影响COVID-19医院记录医学编码错误的因素:伊朗东部的一项跨部门研究
Ali Garavand1, Erfan Esmaeeli2, Fatemeh Bahador3,4
1Department of Health Information Technology, School of Allied Medical Sciences, Lorestan University of Medical Sciences, Khorramabad, Iran.
Tanaffos
|February 17, 2025
概括
医生遵守诊断原则和明确的缩写对于准确的COVID-19编码至关重要. 解决医疗编码专家的短缺问题可以提高公共卫生战略的数据质量.
科学领域:
- 医疗信息学 医疗信息学
- 医学编码准确性 医学编码准确性
- 公共卫生数据管理公共卫生数据管理
背景情况:
- 准确的疾病编码对于有效的国家和国际COVID-19应对策略至关重要.
- COVID-19记录中的编码错误可能会对公共卫生倡议产生重大影响.
- 南霍拉桑省的教学医院是这项关于编码错误的研究的重点.
研究的目的:
- 评估导致COVID-19记录中的编码错误的因素.
- 在大流行期间确定医学编码不准确的主要原因.
- 为改善COVID-19数据质量提供建议.
主要方法:
- 一项横截面研究于2022年在伊朗南部霍拉桑省进行.
- 数据采集使用自主开发的问卷给医疗编码员.
- 描述性统计数据被用于通过SPSS版本19进行数据分析.
主要成果:
- 影响COVID-19编码错误的关键因素包括医生不遵守诊断原则 (66/92),缺乏专业编码人员 (52/92),以及使用模两可的缩写 (51/92).
- 与医疗编码器相关的因素 (47.66%),医疗保健提供者因素 (29.8%) 和组织/环境因素 (21.4%) 是显著的贡献者.
- 医生遵守诊断原则和明确使用缩写成为关键问题.
结论:
- 多种因素,包括医生实践,编码专业知识和组织问题,导致COVID-19编码错误.
- 建议包括针对医疗编码人员的诊断和准确的COVID-19记录编码的有针对性的研讨会.
- 提高编码准确性对于可靠的公共卫生数据和有效的流行病管理至关重要.
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