Organisational factors affecting the quality of hospital clinical coding
Organisational factors affecting the quality of hospital clinical coding
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DOI：
10.1177/183335830803700103
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发表时间：
2008-01-01
影响因子：
3.2
通讯作者：
Robinson, Kerin M.
中科院分区：
文献类型：
--
作者：
Santos, Suong;Murphy, Gregory;Robinson, Kerin M.
使用国际疾病和健康相关问题统计分类，第10（th）修订版，澳大利亚修订版（ICD-10-AM），采用混合定量-定性方法调查了组织因素对医院编码质量的影响。研究的组织变量有：医院专科；地理位置;编码单元的结构特征；为临床编码员提供教育、培训和资源支持；质量控制机制。通过编码质量绩效指标工具衡量的医院编码质量的基线数据被用作独立的指数测量。农村医院和城市医院、综合医院和专科医院的错误率没有差异。将临床编码员分配到“一般”而不是“专家”单元编码导致错误减少。编码经理报告说，编码质量可以通过以下方式提高：编码人员参与各种角色行为；改善编码员的就业机会；更高的人员编制；降低吞吐量;编码输出和相关工作的时间限制更少；并增加了编码员与医务人员的互动。
The influence of organisational factors on the quality of hospital coding using the International Statistical Classification of Diseases and Health Related Problems, 10(th) Revision, Australian Modification (ICD-10-AM) was investigated using a mixed quantitative-qualitative approach. The organisational variables studied were: hospital specialty; geographical locality; structural characteristics of the coding unit; education, training and resource supports for Clinical Coders; and quality control mechanisms. Baseline data on the hospitals' coding quality, measured by the Performance Indicators for Coding Quality tool, were used as an independent index measure. No differences were found in error rates between rural and metropolitan hospitals, or general and specialist hospitals. Clinical Coder allocation to 'general' rather than 'specialist' unit coding resulted in fewer errors. Coding Managers reported that coding quality can be improved by: Coders engaging in a variety of role behaviours; improved Coder career opportunities; higher staffing levels; reduced throughput; fewer time constraints on coding outputs and associated work; and increased Coder interactions with medical staff.