Enhanced capture of healthcare-related harms and injuries in the 11th revision of the International Classification of Diseases (ICD-11)
Identifieur interne : 002E52 ( Main/Exploration ); précédent : 002E51; suivant : 002E53Enhanced capture of healthcare-related harms and injuries in the 11th revision of the International Classification of Diseases (ICD-11)
Auteurs : Danielle A. Southern [Canada] ; Harold A. Pincus [États-Unis] ; Patrick S. Romano [États-Unis] ; Bernard Burnand [Suisse] ; James Harrison [Australie] ; Alan J. Forster [Canada] ; Lori Moskal [Canada] ; Hude Quan [Canada] ; Saskia E. Droesler [Allemagne] ; Vijaya Sundararajan [Australie] ; Cyrille Colin [France] ; Yana Gurevich [Canada] ; Susan E. Brien [Canada] ; Nenad Kostanjsek [Suisse] ; Bedirhan Üstün [Suisse] ; William A. Ghali [Canada]Source :
- International Journal for Quality in Health Care [ 1353-4505 ] ; 2015.
Descripteurs français
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English descriptors
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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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DOI: 10.1093/intqhc/mzv099
PubMed: 26660444
PubMed Central: 4767048
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Southern</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Community Health Sciences and the O'Brien Institute for Public Health</addr-line>,<institution>University of Calgary</institution>,<addr-line>Calgary, Alberta, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Calgary, Alberta</wicri:regionArea><wicri:noRegion>Alberta</wicri:noRegion></affiliation></author><author><name sortKey="Pincus, Harold A" sort="Pincus, Harold A" uniqKey="Pincus H" first="Harold A." last="Pincus">Harold A. Pincus</name><affiliation wicri:level="1"><nlm:aff id="af2"><addr-line>Department of Psychiatry</addr-line>,<institution>Columbia University and the New York StatePsychiatric Institute</institution>,<addr-line>New York, NY</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af3"><institution>Irving Institute for Clinical and Translational Research at Columbia University and New York-Presbyterian Hospital</institution>,<addr-line>New York, NY</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af4"><institution>RAND Corporation</institution>,<addr-line>Pittsburgh, PA</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Romano, Patrick S" sort="Romano, Patrick S" uniqKey="Romano P" first="Patrick S." last="Romano">Patrick S. Romano</name><affiliation wicri:level="1"><nlm:aff id="af5"><addr-line>Division of General Medicine</addr-line>,<institution>University of California–Davis School of Medicine</institution>,<addr-line>Sacramento, CA</addr-line>,<country>USA</country></nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Burnand, Bernard" sort="Burnand, Bernard" uniqKey="Burnand B" first="Bernard" last="Burnand">Bernard Burnand</name><affiliation wicri:level="1"><nlm:aff id="af6"><institution>Institute of Social and PreventiveMedicine (IUMSP), Lausanne University Hospital</institution>,<addr-line>Lausanne</addr-line>,<country>Switzerland</country></nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Harrison, James" sort="Harrison, James" uniqKey="Harrison J" first="James" last="Harrison">James Harrison</name><affiliation wicri:level="1"><nlm:aff id="af7"><institution>Flinders University</institution>,<addr-line>Adelaide, SA</addr-line>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Forster, Alan J" sort="Forster, Alan J" uniqKey="Forster A" first="Alan J." last="Forster">Alan J. Forster</name><affiliation wicri:level="1"><nlm:aff id="af8"><addr-line>Department of Medicine</addr-line>,<institution>University of Ottawa</institution>,<addr-line>Ottawa, Ontario</addr-line>,<country>Canada</country></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Moskal, Lori" sort="Moskal, Lori" uniqKey="Moskal L" first="Lori" last="Moskal">Lori Moskal</name><affiliation wicri:level="1"><nlm:aff id="af9"><institution>Canadian Institute of Health Information</institution>,<addr-line>Ontario</addr-line>,<country>Canada</country></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Quan, Hude" sort="Quan, Hude" uniqKey="Quan H" first="Hude" last="Quan">Hude Quan</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Community Health Sciences and the O'Brien