Clements D, Smith P
Royal Gwent Hospital.
Health Trends. 1994;26(1):16-7.
The accuracy of the coding of gastrointestinal endoscopic procedures at Llandough Hospital was audited over 12 months. Although the endoscopy unit kept its own records, none of the staff were initially aware of the coding system used for endoscopic procedures for subsequent hospital activity analysis. Conventional typed discharge summaries were usually inadequate for coding purposes, and there was considerable variation in the proportion of procedures coded. Changes made to improve the accuracy and completeness of coding for endoscopic procedures were seen to be effective in a follow-up study.
对兰多医院12个月内胃肠道内镜手术编码的准确性进行了审计。尽管内镜科室有自己的记录,但最初没有一名工作人员了解用于后续医院活动分析的内镜手术编码系统。传统的打印出院小结通常不足以用于编码目的,且编码的手术比例存在相当大的差异。在后续研究中,为提高内镜手术编码的准确性和完整性所做的改变被证明是有效的。