caa a22 4500 397519079 CHVBK 20180308164627.0 cr unu---uuuuu 161202e199512 xx s 000 0 eng 10.1093/intqhc/7.4.407 doi (NATIONALLICENCE)oxford-10.1093/intqhc/7.4.407 The Quality of Diagnostic Coding in Cerebrovascular Disease [Elektronische Daten] [M. HASAN, R. J. MEARA, B. K. BHOWMICK] We investigated the quality of diagnostic coding in relation to cerebrovascular disease (CVD) in a computerized clinical information system by comparing the codes on the computer printout, obtained from casemix database on 166 patients with a diagnosis of cerebrovascular disease, with the codes allocated by the investigators after examining the case notes. Overall, the diagnostic coding was incorrect in 44 (26%) cases. These inaccuracies included 9 (5%) patients who did not have CVD and 35 (21%) patients who were incorrectly coded as "acute but ill-defined stroke”. The inadequacy of information in discharge letters was the main reason for such discrepancies (21 cases). There is a need for adequate education and training of doctors and coding clerks and for a constant dialogue between them if the deficiencies in coding are to be rectified and the value of hospital information system in the audit, costing and health care planning is to be improved. © 1996 Elsevier Science Ltd Articles nationallicence Diagnostic coding nationallicence cerebrovascular disease nationallicence clinical information system nationallicence HASAN M. University Department of Geriatric Medicine, Glan Clwyd Hospital, Bodelwyddan, Rhyl, Clwyd, Wales LL18 5UJ, UK aut MEARA R. J. University Department of Geriatric Medicine, Glan Clwyd Hospital, Bodelwyddan, Rhyl, Clwyd, Wales LL18 5UJ, UK aut BHOWMICK B. K. University Department of Geriatric Medicine, Glan Clwyd Hospital, Bodelwyddan, Rhyl, Clwyd, Wales LL18 5UJ, UK aut International Journal for Quality in Health Care Oxford University Press 7/4(1995-12), 407-410 1353-4505 7:4<407 1995 7 intqhc https://doi.org/10.1093/intqhc/7.4.407 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1093/intqhc/7.4.407 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- HASAN M. University Department of Geriatric Medicine, Glan Clwyd Hospital, Bodelwyddan, Rhyl, Clwyd, Wales LL18 5UJ, UK aut NATIONALLICENCE 700 1- MEARA R. J. University Department of Geriatric Medicine, Glan Clwyd Hospital, Bodelwyddan, Rhyl, Clwyd, Wales LL18 5UJ, UK aut NATIONALLICENCE 700 1- BHOWMICK B. K. University Department of Geriatric Medicine, Glan Clwyd Hospital, Bodelwyddan, Rhyl, Clwyd, Wales LL18 5UJ, UK aut NATIONALLICENCE 773 0- International Journal for Quality in Health Care Oxford University Press 7/4(1995-12), 407-410 1353-4505 7:4<407 1995 7 intqhc Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford