application of computer network systems in the medical field,the plan-do-check-action(PDCA)and the international classification of diseases tenth edition(ICD-10)coding system have also achieved favorable results in clinical medical record management.However,research on their combined application is relatively lacking.Objective:it was to explore the impact of network systems and PDCA management mode on ICD-10 encoding.Material and Method:a retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.AIM To study the adoption of network and PDCA in the ICD-10.METHODS A retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted.They were divided into a control group(n=232)and an observation group(n=536)based on whether the PDCA management mode was implemented.The two sets of coding accuracy,time spent,case completion rate,satisfaction,and other indicators were compared.RESULTS In the 3,6,12,18,and 24 months of PDCA cycle management mode,the coding accuracy and medical record completion rate were higher,and the coding time was lower in the observation group as against the controls(P<0.05).The satisfaction of coders(80.22%vs 53.45%)and patients(84.89%vs 51.72%)in the observation group was markedly higher as against the controls(P<0.05).CONCLUSION The combination of computer networks and PDCA can improve the accuracy,efficiency,completion rate,and satisfaction of ICD-10 coding.
文摘为推进国际疾病分类第十一次修订本(international classification of diseases-11,ICD-11)在我国的落地应用,相关部门已积极采取多项举措,包括建设ICD-11中文官方平台、在全国范围组织开展试点工作,以及研发基于ICD-11的疾病诊断相关分组(diagnosis related groups,DRGs)等,全面加速ICD-11在我国的推广与实施进程。通过对比分析明确ICD-11中妊娠期高血糖相关内容与现行国际疾病分类第十次修订本(international classification of diseases-10,ICD-10)之间的异同,同时结合疾病最新国内外指南,明确各版ICD与临床最新进展之间的差异。研究结果表明ICD-11解决了ICD-10中原有的胰岛素依赖型糖尿病、原有的非胰岛素依赖型糖尿病与临床医师诊断不匹配的问题,解决了原有与营养不良有关糖尿病的归属问题。同时针对妊娠期高血糖临床指南与ICD之间的差异,对新版本修订提出了建议。本研究的核心目标在于深化病案编码人员对ICD-11中妊娠期高血糖分类的认知与应用能力,从而为我国ICD-11的顺利推行做好必要的专业人才储备。
文摘目的分析质控小组审核下对国际疾病分类第10次修订版(international classification of diseases-10,ICD-10)编码准确性的影响。方法选取2021年1月—2022年12月盘州市人民医院病案室编码人员10名为研究对象,2021年1—12月(实施前)开展常规管理,2022年1—12月(实施后)则开展质控小组审核下的精细化管理。对精细化管理实施前后的ICD-10编码情况进行观察比较。结果与实施前相比较,实施后的ICD-10编码错误更少,差异均有统计学意义(P均<0.05)。与实施前相比较,实施后的病案管理质量评分均更高,差异均有统计学意义(P均<0.05)。实施前,10名编码人员中,不满意3名,一般满意5名,十分满意2名,满意度为70.00%(7/10);实施后,10名编码人员中,一般满意3名,十分满意7名,满意度为100.00%(10/10)。结论应用质控小组审核下的精细化管理,能减少ICD-10编码错误,而且还能进一步提升ICD-10编码管理的整体质量及病案管理质量、满意度。
文摘目的:设计国际疾病分类(international classification of diseases,ICD)国际疾病编码管理信息系统,以为医疗机构提供高效、准确、安全的编码管理服务。方法:该系统基于客户端/服务器(Client/Server,C/S)模式设计,使用Oracle数据库,通过Dapper对象关系映射(object-relational mapping,ORM)技术实现与Oracle数据库的数据交互,采用C#编程语言开发。整个系统包括用户权限管理、疾病编码管理、患者信息管理、疾病统计分析和系统管理5个功能模块。结果:采用该系统可以高效地进行ICD编码的查询、审核及数据统计分析,显著提高了ICD编码管理的效率和准确性。结论:该系统为医疗机构提供了一种有效的疾病编码管理工具,有助于医疗服务质量和管理效率的提升。
