摘要
目的分析编码错误原因,探讨提高ICD编码准确性的对策。方法根据ICD编码原则,对7500份出院病案进行编码核查。结果在7500份病案中,存在编码错误的有630份,错误率8.4%。结论编码人员和临床医师必须共同努力,以确保ICD编码的客观性和准确性。
Objective:To analyze the reasons for wrong coding and explore the countermeasures for the improve- ment in accuracy of ICD coding. Method:The author examines the coding of 7,500 discharge medical records according to ICD coding principle. Result:There is wrong coding in 630 of the 7,500 medical records and the error rate is 8.4%. Con- clusion:Therefore ,joint efforts must be made by clinicians and coders so as to guarantee the objectivity and accuracy of ICD coding.
出处
《现代医院管理》
2013年第4期67-69,共3页
Modern Hospital Management
关键词
错误编码
ICD编码原则
对策
wrong coding
ICD coding principle
countermeasure