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

Abstract

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.

Feasibility of using administrative data to compare hospital performance in the EU

“…Therefore, in the medium- to long-term, it is likely that hospital administrative data could play an important role to provide comparative information on hospitals performance for patients seeking care and providers contracting services. Particularly given the release of ICD 11 in 2015, which includes an enhanced classification to capture health care quality and patient safety issues, including ‘(i) causes of harm (medications, procedures, devices or other aspects of care), (ii) mode or mechanism of harm linked to each of the coded causes of harm and (iii) the harm incurred (coded from any of the codes available throughout the classification)' [25]. …”

Identifying complications of interventional procedures from UK routine healthcare databases: a systematic search for methods using clinical codes

“…The next version of the International Classification of Diseases, ICD-11 [ 75 ], will include an extensive revision of ICD-10 chapters 19 and 20 which are concerned with healthcare related injury. ICD-11 will provide a mechanism to encode the cause of harm, the mode or mechanism of harm and the harm incurred.…”

A Metadata Manifesto: The Need for Global Health Metadata

“…The International Classification of Diseases underwent its 10th Revision in 1992 and is referred to as the ICD-10 (for which there are also many country level modifications). An 11th revision (ICD-11) is currently underway, with release expected in 2018 (21,22).…”