Font Size: a A A

Cognition Investigate Of Medical Staff About DRGs And ICD Code And Quality Analysis Of Inpatient Records Code

Posted on:2018-11-30Degree:MasterType:Thesis
Country:ChinaCandidate:W R LiuFull Text:PDF
GTID:2334330536974452Subject:Social Medicine and Health Management
Abstract/Summary:PDF Full Text Request
Objective:In this paper investigated awareness of hospital doctors and the medical encoders bout the DRGs,ICD code,and their relationship in Beijing.Meanwhile we also investigated diseases coding accuracy in the first page of medical records.In order to understand the medical staff cognitive situation and coding errors,analyze its influential factors and reasons,improve attention on quality of inpatient records for medical staff,especially the hospital managers.Then putting forward the corresponding solutions,provide reference for improving the quality of medical record coding.Methods:The article is divided into two parts.The first part is draw up a questionnaire though search a large number of literature,then with consultant expert and per-survey,completed final questionnaire.Through stratified random sampling survey questionnaires,understand awareness of the hospital management,doctors,nurses and other medical personnel about DRGs,ICD codes,and their cognitive and willingness to learn.Awareness survey includes the DRGs and ICD coding requirements for the first page of medical records and coding standards,ICD coding influence DRGs' group and the medical fee,etc.Questionnaire scores using Likert divided into five dimensions and assignment respectively for 1 to 5points for statistical description and statistical analysis.The second part is to analysis ICD coding quality of the first page of medical records.Methods on 400 cases of inpatient records and medical records which was including basic situation,course records,and discharge diagnoses of patients.Reading carefully the above information and proof-reading coding many times,to find out errors diagnoses codes according to ICD coding rules.Meanwhile filtering out error codes in the Excel and SPSS 13.0 software for statistical analysis.Results:With the questionnaire of the first part survey,57.9% of the medical staff are(very)don't understand about the DRGs,and ICD coding,78.95% of staff are don't know medical record writing requirements that basic of DRGs.In addition,just one staff understand relationship between DRGs and ICD coding,accounting for 2 percent.Through two-sample t-test and one-factor ANOVA,the difference has statistically significant(P<0.05).And medical staff with high degree,high title,high duty and long working years has better knowledge on DRGs than another.In terms of willingness to learn,medical staff have not intense learning desire that is lower than excepted results,due to the average score of between 3.6 to 3.7.The second part,through to check the ICD coding,we can find that wrong code of pediatrics is highest(a 61.11 percent error rate),and wrong code of surgical is lower(a 13.79 percent error rate).According to coding error type,the proportion of secondary diagnostic code is the largest,accounted for 52.59% of all coding errors,meanwhile the main diagnoses errors ratio is 23.28%.By the coding errors cause analysis,the physician causes coding errors accounted for 69.82%,coders reason(coding errors,filling)accounted for 30.18%.Conclusion:The above survey results show that this hospital medical staff didn't realize the important role of DRGs and ICD codes of inpatient records quality,because staff has a little knowledge of DRGs and ICD codes.It is high time that should enhance the hospital staff's thinking and understand.In view of the learning enthusiasm,hospital should take measures to improve their learning motivation.,building a good learning atmosphere,increasing the competitive ability of the staff.The study also found that code error rate is high,especially the leakage diagnosis,therefor physicians and coder must master the clinical knowledge and inpatient records writing requirement based on the DRGs,at the sometimes they need to take some standardization training,to achieve the goal which improve the quality of medical records,and ensure accuracy of DRGs groping.
Keywords/Search Tags:DRGs, ICD code, Cognition investigate
PDF Full Text Request
Related items