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Rev Epidemiol Sante Publique. 2011 Oct;59(5):341-50. doi: 10.1016/j.respe.2011.04.004. Epub 2011 Sep 6.

[ICD-10 adaptation of 15 Agency for Healthcare Research and Quality patient safety indicators].

[Article in French]

Author information

1
Pôle d'information médicale-évaluation-recherche, hospices civils de Lyon, Lyon, France. Jean-Marie.Januel@chuv.ch

Abstract

BACKGROUND:

In the United States, the Agency for Healthcare Research and Quality (AHRQ) has developed 20 Patient Safety Indicators (PSIs) to measure the occurrence of hospital adverse events from medico-administrative data coded according to the ninth revision of the international classification of disease (ICD-9-CM). The adaptation of these PSIs to the WHO version of ICD-10 was carried out by an international consortium.

METHODS:

Two independent teams transcoded ICD-9-CM diagnosis codes proposed by the AHRQ into ICD-10-WHO. Using a Delphi process, experts from six countries evaluated each code independently, stating whether it was "included", "excluded" or "uncertain". During a two-day meeting, the experts then discussed the codes that had not obtained a consensus, and the additional codes proposed.

RESULTS:

Fifteen PSIs were adapted. Among the 2569 proposed diagnosis codes, 1775 were unanimously adopted straightaway. The 794 remaining codes and 2541 additional codes were discussed. Three documents were prepared: (1) a list of ICD-10-WHO codes for the 15 adapted PSIs; (2) recommendations to the AHRQ for the improvement of the nosological frame and the coding of PSI with ICD-9-CM; (3) recommendations to the WHO to improve ICD-10.

CONCLUSIONS:

This work allows international comparisons of PSIs among the countries using ICD-10. Nevertheless, these PSIs must still be evaluated further before being broadly used.

PMID:
21899967
DOI:
10.1016/j.respe.2011.04.004
[Indexed for MEDLINE]
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