Building Toward ICD-11. Improving the Coding of Quality and Patient Safety Data

项目摘要（Project Abstract） 此应用程序旨在支持主题咨询小组的一系列会议 (TAG)作为世界卫生组织（WHO） 国际疾病分类第11版（ICD-11）。 质量和患者安全TAG负责审查ICD-10、ICD-10 CM和 ICD-11的渐进式草案，为ICD-11的发展提供信息，重点是 确定ICD 11草案的实际修改， 质量和安全的衡量。技术咨询小组还将审议下列建议： 加强ICD-11作为提供健康编码医学数据结构的效用 服务、质量和以患者为中心的结果研究。该小组将工作 在ICD-11的所有章节中横向提供建议， 内容和结构（和编码规则），以增强现有和 潜在的新型质量和安全指标。 质量和患者安全主题咨询小组工作的具体目标 拟议会议的进程如下： 1.制定现有护理质量和患者安全指标清单 及其各自的数据元素， 可能与ICD相关，并审查该清单以制定建议 用于增强将相关数据元素并入ICD 11。 2.评估ICD-11在卫生服务、质量和患者方面的潜在用途， 以结果为中心的研究。 3.从质量的角度对ICD-11 α草案进行回顾和评价 安全使用案例 4.为ICD-10 CM的完善、实施和 在美国的保养。 5.设计ICD-11测试版的现场试验，重点是质量和 患者安全。 这项工作将在国家和国际一级产生影响，因为这些活动 提供一个机会，以系统和全面的进程， 组织专家输入，以创建质量和结果数据的语义交叉， 将是ICD-11和ICD-10 CM未来发展的关键组成部分。这将 也使我们能够大大加强以患者为中心的结果的信息学基础 研究/比较有效性研究，同时产生更多更好的 以有效的方式提供有关医疗保健质量的信息，这对于 遍布地球仪的医疗保健系统。

Project Summary (Project Abstract) This application is intended to support a series of meetings of the Topic Advisory Group (TAG) on Quality and Patient Safety as part of the World Health Organization's (WHO) development of the International Classification of Diseases, 11th edition (ICD-11). The Quality and Patient Safety TAG is charged with reviewing ICD-10, ICD-10CM and progressive drafts of ICD-11 to inform the development of the ICD-11, focusing on identifying practical modifications for ICD 11 drafts that would enable better measurement of quality and safety. The TAG will also consider recommendations for enhancing the utility of ICD-11 as a structure for providing coded medical data for health services, quality and patient-centered outcomes research. The group will work horizontally across all ICD-11 chapters to advise on optimizing the entire classification's content and structure (and coding rules) for enhanced application in both existing and potentially novel quality and safety indicators. The specific aims of the Quality and Patient Safety Topic Advisory Group's work over the course of the proposed conferences are: 1. To develop an inventory of existing quality of care and patient safety indicators that have been developed internationally and their respective data elements that are potentially relevant to the ICD and review this inventory to develop proposals for enhancing the incorporation of relevant data elements into the ICD 11. 2. To assess potential uses of ICD-11 for health services, quality and patient- centered outcomes research. 3. To review and critique the ICD-11 alpha draft from the perspective of the quality and safety use case. 4. To providing input to the ICD-10CM refinement, implementation and maintenance in the US. 5. To design field trials for the beta version of ICD-11 that focus on quality and patient safety. This work will have implications at the national and international level, as these activities provide an opportunity to a systematic and comprehensive process for gathering and organizing expert input to create a semantic cross-walk of quality and outcomes data that will be a key component for the future development of ICD-11 and ICD-10CM. This will also allow us to greatly strengthen the informatics base for patient centered outcomes research/comparative effectiveness research, while producing more and better information about health care quality in an efficient manner, which will be essential for health care systems across the globe.