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Surveillance of Surgery-Related Adverse Events in Missouri Using ICD-9-CM Codes
This study estimated the validity of 23 groups of codes in the International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM or ICD), for flagging adverse events (AEs) related to hospital surgeries. A set of ICD codes selected as flags for inhospital AEs were developed with...
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| creator | Van Tuinen, Mark Elder, Susan Link, Carolyn Li, Susan Song, John H Pritchett, Tracey |
| description | This study estimated the validity of 23 groups of codes in the International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM or ICD), for flagging adverse events (AEs) related to hospital surgeries. A set of ICD codes selected as flags for inhospital AEs were developed with the assistance of a national expert panel. The codes were grouped into 66 AE classes, 23 of which were identified as potentially surgery-related. The predictive value positive (PVP) of the 23 classes was assessed by medical record review of 941 surgical discharges. The 23 classes identified AEs associated with care management during the hospital stay with an average PVP of 45 percent. They identified AEs specifically related to surgery with a PVP of 37 percent. This exploratory study identified a small number of classes and individual ICD codes that identified surgery-related AEs. Further study of selected codes is needed to refine the classes and fully evaluate their use for statewide surveillance of surgery AEs.
Published in Advances in Patient Safety: From Research to Implementation, v1 p245-257, AHRQ Publication Nos. 050021 (1-4), Feb 2005. |
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Published in Advances in Patient Safety: From Research to Implementation, v1 p245-257, AHRQ Publication Nos. 050021 (1-4), Feb 2005.</description><language>eng</language><subject>ADVERSE EVENTS ; ADVERSE SURGICAL EVENTS ; CARE MANAGEMENT ; CLASSIFICATION ; CLINICAL MEDICINE ; DISEASES ; ERRORS ; HOSPITALIZATIONS ; ICD CODES ; ICD-9-CM CODES ; IDENTIFICATION ; Information Science ; INTERNATIONAL CLASSIFICATION OF DISEASES 9TH REVISION ; MEDICAL ERRORS ; MEDICAL RECORD ABSTRACTION ; MEDICAL RESEARCH ; Medicine and Medical Research ; MONITORING ; PATIENT CARE ; PATIENT SAFETY REPORTING ; PATIENTS ; PREDICTIONS ; SIGNS AND SYMPTOMS ; SURGERY ; SURVEILLANCE ; TOTAL QUALITY MANAGEMENT ; VALIDATION ; WOUNDS AND INJURIES</subject><creationdate>2005</creationdate><rights>Approved for public release; distribution is unlimited., Availability: This document is not available from DTIC in microfiche.</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,786,891,27600,27601</link.rule.ids><linktorsrc>$$Uhttps://apps.dtic.mil/sti/citations/ADA434535$$EView_record_in_DTIC$$FView_record_in_$$GDTIC$$Hfree_for_read</linktorsrc></links><search><creatorcontrib>Van Tuinen, Mark</creatorcontrib><creatorcontrib>Elder, Susan</creatorcontrib><creatorcontrib>Link, Carolyn</creatorcontrib><creatorcontrib>Li, Susan</creatorcontrib><creatorcontrib>Song, John H</creatorcontrib><creatorcontrib>Pritchett, Tracey</creatorcontrib><creatorcontrib>AGENCY FOR HEALTHCARE RESEARCH AND QUALITY ROCKVILLE MD</creatorcontrib><title>Surveillance of Surgery-Related Adverse Events in Missouri Using ICD-9-CM Codes</title><description>This study estimated the validity of 23 groups of codes in the International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM or ICD), for flagging adverse events (AEs) related to hospital surgeries. A set of ICD codes selected as flags for inhospital AEs were developed with the assistance of a national expert panel. The codes were grouped into 66 AE classes, 23 of which were identified as potentially surgery-related. The predictive value positive (PVP) of the 23 classes was assessed by medical record review of 941 surgical discharges. The 23 classes identified AEs associated with care management during the hospital stay with an average PVP of 45 percent. They identified AEs specifically related to surgery with a PVP of 37 percent. This exploratory study identified a small number of classes and individual ICD codes that identified surgery-related AEs. Further study of selected codes is needed to refine the classes and fully evaluate their use for statewide surveillance of surgery AEs.
