期刊
BMC MEDICAL INFORMATICS AND DECISION MAKING
卷 21, 期 SUPPL 6, 页码 -出版社
BMC
DOI: 10.1186/s12911-022-01786-w
关键词
International Classification of Diseases; Adverse events; Quality and safety; ICD11
资金
- Canadian Institute for Health Information (CIHI) Foundation
- Agency for Healthcare Research and Quality (AHRQ)
ICD-11 provides a new way to capture healthcare-related harm or injury by employing a three-part model that describes the healthcare-related events, including the activity causing injury or harm, the mode or mechanism of injury or harm, and the harmful consequences to the patient. This model allows for a single coded expression that links concepts from these three elements. It is a notable example of the novel features in ICD-11.
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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