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Which Chart Elements Accurately Identify Emergency Department Visits for Suicidal Ideation or Behavior?
- Source :
-
Archives of Suicide Research . Jul-Sep2019, Vol. 23 Issue 3, p382-390. 9p. - Publication Year :
- 2019
-
Abstract
- In an emergency department (ED) sample, we investigated the concordance between identification of suicide-related visits through standardized comprehensive chart review versus a subset of 3 specific chart elements: ICD-9-CM codes, free-text presenting complaints, and free-text physician discharge diagnoses. The method for this study was review of medical records for adults (≥18 years) at 8 EDs across the United States. A total of 3,776 charts were reviewed. A combination of the 3 chart elements (ICD-9-CM, presenting complaints, and discharge diagnoses) provided the most robust data with 85% sensitivity, 96% specificity, 92% PPV, and 92% NPV. These findings highlight the use of key discrete fields in the medical record that can be extracted to facilitate identification of whether an ED visit was suicide-related. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 13811118
- Volume :
- 23
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Archives of Suicide Research
- Publication Type :
- Academic Journal
- Accession number :
- 137166366
- Full Text :
- https://doi.org/10.1080/13811118.2018.1472691