Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 6, 2024; 12(19): 3734-3743
Published online Jul 6, 2024. doi: 10.12998/wjcc.v12.i19.3734
Adoption of network and plan-do-check-action in the international classification of disease 10 coding
Biao Lian
Biao Lian, Department of Medical Record, Meishan People's Hospital, Meishan 620000, Sichuan Province, China
Author contributions: Lian B was responsible for all work of this study.
Institutional review board statement: The research was reviewed and approved by the Review Committee of Meishan People's Hospital (Approval No. MPP-23-602).
Informed consent statement: All research participants or their legal guardians provided written informed consent prior to study registration
Conflict-of-interest statement: No conflict of interest is associated with this work.
Data sharing statement: No other data available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Biao Lian, MCh, Doctor, Department of Medical Record, Meishan People's Hospital, No. 288 South Fourth Section, Dongpo Avenue, Dongpo District, Meishan 620000, Sichuan Province, China. shanhmbnnp755706@163.com
Received: March 4, 2024
Revised: May 13, 2024
Accepted: May 15, 2024
Published online: July 6, 2024
Processing time: 117 Days and 2.6 Hours
Abstract
BACKGROUND

with the widespread application of computer network systems in the medical field, the plan-do-check-action (PDCA) and the international classification of diseases tenth edition (ICD-10) coding system have also achieved favorable results in clinical medical record management. However, research on their combined application is relatively lacking. Objective: it was to explore the impact of network systems and PDCA management mode on ICD-10 encoding. Material and Method: a retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted. They were divided into a control group (n = 232) and an observation group (n = 536) based on whether the PDCA management mode was implemented. The two sets of coding accuracy, time spent, case completion rate, satisfaction, and other indicators were compared.

AIM

To study the adoption of network and PDCA in the ICD-10.

METHODS

A retrospective collection of 768 discharged medical records from the Medical Record Management Department of Meishan People’s Hospital was conducted. They were divided into a control group (n = 232) and an observation group (n = 536) based on whether the PDCA management mode was implemented. The two sets of coding accuracy, time spent, case completion rate, satisfaction, and other indicators were compared.

RESULTS

In the 3, 6, 12, 18, and 24 months of PDCA cycle management mode, the coding accuracy and medical record completion rate were higher, and the coding time was lower in the observation group as against the controls (P < 0.05). The satisfaction of coders (80.22% vs 53.45%) and patients (84.89% vs 51.72%) in the observation group was markedly higher as against the controls (P < 0.05).

CONCLUSION

The combination of computer networks and PDCA can improve the accuracy, efficiency, completion rate, and satisfaction of ICD-10 coding.

Keywords: Plan-do-check-action cycle management mode; Computer network; International classification of diseases tenth edition coding; Accuracy

Core Tip: Through research, it has been found that the combined application of computer networking and plan-do-check-action cycle management mode in the international classification of diseases tenth edition coding of medical records significantly improves coding accuracy, shortens coding time, increases the completeness of medical records, and achieves high satisfaction from coders and patients.