在专家小组审查之前和之后,评估国际疾病分类周产期死亡率 (ICD-PM) 代码在死亡证明上分配的准确性:混合方法观察性研究
Masoumeh Jafari1, Marziyhe Meraji2, Masoumeh Mirteimouri3
1Health Information Management, Department of Health Information Technology, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran. mzjafari1997@gmail.com.
专家小组的审查显著改善了对死产的原因的识别,减少了未知的因素,并为可预防的围产死亡提供了干预信息.
科学领域:
- 围产期死亡率研究研究
- 医疗编码准确性 医疗编码准确性
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 国际疾病分类围产期死亡率 (ICD-PM) 代码对于理解围产期死亡至关重要.
- 准确的编码对于有效的公共卫生战略至关重要.
- 死亡证明上以前的编码准确性需要评估.
研究的目的:
- 在专家小组审查之前和之后评估ICD-PM代码的准确性.
- 评估专家共识对确定围产死亡原因的影响.
主要方法:
- 进行了一项混合方法的观察性研究.
- 专家小组审查了围产期死亡病例,重新确定了原因.
- 我们比较了ICD-PM代码在专家审查前和之后的情况.
主要成果:
- 专家审查发现了80%以前未知的死产原因.
- 母亲原因导致78%的确诊死胎增加.
- 在新生儿死亡原因中没有发现显著变化.
结论:
- 专家小组有效地减少了未知的围产死亡原因.
- 这一过程确保了对减少可预防的围产死亡的干预措施的重要数据.
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