1. The three-part model for coding causes and mechanisms of healthcare-related adverse events
- Author
-
Southern, Danielle A, Harrison, James E, Romano, Patrick S, Le Pogam, Marie-Annick, Pincus, Harold A, and Ghali, William A
- Subjects
Health Services and Systems ,Health Sciences ,Neurosciences ,Delivery of Health Care ,Health Facilities ,Humans ,International Classification of Diseases ,Adverse events ,Quality and safety ,ICD11 ,Information Systems ,Clinical Sciences ,Medical Informatics ,Health services and systems - Abstract
ICD-11 provides a promising new way to capture healthcare-related harm or injury. In this paper, we elaborate on the framework for describing healthcare-related events where there is a presumed causal link between an event and underlying healthcare-related factors. The three-part model for describing healthcare-related harm or injury in ICD-11 consists of (1) a healthcare-related activity that is the cause of injury or other harm (selected from Chapter 23 of ICD-11); (2) a mode or mechanism of injury or harm, related to the underlying cause (also from Chapter 23 of ICD-11); and (3) the harmful consequences of the event to the patient, selected from any of Chapters 1 through 22 of ICD-11 (most importantly, the injury or harm experienced by the patient). Concepts from these three elements are linked/clustered through postcoordination to reflect the three-part model in a single coded expression. ICD-11 contains many novel features, and the three-part model described here for healthcare-related adverse events is a notable example.
- Published
- 2021