History of SHEA-Sponsored Research: Time to Pass the Torch

2011 ◽  
Vol 32 (2) ◽  
pp. 163-165
Author(s):  
Bryan Simmons ◽  
Barbara I. Braun ◽  
James P. Steinberg ◽  
Stephen B. Kritchevsky
Keyword(s):  
Adverse Events ◽  
Health Care Organization ◽  
International Classification Of Diseases ◽  
Joint Commission ◽  
Care Organization ◽  
Classification Of Diseases ◽  
History Of ◽  
Healthcare Epidemiology ◽  
Hospital Acquired ◽  
The Joint Commission

Since its inception, the Society for Healthcare Epidemiology of America (SHEA) has promoted research into prevention of adverse events in hospitals. In 1995, SHEA made this mission concrete by initiating a collaborative research project with the Joint Commission on the Accreditation of Health Care Organization (now known as the Joint Commission). In the early 1990s, the Joint Commission was implementing its “Agenda for Change” and associated Indicator Monitoring System. At the time, there were numerous competing measurement systems that used different definitions, all aimed at measuring the quality of patient care, and many had indicators measuring the incidence of hospital-acquired infections. Some of these indicators used administrative data, such as International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes, to measure adverse events.

A Neglected Principle of Liturgical Revision

1920 ◽  
Vol 13 (4) ◽  
pp. 390-401
Author(s):  
Robert Pierce Casey
Keyword(s):  
Joint Commission ◽  
Episcopal Church ◽  
Book Of Common Prayer ◽  
History Of ◽  
Common Prayer ◽  
The Joint Commission

The Second Report of the Joint Commission on the Book of Common Prayer is an interesting document, not only for the history of liturgy in the American Church but also in showing, perhaps more by implication than by direct statement, the lines along which thought in the Episcopal Church is at present moving.

scholarly journals ICD-11 extension codes support detailed clinical abstraction and comprehensive classification

2021 ◽  
Vol 21 (S6) ◽  
Author(s):  
Saskia E. Drösler ◽  
Stefanie Weber ◽  
Christopher G. Chute
Keyword(s):  
Clinical History ◽  
International Classification Of Diseases ◽  
Disease Stage ◽  
Clinical State ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
Clinical Detail ◽  
History Of ◽  
Comprehensive Classification

Abstract Background The new International Classification of Diseases—11th revision (ICD-11) succeeds ICD-10. In the three decades since ICD-10 was released, demands for detailed information on the clinical history of a morbid patient have increased. Methods ICD-11 has now implemented an addendum chapter X called “Extension Codes”. This chapter contains numerous codes containing information on concepts including disease stage, severity, histopathology, medicaments, and anatomical details. When linked to a stem code representing a clinical state, the extension codes add significant detail and allow for multidimensional coding. Results This paper discusses the purposes and uses of extension codes and presents three examples of how extension codes can be used in coding clinical detail. Conclusion ICD-11 with its extension codes implemented has the potential to improve precision and evidence based health care worldwide.

scholarly journals Predictors of Cerebral Arteriovenous Malformation Mortality: A Single-center, Five-year Retrospective Study

2021 ◽  
Vol 9 (3) ◽  
pp. 213-218
Author(s):  
Patricio Garcia-Espinosa ◽  
Edgar Botello-Hernández ◽  
Gabriela Torres-Hernández ◽  
Clarissa Guerrero-Cavazos ◽  
Estefania Villareal-Garza ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Univariate Analysis ◽  
International Classification Of Diseases ◽  
University Hospital ◽  
P Value ◽  
Predictors Of Mortality ◽  
The Hours ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
History Of

