Identifying Adverse Events Using International Classification of Diseases, Tenth Revision Y Codes in Korea: A Cross-sectional Study

옥민수; 김화정; 전보민; 김예지; 류현미; 이무송

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자료유형: 학술저널

저자정보: 옥민수 김화정 전보민 김예지 류현미 이무송

저널정보: 대한예방의학회 예방의학회지 예방의학회지 제51권 제1호

발행연도: 2018.1

수록면: 15 - 22 (8page)

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연구주제

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연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

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Objectives: The use of administrative data is an affordable alternative to conducting a difficult large-scale medical-record review to estimate the scale of adverse events. We identified adverse events from 2002 to 2013 on the national level in Korea, using International Classification of Diseases, tenth revision (ICD-10) Y codes. Methods: We used data from the National Health Insurance Service-National Sample Cohort (NHIS-NSC). We relied on medical treatment databases to extract information on ICD-10 Y codes from each participant in the NHIS-NSC. We classified adverse events in the ICD-10 Y codes into 6 types: those related to drugs, transfusions, and fluids; those related to vaccines and immunoglobulin; those related to surgery and procedures; those related to infections; those related to devices; and others. Results: Over 12 years, a total of 20 817 adverse events were identified using ICD-10 Y codes, and the estimated total adverse event rate was 0.20%. Between 2002 and 2013, the total number of such events increased by 131.3%, from 1366 in 2002 to 3159 in 2013. The total rate increased by 103.9%, from 0.17% in 2002 to 0.35% in 2013. Events related to drugs, transfusions, and fluids were the most common (19 446, 93.4%), followed by those related to surgery and procedures (1209, 5.8%) and those related to vaccines and immunoglobulin (72, 0.3%). Conclusions: Based on a comparison with the results of other studies, the total adverse event rate in this study was significantly underestimated. Improving coding practices for ICD-10 Y codes is necessary to precisely monitor the scale of adverse events in Korea.

참고문헌 (32)

참고문헌 신청

Institute of Medicine (US) Committee on Quality of Health Care in America / 2001 / Crossing the quality chasm: a new health system for the 21st century / National Academies Press :1~22

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Murff HJ / 2003 / Detecting adverse events for patient safety research: a review of current methodologies / J Biomed Inform 36(1-2):131~143

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Ock Minsu

소속기관 Department of Preventive Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.Department of Preventive Medicine, University of Ulsan College of Medicine