Published in Advances in Patient Safety: From Research to Implementation, v1 p245-257, AHRQ Publication Nos. 050021 (1-4), Feb 2005.</description><subject>ADVERSE EVENTS</subject><subject>ADVERSE SURGICAL EVENTS</subject><subject>CARE MANAGEMENT</subject><subject>CLASSIFICATION</subject><subject>CLINICAL MEDICINE</subject><subject>DISEASES</subject><subject>ERRORS</subject><subject>HOSPITALIZATIONS</subject><subject>ICD CODES</subject><subject>ICD-9-CM CODES</subject><subject>IDENTIFICATION</subject><subject>Information Science</subject><subject>INTERNATIONAL CLASSIFICATION OF DISEASES 9TH REVISION</subject><subject>MEDICAL ERRORS</subject><subject>MEDICAL RECORD ABSTRACTION</subject><subject>MEDICAL RESEARCH</subject><subject>Medicine and Medical Research</subject><subject>MONITORING</subject><subject>PATIENT CARE</subject><subject>PATIENT SAFETY REPORTING</subject><subject>PATIENTS</subject><subject>PREDICTIONS</subject><subject>SIGNS AND SYMPTOMS</subject><subject>SURGERY</subject><subject>SURVEILLANCE</subject><subject>TOTAL QUALITY MANAGEMENT</subject><subject>VALIDATION</subject><subject>WOUNDS AND INJURIES</subject><fulltext>true</fulltext><rsrctype>report</rsrctype><creationdate>2005</creationdate><recordtype>report</recordtype><sourceid>1RU</sourceid><recordid>eNrjZPAPLi0qS83MyUnMS05VyE9TAPLTU4sqdYNScxJLUlMUHFPKUouKUxVcy1LzSooVMvMUfDOLi_NLizIVQosz89IVPJ1ddC11nX0VnPNTUot5GFjTEnOKU3mhNDeDjJtriLOHbkpJZnJ8cUlmXmpJvKOLo4mxiamxqTEBaQCqzTJ7</recordid><startdate>200505</startdate><enddate>200505</enddate><creator>Van Tuinen, Mark</creator><creator>Elder, Susan</creator><creator>Link, Carolyn</creator><creator>Li, Susan</creator><creator>Song, John H</creator><creator>Pritchett, Tracey</creator><scope>1RU</scope><scope>BHM</scope></search><sort><creationdate>200505</creationdate><title>Surveillance of Surgery-Related Adverse Events in Missouri Using ICD-9-CM Codes</title><author>Van Tuinen, Mark ; Elder, Susan ; Link, Carolyn ; Li, Susan ; Song, John H ; Pritchett, Tracey</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-dtic_stinet_ADA4345353</frbrgroupid><rsrctype>reports</rsrctype><prefilter>reports</prefilter><language>eng</language><creationdate>2005</creationdate><topic>ADVERSE EVENTS</topic><topic>ADVERSE SURGICAL EVENTS</topic><topic>CARE MANAGEMENT</topic><topic>CLASSIFICATION</topic><topic>CLINICAL MEDICINE</topic><topic>DISEASES</topic><topic>ERRORS</topic><topic>HOSPITALIZATIONS</topic><topic>ICD CODES</topic><topic>ICD-9-CM CODES</topic><topic>IDENTIFICATION</topic><topic>Information Science</topic><topic>INTERNATIONAL CLASSIFICATION OF DISEASES 9TH REVISION</topic><topic>MEDICAL ERRORS</topic><topic>MEDICAL RECORD ABSTRACTION</topic><topic>MEDICAL RESEARCH</topic><topic>Medicine and Medical Research</topic><topic>MONITORING</topic><topic>PATIENT CARE</topic><topic>PATIENT SAFETY REPORTING</topic><topic>PATIENTS</topic><topic>PREDICTIONS</topic><topic>SIGNS AND SYMPTOMS</topic><topic>SURGERY</topic><topic>SURVEILLANCE</topic><topic>TOTAL QUALITY MANAGEMENT</topic><topic>VALIDATION</topic><topic>WOUNDS AND INJURIES</topic><toplevel>online_resources</toplevel><creatorcontrib>Van Tuinen, Mark</creatorcontrib><creatorcontrib>Elder, Susan</creatorcontrib><creatorcontrib>Link, Carolyn</creatorcontrib><creatorcontrib>Li, Susan</creatorcontrib><creatorcontrib>Song, John H</creatorcontrib><creatorcontrib>Pritchett, Tracey</creatorcontrib><creatorcontrib>AGENCY FOR HEALTHCARE RESEARCH AND QUALITY ROCKVILLE MD</creatorcontrib><collection>DTIC Technical Reports</collection><collection>DTIC STINET</collection></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Van Tuinen, Mark</au><au>Elder, Susan</au><au>Link, Carolyn</au><au>Li, Susan</au><au>Song, John H</au><au>Pritchett, Tracey</au><aucorp>AGENCY FOR HEALTHCARE RESEARCH AND QUALITY ROCKVILLE MD</aucorp><format>book</format><genre>unknown</genre><ristype>RPRT</ristype><btitle>Surveillance of Surgery-Related Adverse Events in Missouri Using ICD-9-CM Codes</btitle><date>2005-05</date><risdate>2005</risdate><notes>DTIC AND NTIS</notes><abstract>This study estimated the validity of 23 groups of codes in the International Classification of Diseases, 9th revision, Clinical Modification (ICD-9-CM or ICD), for flagging adverse events (AEs) related to hospital surgeries. A set of ICD codes selected as flags for inhospital AEs were developed with the assistance of a national expert panel. The codes were grouped into 66 AE classes, 23 of which were identified as potentially surgery-related. The predictive value positive (PVP) of the 23 classes was assessed by medical record review of 941 surgical discharges. The 23 classes identified AEs associated with care management during the hospital stay with an average PVP of 45 percent. They identified AEs specifically related to surgery with a PVP of 37 percent. This exploratory study identified a small number of classes and individual ICD codes that identified surgery-related AEs. Further study of selected codes is needed to refine the classes and fully evaluate their use for statewide surveillance of surgery AEs.
Published in Advances in Patient Safety: From Research to Implementation, v1 p245-257, AHRQ Publication Nos. 050021 (1-4), Feb 2005.</abstract><oa>free_for_read</oa></addata></record> |
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| subjects | ADVERSE EVENTS ADVERSE SURGICAL EVENTS CARE MANAGEMENT CLASSIFICATION CLINICAL MEDICINE DISEASES ERRORS HOSPITALIZATIONS ICD CODES ICD-9-CM CODES IDENTIFICATION Information Science INTERNATIONAL CLASSIFICATION OF DISEASES 9TH REVISION MEDICAL ERRORS MEDICAL RECORD ABSTRACTION MEDICAL RESEARCH Medicine and Medical Research MONITORING PATIENT CARE PATIENT SAFETY REPORTING PATIENTS PREDICTIONS SIGNS AND SYMPTOMS SURGERY SURVEILLANCE TOTAL QUALITY MANAGEMENT VALIDATION WOUNDS AND INJURIES |
| title | Surveillance of Surgery-Related Adverse Events in Missouri Using ICD-9-CM Codes |
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