Document Detail


Coding errors and the trauma patient--is nursing case management the solution?
MedLine Citation:
PMID:  12404969     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim was to investigate the accuracy of clinical information coding and the financial consequence for trauma patients at a tertiary trauma centre using the resources of trauma nursing case managers. Clinical data for admitted trauma patients in August and September 2000 were compared with data routinely obtained by trauma case managers on their daily rounds. We audited patient injuries, in-hospital complications, investigations, and procedures. Clinical information records requiring alteration were returned to the clinical information manager with additional information and re-entered into the clinical information database. 100 trauma patient records (15% of admissions for 2000) were audited. 28% of recoded records had to have their diagnosis related group (DRG) changed, which resulted in the identification of additional funding of over $39,000. We conclude that the implementation of episode funding for acute episodes, such as the complex trauma patient, is placing increased importance on accuracy of coding. The validity of coding is dependent on legible, comprehensive and complete documentation and is improved dramatically by using nursing case manager patient progress summaries.
Authors:
Kate Curtis; Louise Bollard; Cara Dickson
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Australian health review : a publication of the Australian Hospital Association     Volume:  25     ISSN:  0156-5788     ISO Abbreviation:  Aust Health Rev     Publication Date:  2002  
Date Detail:
Created Date:  2002-10-30     Completed Date:  2003-01-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8214381     Medline TA:  Aust Health Rev     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  73-80     Citation Subset:  H    
Affiliation:
St George Hospital.
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MeSH Terms
Descriptor/Qualifier:
Case Management*
Database Management Systems / standards
Documentation / standards*
Episode of Care*
Forms and Records Control / standards*
Hospital Information Systems / standards
Humans
International Classification of Diseases
Medical Records / classification*
Medical Records Department, Hospital / organization & administration
Medical Staff, Hospital / standards
New South Wales
Nursing Staff, Hospital*
Quality Control
Reimbursement Mechanisms
Reproducibility of Results
Software
Trauma Centers / economics,  organization & administration*,  utilization
Wounds and Injuries / classification*,  economics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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