Background: Arteriovenous Malformations (AVMs) are abnormalities in intracranial vessels between the arterial and venous systems. This study aimed to identify the predictors of mortality in patients that presented to our hospital with AVMs, ruptured or unruptured, and correlate them to those available in the literature. Methods: An analytical, observational, retrospective study was performed to review data of patients with cerebral AVMs in the University Hospital “Dr José Eleuterio González” from January 2016 to December 2020. Clinical files were reviewed based on AVMs diagnosis according to the  International Classification of Diseases 10th Revision, ICD-10. Variables were subjected to a univariate analysis and those found significant (p-value < 0.05) were subjected to a logistic regression. Results: A total of 80 patients were included in our study. Most of the participants were females (56.3%) and three were pregnant. The most common presenting symptom was holocranial headache (34 cases) occurring between the hours of 22:00 to 7:00. The most significant predictors of mortality were a total bleeding volume greater than 9.18 cm3 (p = 0.010), the presence of more than one symptom (p = 0.041), and a history of previous cerebral intraparenchymal hemorrhage (p = 0.014). Conclusion: Results demonstrated an important association between intracranial bleeding and mortality. Ultimately, more prospective studies are needed to determine predictor factors for mortality in AVMs patients.

Using the Self-Controlled Tree-Temporal Scan Statistic to Assess the Safety of Live Attenuated Herpes Zoster Vaccine

2019 ◽  
Vol 188 (7) ◽  
pp. 1383-1388 ◽  
Author(s):  
W Katherine Yih ◽  
Martin Kulldorff ◽  
Inna Dashevsky ◽  
Judith C Maro
Keyword(s):  
Older Adults ◽  
Herpes Zoster ◽  
Adverse Events ◽  
International Classification Of Diseases ◽  
The Self ◽  
Scan Statistic ◽  
Diagnosis Codes ◽  
Classification Of Diseases ◽  
Safety Studies ◽  
Temporal Scan Statistic

Abstract The self-controlled tree-temporal scan statistic allows detection of potential vaccine- or drug-associated adverse events without prespecifying the specific events or postexposure risk intervals of concern. It thus opens a promising new avenue for safety studies. The method has been successfully used to evaluate the safety of 2 vaccines for adolescents and young adults, but its suitability to study vaccines for older adults had not been established. The present study applied the method to assess the safety of live attenuated herpes zoster vaccination during 2011–2017 in US adults aged ≥60 years, using claims data from Truven Health MarketScan Research Databases. Counts of International Classification of Diseases diagnosis codes recorded in emergency department or hospital settings were scanned for any statistically unusual clustering within a hierarchical tree structure of diagnoses and within 42 days after vaccination. Among 1.24 million vaccinations, 4 clusters were found: cellulitis on days 1–3, nonspecific erythematous condition on days 2–4, “other complications . . .” on days 1–3, and nonspecific allergy on days 1–6. These results are consistent with local injection-site reactions and other known, generally mild, vaccine-associated adverse events and a favorable safety profile. This method might be useful for assessing the safety of other vaccines for older adults.

The War on Euclid

1942 ◽  
Vol 35 (5) ◽  
pp. 205-207
Author(s):  
Charles Salkind
Keyword(s):  
Mathematics Teacher ◽  
Progressive Education ◽  
Turn Of The Century ◽  
Joint Commission ◽  
Plane Geometry ◽  
Education Association ◽  
History Of ◽  
The Joint Commission

To recite the history of the attempts, since even before the turn of the century, to modify the method and content of the Plane Geometry Course or “Euclid,” is to invite upon oneself the charge of banality. From the early efforts of Perry and Russell in England, of Laisant in France, of Klein in Germany, of Moore and Hedrick in our own country, to the two most recent reports by the Progressive Education Association and the Joint Commission, through article after article in The Mathematics Teacher and other professional magazines, the battle for reform has been and still is raging.

scholarly journals Central Line-Associated Infections as Defined by the Centers for Medicare and Medicaid Services' Hospital-Acquired Condition versus Standard Infection Control Surveillance Why Hospital Compare Seems Conflicted