Institute for Public Health</addr-line>,<institution>University of Calgary</institution>,<addr-line>Calgary, Alberta, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Calgary, Alberta</wicri:regionArea><wicri:noRegion>Alberta</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af10"><addr-line>Cumming School of Medicine</addr-line>,<institution>University of Calgary</institution>,<addr-line>Calgary, Alberta</addr-line>,<country>Canada</country></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Droesler, Saskia E" sort="Droesler, Saskia E" uniqKey="Droesler S" first="Saskia E." last="Droesler">Saskia E. Droesler</name><affiliation wicri:level="1"><nlm:aff id="af11"><addr-line>Faculty of Health Care</addr-line>,<institution>Niederrhein University of Applied Sciences</institution>,<addr-line>Reinarzstrasse 49, 47805, Krefeld</addr-line>,<country>Germany</country></nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Sundararajan, Vijaya" sort="Sundararajan, Vijaya" uniqKey="Sundararajan V" first="Vijaya" last="Sundararajan">Vijaya Sundararajan</name><affiliation wicri:level="1"><nlm:aff id="af12"><addr-line>Department of Medicine, St. Vincent's Hospital</addr-line>,<institution>University ofMelbourne</institution>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="af13"><addr-line>Department of Medicine, Southern Clinical School</addr-line>,<institution>Monash University</institution>,<country>Australia</country></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Colin, Cyrille" sort="Colin, Cyrille" uniqKey="Colin C" first="Cyrille" last="Colin">Cyrille Colin</name><affiliation wicri:level="1"><nlm:aff id="af14"><addr-line>Department of Medical Information, Health Evaluation and ClinicalResearch</addr-line>,<institution>University Lyon I, Hospices Civils de Lyon</institution>,<country>France</country></nlm:aff><country xml:lang="fr">France</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Gurevich, Yana" sort="Gurevich, Yana" uniqKey="Gurevich Y" first="Yana" last="Gurevich">Yana Gurevich</name><affiliation wicri:level="1"><nlm:aff id="af9"><institution>Canadian Institute of Health Information</institution>,<addr-line>Ontario</addr-line>,<country>Canada</country></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Brien, Susan E" sort="Brien, Susan E" uniqKey="Brien S" first="Susan E." last="Brien">Susan E. Brien</name><affiliation wicri:level="2"><nlm:aff id="af15"><institution>HealthQuality Ontario</institution>,<addr-line>Toronto, Ontario</addr-line></nlm:aff><country>Canada</country><placeName><region type="province">Ontario</region></placeName><wicri:cityArea>Toronto</wicri:cityArea></affiliation></author><author><name sortKey="Kostanjsek, Nenad" sort="Kostanjsek, Nenad" uniqKey="Kostanjsek N" first="Nenad" last="Kostanjsek">Nenad Kostanjsek</name><affiliation wicri:level="1"><nlm:aff id="af16"><institution>World Health Organization, Classifications, Terminology and Standards</institution>,<addr-line>Geneva</addr-line>,<country>Switzerland</country></nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Ustun, Bedirhan" sort="Ustun, Bedirhan" uniqKey="Ustun B" first="Bedirhan" last="Üstün">Bedirhan Üstün</name><affiliation wicri:level="1"><nlm:aff id="af16"><institution>World Health Organization, Classifications, Terminology and Standards</institution>,<addr-line>Geneva</addr-line>,<country>Switzerland</country></nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Ghali, William A" sort="Ghali, William A" uniqKey="Ghali W" first="William A." last="Ghali">William A. Ghali</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Department of Community Health Sciences and the O'Brien Institute for Public Health</addr-line>,<institution>University of Calgary</institution>,<addr-line>Calgary, Alberta, Canada</addr-line></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea>Calgary, Alberta</wicri:regionArea><wicri:noRegion>Alberta</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af10"><addr-line>Cumming School of Medicine</addr-line>,<institution>University of Calgary</institution>,<addr-line>Calgary, Alberta</addr-line>,<country>Canada</country></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">International Journal for Quality in Health Care</title><idno type="ISSN">1353-4505</idno><idno type="eISSN">1464-3677</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans</term><term>International