Enhanced capture of healthcare-related harms and injuries in the 11th revision of the International Classification of Diseases (ICD-11)

Danielle Southern, Harold Pincus, Patrick Romano, Bernard Burnand, James Harrison, Alan Forster, Lori Moskal, Hude Quan, Saskia Drösler, Vijaya Sundararajan, Cyrille Colin, Yana Gurevich, Susan Brien, Nenad Kostanjsek, Bedrihan Üstun, William Ghali

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    11 Citations (Scopus)

    Abstract

    The World Health Organization (WHO) plans to submit the 11th revision of the International Classification of Diseases (ICD) to the World Health Assembly in 2018. The WHO is working toward a revised classification system that has an enhanced ability to capture health concepts in a manner that reflects current scientific evidence and that is compatible with contemporary information systems. In this paper, we present recommendations made to the WHO by the ICD revision's Quality and Safety Topic Advisory Group (Q&S TAG) for a new conceptual approach to capturing healthcare-related harms and injuries in ICD-coded data. The Q&S TAG has grouped causes of healthcare-related harm and injuries into four categories that relate to the source of the event: (a) medications and substances, (b) procedures, (c) devices and (d) other aspects of care. Under the proposed multiple coding approach, one of these sources of harm must be coded as part of a cluster of three codes to depict, respectively, a healthcare activity as a 'source' of harm, a 'mode or mechanism' of harm and a consequence of the event summarized by these codes (i.e. injury or harm). Use of this framework depends on the implementation of a new and potentially powerful code-clustering mechanism in ICD-11. This new framework for coding healthcare-related harm has great potential to improve the clinical detail of adverse event descriptions, and the overall quality of coded health data.

    Original languageEnglish
    Article numbermzv099
    Pages (from-to)136-142
    Number of pages7
    JournalInternational Journal For Quality in Health Care
    Volume28
    Issue number1
    DOIs
    Publication statusPublished - 2016

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  • Cite this

    Southern, D., Pincus, H., Romano, P., Burnand, B., Harrison, J., Forster, A., Moskal, L., Quan, H., Drösler, S., Sundararajan, V., Colin, C., Gurevich, Y., Brien, S., Kostanjsek, N., Üstun, B., & Ghali, W. (2016). Enhanced capture of healthcare-related harms and injuries in the 11th revision of the International Classification of Diseases (ICD-11). International Journal For Quality in Health Care, 28(1), 136-142. [mzv099]. https://doi.org/10.1093/intqhc/mzv099