Chin Y T, Scattergood N, Thornber M, Thomas S
Department of Microbiology, University Hospital of South Manchester, Manchester, UK.
Performance and Information, University Hospital of South Manchester, Manchester, UK.
J Hosp Infect. 2016 Sep;94(1):99-102. doi: 10.1016/j.jhin.2016.05.013. Epub 2016 May 30.
Sepsis is a major healthcare problem and leading cause of death worldwide. UK hospital mortality statistics and payments for patient episodes of care are calculated on clinical coding data. The accuracy of these data depends on the quality of coding. This study aimed to investigate whether patients with significant bacteraemia are coded for sepsis and to estimate the financial costs of miscoding. Of 54 patients over a one-month period with a significant bacteraemia, only 19% had been coded for sepsis. This is likely to lead to falsely high calculated hospital mortality. Furthermore, this resulted in an underpayment of £21,000 for one month alone.
脓毒症是一个重大的医疗保健问题，也是全球主要的死亡原因。英国医院的死亡率统计数据以及患者护理事件的费用是根据临床编码数据计算得出的。这些数据的准确性取决于编码质量。本研究旨在调查有严重菌血症的患者是否被编码为脓毒症，并估计编码错误造成的财务成本。在一个月内患有严重菌血症的54名患者中，只有19%被编码为脓毒症。这可能会导致计算出的医院死亡率虚高。此外，仅一个月就少支付了21,000英镑。