2013 ◽  
Vol 34 (3) ◽  
pp. 238-244 ◽  
Author(s):  
Rebekah W. Moehring ◽  
Russell Staheli ◽  
Becky A. Miller ◽  
Luke Francis Chen ◽  
Daniel John Sexton ◽  
...  
Keyword(s):  
Infection Control ◽  
Tertiary Care ◽  
International Classification Of Diseases ◽  
Central Line ◽  
Case Finding ◽  
Condition Versus ◽  
Classification Of Diseases ◽  
Central Line Infection ◽  
Hospital Acquired ◽  
Finding Method

Objective.To evaluate the concordance of case-finding methods for central line-associated infection as defined by Centers for Medicare and Medicaid Services (CMS) hospital-acquired condition (HAC) compared with traditional infection control (IC) methods.Setting.One tertiary care and 2 community hospitals in North Carolina.Patients.Adult and pediatric hospitalized patients determined to have central line infection by either case-finding method.Methods.We performed a retrospective comparative analysis of infection detected using HAC versus standard IC central line–associated bloodstream infection surveillance from October 1, 2007, through December 31, 2009. One billing and 2 IC databases were queried and matched to determine the number and concordance of cases identified by each method. Manual review of 25 cases from each discordant category was performed. Sensitivity and positive predictive value (PPV) were calculated using IC as criterion standard.Results.A total of 1,505 cases were identified: 844 by International Classification of Diseases, Ninth Revision (ICD-9), and 798 by IC. A total of 204 cases (24%) identified by ICD-9 were deemed not present at hospital admission by coders. Only 112 cases (13%) were concordant. HAC sensitivity was 14% and PPV was 55% compared with IC. Concordance was low regardless of hospital type. Primary reasons for discordance included differences in surveillance and clinical definitions, clinical uncertainty, and poor documentation.Conclusions.The case-finding method used by CMS HAC and the methods used for traditional IC surveillance frequently do not agree. This can lead to conflicting results when these 2 measures are used as hospital quality metrics.

scholarly journals Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM

2014 ◽  
Vol 22 (1) ◽  
pp. 19-28 ◽  
Author(s):  
Andrew D Boyd ◽  
Young Min Yang ◽  
Jianrong Li ◽  
Colleen Kenost ◽  
Mike D Burton ◽  
...  
Keyword(s):  
Patient Safety ◽  
Adverse Events ◽  
International Classification Of Diseases ◽  
Healthcare Research ◽  
Coding System ◽  
Patient Safety Indicators ◽  
Safety Reporting ◽  
Diagnosis Codes ◽  
Classification Of Diseases ◽  
Icd 10

Abstract Reporting of hospital adverse events relies on Patient Safety Indicators (PSIs) using International Classification of Diseases, Ninth Edition, Clinical Modification (ICD-9-CM) codes. The US transition to ICD-10-CM in 2015 could result in erroneous comparisons of PSIs. Using the General Equivalent Mappings (GEMs), we compared the accuracy of ICD-9-CM coded PSIs against recommended ICD-10-CM codes from the Centers for Medicaid/Medicare Services (CMS). We further predict their impact in a cohort of 38 644 patients (1 446 581 visits and 399 hospitals). We compared the predicted results to the published PSI related ICD-10-CM diagnosis codes. We provide the first report of substantial hospital safety reporting errors with five direct comparisons from the 23 types of PSIs (transfusion and anesthesia related PSIs). One PSI was excluded from the comparison between code sets due to reorganization, while 15 additional PSIs were inaccurate to a lesser degree due to the complexity of the coding translation. The ICD-10-CM translations proposed by CMS pose impending risks for (1) comparing safety incidents, (2) inflating the number of PSIs, and (3) increasing the variability of calculations attributable to the abundance of coding system translations. Ethical organizations addressing ‘data-, process-, and system-focused’ improvements could be penalized using the new ICD-10-CM Agency for Healthcare Research and Quality PSIs because of apparent increases in PSIs bearing the same PSI identifier and label, yet calculated differently. Here we investigate which PSIs would reliably transition between ICD-9-CM and ICD-10-CM, and those at risk of under-reporting and over-reporting adverse events while the frequency of these adverse events remain unchanged.

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