军事卫生系统中受伤事件的外部原因编码在美国现役军人中,2016-2019年
Michelle Canham-Chervak1, Anna Schuh-Renner1, Shauna L Stahlman2
1Injury Prevention Branch, Defense Health Agency Public Health-Aberdeen, MD.
MSMR
|February 28, 2025
概括
准确的伤害原因编码在军事医疗记录中对于预防至关重要. 只有大约10%的服务人员伤害有原因代码,急性伤害比过度使用伤害更常被编码.
科学领域:
- 军人卫生保健 军人卫生保健
- 伤害预防 预防伤害
- 医疗信息学 医疗信息学
背景情况:
- 了解伤害机制对于有效的预防策略至关重要.
- 电子医疗记录 (EMR) 是分析伤害趋势的关键数据来源.
- 在EMR中准确的外部原因编码对于详细的伤害监测至关重要.
研究的目的:
- 评估美国军人的电子医疗记录中外部原因编码的质量和频率.
- 为了识别受伤模式,根据受伤类型,护理环境和设施类型进行原因编码.
主要方法:
- 在服务人员的EMR中分析了2016-2019年间遇到的伤害.
- 包含标准:遇到至少一个外部原因代码.
- 通过伤害类型 (急性与过度使用),护理环境 (住院,门诊,急诊,初级保健,专家) 和设施类型 (军事与外包) 的编码频率的比较.
主要成果:
- 大约10%的事故伤害事件包含外部原因代码.
- 严重的伤害显著更有可能被编码 (36.4-44.0%),而不是过度使用的伤害 (<2%).
- 编码在军事设施 (与外包) 和住院 (与门诊) 记录中更为频繁.
- 与初级保健 (~7%) 和专家 (~2%) 接触相比,急诊诊所的编码率 (>50%) 更高.
- 2019年,主要原因包括过度劳累 (19.9%),跌倒 (18.7%) 和跑步作为主要活动 (21.1%). 军事训练场是最常见的地点 (13.0%).
结论:
- 服务人员EMR中的外部原因编码不一致,特别是在过度使用伤害和非紧急门诊环境中.
- 需要提高原因编码的质量和数量,以加强军事伤害预防工作.
- 详细的原因数据可以为常见的伤害机制,活动和位置提供有针对性的干预措施.
关键词:
欧洲人权理事会 欧洲人权理事会这是EMR的EMR.美国的美国.武装部队的武装部队.原因编码 原因编码编码 编码 编码 编码电子邮件 电子邮件 电子邮件 电子邮件外部的外部外部的外部.医疗记录 医疗记录伤害伤害伤害伤害伤害伤害伤害伤害伤害医疗记录 医疗记录军事 军事 军事 军事 军事 军事这是一种过度劳动,过度劳动.过度使用过度使用.记录记录记录记录记录记录记录监控监督监督监督监督监督监督监督监督监督监督监督监督监督监督监督监督监督培训培训培训培训培训培训培训更多相关视频
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