Evaluation of the implementation of International Classification of Diseases, 11th revision for morbidity coding: Rationale and study protocol

Golpira, Reza; Azadmanjir, Zahra; Zarei, Javad; Hashemi, Nasim; Meidani, Zahra; Vahedi, Akram; Bakhshandeh, Hooman; Fakharian, Esmaeil; Sheikhtaheri, Abbas

doi:10.1016/j.imu.2021.100668

Cited by 8 publications

(9 citation statements)

References 25 publications

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“…18 This capability not only expedites documentation but also improves the quality and accuracy of records. Since coding diagnoses based on ICD-10 is mandatory in Iran and many other countries, 19 designing a MDS with regard to diagnostic codes is not only feasible but also of great use. 18 The most common laboratory data included in the MDS were related to hematology tests.…”

Section: Discussionmentioning

confidence: 99%

Designing a minimum data set of laboratory data for the electronic summary sheet of pediatric ward in Iran: A cross‐sectional study

Shahbakhsh

Khajouei

Sabahi

et al. 2023

Health Science Reports

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Background and Aim: Iranian hospitals are provided with hospital information systems (HISs) from different vendors, which make it hardly possible to summarize laboratory data in an consistent manner. Therefore, there is a need to design a minimum data set of laboratory data that will define standard criteria and reduce potential medical errors. The purpose of this study was to design a minimum data set (MDS) of laboratory data for an electronic summary sheet to be used in the pediatric ward of Iranian hospitals.Methods: This study consists of three phases. In the first phase, out of 3997 medical records from the pediatric ward, 604 summary sheets were chosen as sample. The laboratory data of these sheets were examined and the recorded tests were categorized. In the second phase, based on the types of diagnosis we developed a list of tests. Then we asked the physicians of the ward to select which ones should be documented for each patient's diagnosis. In the third phase, the tests that were reported in 21%-80% of the records, and were verified by the same percentage of physicians, were evaluated by the experts' panel.Results: In the first phase, 10,224 laboratory data were extracted. Of these, 144 data elements reported in more than 80% of the records, and more than 80% of experts approved them to be included in the MDS for patients' summary sheet. After data elements were investigated in the experts' panel, 292 items were chosen for the final list of the data set.Conclusions: This MDS was designed such that, if implemented in hospital information systems, it could automatically enable registering data in the summary sheet when patient's diagnosis is registered.

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Section: Discussionmentioning

confidence: 99%

Designing a minimum data set of laboratory data for the electronic summary sheet of pediatric ward in Iran: A cross‐sectional study

Shahbakhsh

Khajouei

Sabahi

et al. 2023

Health Science Reports

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show abstract

“…24 The next class belonged to diagnosis, and included six data elements. Considering the WHO schedule for the implementation of ICD-11, as well as its pilot implementation in Iran, 44 However, in the radiology form of the Spine Tango registry, numerous data elements had been considered for registering complete details of the imaging findings. 45 For registering the treatment process data in patients with spinal canal stenosis, four data classes of physiotherapy, exercise recommendation and patient education, surgical/invasive procedures, and medication had been proposed.…”

Section: Discussionmentioning

confidence: 99%

Designing a minimum data set for the information management system (registry) of spinal canal stenosis: An applied‐descriptive study

Zarei,

Mohammadi,

Akrami

et al. 2023

Health Science Reports

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Background and AimsSpinal canal stenosis is one of the most common vertebral column diseases, which can lead to disability. Developing a registry system can help in research on the prevention and effective treatment of it. This study designs a minimum data set (MDS) as the first step in creating a registry system for spinal canal stenosis.MethodThe present research is of applied‐descriptive type, performed in 2022. First, the applicable data elements about the disease were selected from a vast range of English and Farsi references, including peer reviewed articles, academic books, credible websites, and medical records of hospitalized patients. Through the extracted data, the primary MDS plan was designed as a questionnaire. The validity of the questionnaire was conducted via asking the opinion of experts (neurosurgeons, physiotherapists, epidemiologists, and health information management specialists). Also, its reliability was calculated via Cronbach ⍺ coefficient, which was 86%. Finally, the MDS of the spinal canal stenosis national registry system (for Iran) was confirmed through a two stage Delphi technique. Data analysis was applied through descriptive statistics via SPSS21 software.ResultsThe proposed MDS is offered in two general sets of data: administrative and clinical. For the administrative data set, 40 data elements had been proposed, as five classes. Twenty‐six of them were confirmed. In the clinical section, 95 data elements had been proposed in 14 classes; 94 of which were finally confirmed.ConclusionSince there is no spinal canal stenosis MDS available, this study can be a turning point in the standardization of the data on this disease. Moreover, these precise, coherent, and standard data elements can be contributed to improving disease management and enhancing the public healthcare quality. Also, the MDS proposed in this study can help researchers and experts, design a spinal canal stenosis registry system in other countries.

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“…In the context of ICD transition, in previous studies, users faced significant challenges with minimal experience in the new and more complex coding system 20 , 21 , leading to inaccurate and unspecified coding 22 , 23 , which requires long and expensive training 24 . In ICD code selection, having too many options can be worse than having too few options, as this leads to increased inter- and intraobserver variability and improper use, especially if the system is time-consuming 25 , 26 .…”

Section: Literature Reviewmentioning

confidence: 99%

Factors influencing the intention to use the ICD-11 among medical record officers (MROs) and assistant medical record officers (AMROs) in Ministry of Health, Malaysia

Ooi,

Isa,

Manaf

et al. 2024

Sci Rep

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The transition of ICD has never been a straightforward initiative. As nations transition to ICD-11, ensuring its acceptance among the users is essential. To our knowledge, there are limited studies about the instrument and ICD-11 adoption. Therefore, the purpose of this study was to design an instrument and investigate the factors influencing the intention to use the ICD-11 among medical record officers (MROs) and assistant medical record officers (AMROs) at Ministry of Health (MOH) Malaysia facilities. Based on the current literature, a model based on the decomposed theory of planned behaviour (DTPB) was proposed. The model consisted of 13 dimensions and 12 hypotheses identified from previous studies. Using PLS-SEM, 185 survey data points were analysed. The study findings showed that ten factors have a significant impact on the suggested model. Users' subjective norm was the most influential factor in their intention to use ICD-11. Unexpectedly, perceived usefulness and was found to have no significant influence. This study is important for policymakers in strategising ICD-11 implementation efforts. This study's novelty lies in applying a DTPB theory model in the context of the intention to use ICD-11.

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Evaluation of the implementation of International Classification of Diseases, 11th revision for morbidity coding: Rationale and study protocol

Cited by 8 publications

References 25 publications

Designing a minimum data set of laboratory data for the electronic summary sheet of pediatric ward in Iran: A cross‐sectional study

Designing a minimum data set of laboratory data for the electronic summary sheet of pediatric ward in Iran: A cross‐sectional study

Designing a minimum data set for the information management system (registry) of spinal canal stenosis: An applied‐descriptive study

Factors influencing the intention to use the ICD-11 among medical record officers (MROs) and assistant medical record officers (AMROs) in Ministry of Health, Malaysia

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