DRG-oriented quality control of disease coding for hemodialysis patients
Objective To analyze the disease and surgical procedure coding for hemodialysis patients based on Diagno-sis-Related Groups(DRGs)to improve coding accuracy.Methods A total of 607 inpatient medical records from the hemodialy-sis department of a hospital from January to June 2023 were included as the control group,with the cases with kidney injury ex-cluded.DRG-oriented issues were identified and causes were analyzed.Targeted measures were proposed and implemented for in-tervening with the disease and surgical procedure coding in the department.Another set of 607 inpatient medical records from the hemodialysis department from July to December 2023 served as the observation group,with cases of kidney injury excluded as well.The coding quality was compared between the two groups.Results The observation group showed significantly lower error rates of disease diagnosis coding and surgical procedure coding(6.64％vs.26.21％,P＜0.05);(3.49％vs.12.15％,P＜0.05,respectively),compared to the control group.Additionally,analysis of DRG grouping showed that coding accuracy for di-agnoses and procedures directly impacted DRG assignment.Conclusion Coders don't master coding rules thoroughly for hemo-dialysis complications and related surgical procedures.They lack the habit of comprehensively reading medical records and using reference books.It is crucial for them to enhance ongoing education in coding theory and practice.Additionally,they are also suggested to fully utilize the quality control monitoring system on the first pages of medical records to improve coding ability and increase the accuracy of DRG grouping.
Diagnosis related groupsHemodialysisDiseases diagnosis codeOperation code
万方数据
维普
