医疗保健系统的结核风险评估的现代化:利用ICD-10诊断代码进行基于地点的方法
Ariela Topper1, Cameron Griffin1, Akshay Gopalan1
1Infection Prevention & Control Program, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
American journal of infection control
|November 14, 2025
概括
医疗机构面临着结核病 (TB) 的风险. 一项新的战略使用ICD-10-CM代码来评估各种医疗保健系统的结核病风险,提高患者和工作人员的安全.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 医疗保健管理的管理
背景情况:
- 医疗保健机构对患者,家属和工作人员具有显著的结核病 (TB) 暴露风险.
- 美国疾病控制和预防中心 (CDC) 目前每年推的结核病风险评估建议,并不是针对大型,地理分散的医疗保健系统而设计的.
- 在可扩展的方法中存在差距,用于评估医疗保健网络内的多个设施的结核病风险.
研究的目的:
- 开发和验证一个补充策略,量化结核病 (TB) 风险在一个大型医疗保健系统的个别地点.
- 为医疗保健网络的结核病风险评估适应现有编码系统的新应用.
- 提供可扩展的结核病风险评估方法,适用于地理上多样化的医疗保健设施.
主要方法:
- 利用国际疾病分类,第十版,临床修改 (ICD-10-CM) 代码来识别和量化与结核病相关的遭遇.
- 开发了一种算法,从电子健康记录中汇总特定地点的结核病风险数据.
- 将拟议的ICD-10-CM编码策略与现有的结核病监测数据进行了比较.
主要成果:
- 根据ICD-10-CM编码策略,成功地确定和量化了医疗保健系统内的各种地点的结核病风险.
- 该方法证明了不同设施之间结核病风险水平的变化,突显了需要进行特定地点的评估的需要.
- 初步验证表明,编码方法是传统结核病风险评估方法的可行补充.
结论:
- 使用ICD-10-CM代码的补充结核病风险评估策略是有效的,用于评估不同医疗机构的风险.
- 这种方法为大型医疗保健系统提供了可扩展和适应的解决方案,以管理结核病暴露.
- 实施这一战略可以加强针对性的感染控制措施,并提高患者和医疗人员的安全.
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