Completeness and accuracy of International Classification of Disease (ICD) external cause of injury codes in emergency department electronic data.
Inj Prev
; 13(6): 422-5, 2007 Dec.
Article
en En
| MEDLINE
| ID: mdl-18056321
ABSTRACT
The accuracy of external cause of injury codes (E codes) for work-related and non-work-related injuries in Massachusetts emergency department data were evaluated. Medical records were reviewed and coded by a nosologist with expertise in E coding for a stratified random sample of 1000 probable work-related (PWR) and 250 probable non-work-related (PNWR) cases. Cause of injury E codes were present for 98% of reviewed cases and accurate for 65% of PWR cases and 57% of PNWR cases. Place of occurrence E codes were present in less than 30% of cases. Broad cause of injury categories were accurate for about 85% of cases. Non-specific categories (not elsewhere classified, not specified) accounted for 34% of broad category misclassifications. Among specified causes, machinery injuries were misclassified most often (39/60, 65%), predominantly as cut/pierce or struck by/against. E codes reliably identify the broad mechanism of injury, but inaccuracies and incompleteness suggest areas for training of hospital admissions staff, providers, and coders.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Heridas y Lesiones
/
Clasificación Internacional de Enfermedades
/
Sistemas de Registros Médicos Computarizados
/
Servicio de Urgencia en Hospital
/
Control de Formularios y Registros
Tipo de estudio:
Prognostic_studies
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Inj Prev
Asunto de la revista:
PEDIATRIA
/
TRAUMATOLOGIA
Año:
2007
Tipo del documento:
Article
País de afiliación:
Estados Unidos