ICD-11 for quality and safety: overview of the who quality and safety topic advisory group

William Ghali, Harold Pincus, Danielle Southern, Susan Brien, Patrick Romano, Bernard Burnand, Saskia Drosler, Vijaya Sundararajan, Lori Moskal, Alan Forster, Yana Gurevich, Hude Quan, Cyrille Colin, William Munier, James Harrison, Brigitta Spaeth-Rublee, Nenad Kostanjsek, T Bedirhan Üstun

    Research output: Contribution to journalArticlepeer-review

    17 Citations (Scopus)


    This paper outlines the approach that the WHO's Family of International Classifications (WHO-FIC) network is undertaking to create ICD-11. We also outline the more focused work of the Quality and Safety Topic Advisory Group, whose activities include the following: (i) cataloguing existing ICD-9 and ICD-10 quality and safety indicators; (ii) reviewing ICD morbidity coding rules for main condition, diagnosis timing, numbers of diagnosis fields and diagnosis clustering; (iii) substantial restructuring of the healthcare related injury concepts coded in the ICD-10 chapters 19/20, (iv) mapping of ICD-11 quality and safety concepts to the information model of the WHO's International Classification for Patient Safety and the AHRQ Common Formats; (v) the review of vertical chapter content in all chapters of the ICD-11 beta version and (vi) downstream field testing of ICD-11 prior to its official 2015 release. The transition from ICD-10 to ICD-11 promises to produce an enhanced classification that will have better potential to capture important concepts relevant to measuring health system safety and quality-an important use case for the classification.

    Original languageEnglish
    Article numbermzt074
    Pages (from-to)621-625
    Number of pages5
    JournalInternational Journal For Quality in Health Care
    Issue number6
    Publication statusPublished - Dec 2013


    • ICD-11
    • Patient safety
    • Quality
    • Safety


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