Document Type : Original Article(s)
Authors
1 MSc, Medical Records, Isfahan University of Medical Sciences, Isfahan
2 Lecture, Medical Records, Isfahan University of Medical Sciences, Isfahan
Abstract
<!-- /* Font Definitions */ @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4; mso-font-charset:0; mso-generic-font-family:roman; mso-font-pitch:variable; mso-font-signature:-1610611985 1107304683 0 0 159 0;} @font-face {font-family:Lotus; panose-1:0 0 4 0 0 0 0 0 0 0; mso-font-charset:178; mso-generic-font-family:auto; mso-font-pitch:variable; mso-font-signature:8193 0 0 0 64 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-unhide:no; mso-style-qformat:yes; mso-style-parent:""; margin:0in; margin-bottom:.0001pt; text-align:justify; text-justify:kashida; text-kashida:0%; text-indent:.5in; line-height:102%; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman","serif"; mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:Lotus;} .MsoChpDefault {mso-style-type:export-only; mso-default-props:yes; font-size:10.0pt; mso-ansi-font-size:10.0pt; mso-bidi-font-size:10.0pt;} @page Section1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.Section1 {page:Section1;} --> Introduction: There are many demands for accuracy coded data with purpose of the systemic recording, analysis, interperation and comparison of morbidity and mortality data collected in different countries. Therefore the importance of accurate coding cannot be ignore. Meaningful and comparative statistics needs accurate and comprehensive coding and it requires knowledge of rules and guidelines for ICD. So coders must be knowledge about guidelines for producing quality data. Goal of the research was determining coder's knowledge of coding Isfahan hospitals. Methods: It is a descriptive study carried out on all coders (N = 32) in hospitals affiliated with Isfahan University o Medical Sciences. The data was collected by a researcher-made questionnaire which was validated by experts and its reliability was confirmed by test retest. Results analyzed by SPSS. Results: The mean of accurate response of coders was approximately 45%. Maximum of the coders awareness of the questions was about selection of main diagnosis and related procedures (69%) and procedures guidelines (51%). Also minimum of the coders awareness was about selection main diagnosis among other diagnoses (32%) and general coding guidelines(35%).Conclusion: The coders awareness about axes except the first goal was lesser than 50%. It resulting in not missing of information but inaccurate classification and unreliable reporting. Outcome of its is inefficiency of coding units and alteration their mission specially research in educational hospitals.Keywords: Awareness; Diagnosis; Hospitals; Classification.
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