评估急诊医学中自动编码系统的准确性。
Assessing the accuracy of an automated coding system in emergency medicine.
作者信息
Morris W C, Heinze D T, Warner Jr H R, Primack A, Morsch A E, Sheffer R E, Jennings M A, Morsch M L, Jimmink M A
出版信息
Proc AMIA Symp. 2000:595-9.
Accuracy and speed are imperative when it comes to coding medical records. Completely automated approaches to coding are faster than human coders, but are they as accurate? To measure accuracy, a "gold standard" is required; however, establishing a standard for medical records coding is problematic given the inherent ambiguity in some of the coding rules and guidelines. This paper presents statistics regarding the variability amongst experienced coders and compares this variability with an automated system, LifeCode. The authors conclude that LifeCode is as accurate as the human coders used in this study and offers the potential for increased coding consistency and productivity.
在对医疗记录进行编码时，准确性和速度至关重要。完全自动化的编码方法比人工编码员速度更快，但它们的准确性如何呢？为了衡量准确性，需要一个“黄金标准”；然而，鉴于某些编码规则和指南中存在固有的模糊性，为医疗记录编码建立一个标准是有问题的。本文展示了有关经验丰富的编码员之间变异性的统计数据，并将这种变异性与一个自动化系统LifeCode进行了比较。作者得出结论，LifeCode与本研究中使用的人工编码员一样准确，并具有提高编码一致性和生产力的潜力。
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