The three-part model for coding causes and mechanisms of healthcare-related adverse events

Autor: Danielle A. Southern, James E. Harrison, Patrick S. Romano, Marie-Annick Le Pogam, Harold A. Pincus, William A. Ghali
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: BMC Medical Informatics and Decision Making, Vol 21, Iss S6, Pp 1-8 (2022)
Druh dokumentu: article
ISSN: 1472-6947
DOI: 10.1186/s12911-022-01786-w
Popis: Abstract ICD-11 provides a promising new way to capture healthcare-related harm or injury. In this paper, we elaborate on the framework for describing healthcare-related events where there is a presumed causal link between an event and underlying healthcare-related factors. The three-part model for describing healthcare-related harm or injury in ICD-11 consists of (1) a healthcare-related activity that is the cause of injury or other harm (selected from Chapter 23 of ICD-11); (2) a mode or mechanism of injury or harm, related to the underlying cause (also from Chapter 23 of ICD-11); and (3) the harmful consequences of the event to the patient, selected from any of Chapters 1 through 22 of ICD-11 (most importantly, the injury or harm experienced by the patient). Concepts from these three elements are linked/clustered through postcoordination to reflect the three-part model in a single coded expression. ICD-11 contains many novel features, and the three-part model described here for healthcare-related adverse events is a notable example.
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