Adoption of network and plan-do-check-action in the international classification of disease 10 coding

Abstract

BACKGROUND with the widespread application of computer network systems in the medical field, the plan-do-check-action (PDCA) and the international classification of diseases tenth edition (ICD-10) coding system have also achieved favorable results in clinical medical record management. However, research on their combined application is relatively lacking. Objective: it was to explore the impact of network systems and PDCA management mode on ICD-10 encoding. Material and Method: a retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted. They were divided into a control group (n = 232) and an observation group (n = 536) based on whether the PDCA management mode was implemented. The two sets of coding accuracy, time spent, case completion rate, satisfaction, and other indicators were compared. AIM To study the adoption of network and PDCA in the ICD-10. METHODS A retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted. They were divided into a control group (n = 232) and an observation group (n = 536) based on whether the PDCA management mode was implemented. The two sets of coding accuracy, time spent, case completion rate, satisfaction, and other indicators were compared. RESULTS In the 3, 6, 12, 18, and 24 months of PDCA cycle management mode, the coding accuracy and medical record completion rate were higher, and the coding time was lower in the observation group as against the controls (P < 0.05). The satisfaction of coders (80.22% vs 53.45%) and patients (84.89% vs 51.72%) in the observation group was markedly higher as against the controls (P < 0.05). CONCLUSION The combination of computer networks and PDCA can improve the accuracy, efficiency, completion rate, and satisfaction of ICD-10 coding.