Classification of Diseases</term><term>Patient Safety (standards)</term><term>Quality Indicators, Health Care</term><term>World Health Organization</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Classification internationale des maladies</term><term>Humains</term><term>Indicateurs qualité santé</term><term>Organisation mondiale de la santé</term><term>Sécurité des patients (normes)</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Sécurité des patients</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Patient Safety</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>International Classification of Diseases</term><term>Quality Indicators, Health Care</term><term>World Health Organization</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Classification internationale des maladies</term><term>Humains</term><term>Indicateurs qualité santé</term><term>Organisation mondiale de la santé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>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.</p></div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>Canada</li><li>France</li><li>Suisse</li><li>États-Unis</li></country><region><li>Ontario</li></region></list><tree><country name="Canada"><noRegion><name sortKey="Southern, Danielle A" sort="Southern, Danielle A" uniqKey="Southern D" first="Danielle A." last="Southern">Danielle A. Southern</name></noRegion><name sortKey="Brien, Susan E" sort="Brien, Susan E" uniqKey="Brien S" first="Susan E." last="Brien">Susan E. Brien</name><name sortKey="Forster, Alan J" sort="Forster, Alan J" uniqKey="Forster A" first="Alan J." last="Forster">Alan J. Forster</name><name sortKey="Ghali, William A" sort="Ghali, William A" uniqKey="Ghali W" first="William A." last="Ghali">William A. Ghali</name><name sortKey="Ghali, William A" sort="Ghali, William A" uniqKey="Ghali W" first="William A." last="Ghali">William A. Ghali</name><name sortKey="Gurevich, Yana" sort="Gurevich, Yana" uniqKey="Gurevich Y" first="Yana" last="Gurevich">Yana Gurevich</name><name sortKey="Moskal, Lori" sort="Moskal, Lori" uniqKey="Moskal L" first="Lori" last="Moskal">Lori Moskal</name><name sortKey="Quan, Hude" sort="Quan, Hude" uniqKey="Quan H" first="Hude" last="Quan">Hude Quan</name><name sortKey="Quan, Hude" sort="Quan, Hude" uniqKey="Quan H" first="Hude" last="Quan">Hude Quan</name></country><country name="États-Unis"><noRegion><name sortKey="Pincus, Harold A" sort="Pincus, Harold A" uniqKey="Pincus H" first="Harold A." last="Pincus">Harold A. Pincus</name></noRegion><name sortKey="Pincus, Harold A" sort="Pincus, Harold A" uniqKey="Pincus H" first="Harold A." last="Pincus">Harold A. Pincus</name><name sortKey="Pincus, Harold A" sort="Pincus, Harold A" uniqKey="Pincus H" first="Harold A." last="Pincus">Harold A. Pincus</name><name sortKey="Romano, Patrick S" sort="Romano, Patrick S" uniqKey="Romano P" first="Patrick S." last="Romano">Patrick S. Romano</name></country><country name="Suisse"><noRegion><name sortKey="Burnand, Bernard" sort="Burnand, Bernard" uniqKey="Burnand B" first="Bernard" last="Burnand">Bernard Burnand</name></noRegion><name sortKey="Kostanjsek, Nenad" sort="Kostanjsek, Nenad" uniqKey="Kostanjsek N" first="Nenad" last="Kostanjsek">Nenad Kostanjsek</name><name sortKey="Ustun, Bedirhan" sort="Ustun, Bedirhan" uniqKey="Ustun B" first="Bedirhan" last="Üstün">Bedirhan Üstün</name></country><country name="Australie"><noRegion><name sortKey="Harrison, James" sort="Harrison, James" uniqKey="Harrison J" first="James" last="Harrison">James Harrison</name></noRegion><name sortKey="Sundararajan, Vijaya" sort="Sundararajan, Vijaya" uniqKey="Sundararajan V" first="Vijaya" last="Sundararajan">Vijaya Sundararajan</name><name sortKey="Sundararajan, Vijaya" sort="Sundararajan, Vijaya" uniqKey="Sundararajan V" first="Vijaya" last="Sundararajan">Vijaya Sundararajan</name></country><country name="Allemagne"><noRegion><name sortKey="Droesler, Saskia E" sort="Droesler, Saskia E" uniqKey="Droesler S" first="Saskia E." last="Droesler">Saskia E. Droesler</name></noRegion></country><country name="France"><noRegion><name sortKey="Colin, Cyrille" sort="Colin, Cyrille" uniqKey="Colin C" first="Cyrille" last="Colin">Cyrille Colin</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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