编码差异对手术后肺炎评价指标影响
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摘要
目的探讨手术后肺炎的正确编码方法及统计方法,提高统计的准确性,使医院质量考核指标符合国家标准。方法应用SQL Server 2000收集2012—2014年住院患者相关信息,利用R语言工具,分别通过诊断名称和编码进行搜索,统计每年手术后肺炎的发生率。结果通过诊断名称和编码搜索结果相差较大,编码搜索的手术后肺炎发生率高。深入比较分析,发现存在某些诊断如炎性结节、炎性假瘤等误编码为肺炎的现象,提出相应的改进措施。结论手术后肺炎的统计中应注意一些特殊诊断的编码问题,以免发生误判而导致指标不准确。
Objective To explore the correct coding method and statistical method of postoperative pneumonia,improve the accuracy of statistics so that the hospital quality assessment indexes could meet national standards.Methods This study used SQL Server 2000 to collect relative information of patients from 2012 to 2014,carried on the search by diagnosing name and code separately to calculate the incidence of postoperative pneumonia every year.Results The search result by diagnostic name and code was quite different. The incidence of postoperative pneumonia by diagnostic code was much higher than by diagnostic name. Some diagnosis such as pulmonary inflammatory nodule and pulmonary inflammatory pseudotumor were inaccurately coded as pneumonia. In this paper,we propose corresponding improvement methods. Conclusion When analyzing the statistics of postoperative pneumonia,we should pay attention to the special diagnosis of coding problems to avoid inaccurate indicators from misdiagnosis.
Objective To explore the correct coding method and statistical method of postoperative pneumonia,improve the accuracy of statistics so that the hospital quality assessment indexes could meet national standards.Methods This study used SQL Server 2000 to collect relative information of patients from 2012 to 2014,carried on the search by diagnosing name and code separately to calculate the incidence of postoperative pneumonia every year.Results The search result by diagnostic name and code was quite different. The incidence of postoperative pneumonia by diagnostic code was much higher than by diagnostic name. Some diagnosis such as pulmonary inflammatory nodule and pulmonary inflammatory pseudotumor were inaccurately coded as pneumonia. In this paper,we propose corresponding improvement methods. Conclusion When analyzing the statistics of postoperative pneumonia,we should pay attention to the special diagnosis of coding problems to avoid inaccurate indicators from misdiagnosis.
引文
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[4]G.Pei,S.Zhou,Y.Han,Z.et al.Risk factors for postoperative complicationsafter lung resection for non-small cell lung cancer in elderly patients at asingle institution in China[J].Journal of Thoracic Disease,2014,6(9):1230-1238.
[5]《应用抗菌药物防治外科感染的指导意见》撰写协作组.应用抗菌药物防治外科感染的指导意见XXI-手术后肺炎[J].中华外科杂志,2005,43(17):1158-1160.
[6]Dennis F.S,Mette S,Imre B et al.Risk factors for postoperative pneumonia after lung cancer surgeryand impact of pneumonia on survival[J].Respiratory Medicine,2015,109(10):1340-1346.
[2]JY.Lee,SM Jin,CH Lee,et al.Risk factors of postoperativepneumonia after lung cancer surgery[J].Chinese Journal of Clinical Thoracic&Cardiovascular Surgery,2011,26(8):976-984.
[3]A.Andalib,A.V.Ramana-Kumar,G.Bartlett,E.L.et al.Influence of postoperative infectious complications on long-term survival of lung cancerpatients:a population-based cohort study[J].Journal of Thoracic Oncology Offical Publication of the International Association for the Study of Lung Cancer,2013,8(5):554-561.
[4]G.Pei,S.Zhou,Y.Han,Z.et al.Risk factors for postoperative complicationsafter lung resection for non-small cell lung cancer in elderly patients at asingle institution in China[J].Journal of Thoracic Disease,2014,6(9):1230-1238.
[5]《应用抗菌药物防治外科感染的指导意见》撰写协作组.应用抗菌药物防治外科感染的指导意见XXI-手术后肺炎[J].中华外科杂志,2005,43(17):1158-1160.
[6]Dennis F.S,Mette S,Imre B et al.Risk factors for postoperative pneumonia after lung cancer surgeryand impact of pneumonia on survival[J].Respiratory Medicine,2015,109(10):1340-1346.