Impact of documentation errors on accuracy of cause of death coding in an educational hospital in Southern Iran
| Autor: | Hamid Mahmoodi, Saeid Hoseini Teshizi, mohammad hosein hayavi haghighi, Mohammad Hadi Dehghani |
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| Rok vydání: | 2014 |
| Předmět: |
Adult
Male Leadership and Management MEDLINE Iran World Health Organization Death Certificates Documentation International Classification of Diseases Cause of Death Chi-square test Medicine Humans Hospitals Teaching Cause of death Aged Descriptive statistics business.industry Health Policy Clinical Coding ICD-10 Middle Aged medicine.disease Hospital Records Data science Data quality Female Medical emergency business Coding (social sciences) |
| Zdroj: | Health information management : journal of the Health Information Management Association of Australia. 43(2) |
| ISSN: | 1833-3575 |
| Popis: | Accurate cause of death coding leads to organised and usable death information but there are some factors that influence documentation on death certificates and therefore affect the coding. We reviewed the role of documentation errors on the accuracy of death coding at Shahid Mohammadi Hospital (SMH), Bandar Abbas, Iran. We studied the death certificates of all deceased patients in SMH from October 2010 to March 2011. Researchers determined and coded the underlying cause of death on the death certificates according to the guidelines issued by the World Health Organization in Volume 2 of the International Statistical Classification of Diseases and Health Related Problems-10th revision (ICD-10). Necessary ICD coding rules (such as the General Principle, Rules 1–3, the modification rules and other instructions about death coding) were applied to select the underlying cause of death on each certificate. Demographic details and documentation errors were then extracted. Data were analysed with descriptive statistics and chi square tests. The accuracy rate of causes of death coding was 51.7%, demonstrating a statistically significant relationship (p=.001) with major errors but not such a relationship with minor errors. Factors that result in poor quality of Cause of Death coding in SMH are lack of coder training, documentation errors and the undesirable structure of death certificates. |
| Databáze: | OpenAIRE |
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