Observational
No
A computerized method using ICD-9 codes can identify potentially preventable heart failure admissions due to self-care deficits, though undercoding remains a challenge.
May flag preventable HF admissions via ICD codes; leaves open whether addressing undercoding enables targeted self-care interventions.
Heart failure (HF) is both highly prevalent and costly to society. Successful self-care is essential to effective HF management. This study sought to develop a method to identify, via medical records (International Classification of Diseases, 9th Revision, Clinical Modification) coding, HF admissions attributable to ineffective self-care. Expert panels completed an iterative series of mailed surveys to generate and validate a list of coded diagnoses that represent HF sequelae modifiable through self-care. Sixteen diagnoses resulted. Chart review at one hospital revealed that these modifiable sequelae were frequently present but not coded. A computerized method of identifying self-care deficits would allow nurses to identify patients in need of patient education.
No takes yet. Share an insight, caveat, or question.
Thomas et al. (1999) conducted an observational in Heart failure. Computerized method using ICD-9-CM coding was evaluated on Identification of heart failure admissions attributable to ineffective self-care.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: