Completeness and Accuracy of International Classification of Disease (ICD) External Cause of Injury Codes in Emergency Department Electronic Data

Details

• Personal Author:
  Berenholz G ; Davis, Letitia ; Hackman H ; Hunt PR ; McKeown L ; Ozonoff V
• Description:
  The accuracy of external cause of injury codes (E codes) for work-related and non-work-related injuries in Massachusetts emergency department data were evaluated. Medical records were reviewed and coded by a nosologist with expertise in E coding for a stratified random sample of 1000 probable work-related (PWR) and 250 probable non-work-related (PNWR) cases. Cause of injury E codes were present for 98% of reviewed cases and accurate for 65% of PWR cases and 57% of PNWR cases. Place of occurrence E codes were present in less than 30% of cases. Broad cause of injury categories were accurate for about 85% of cases. Non-specific categories (not elsewhere classified, not specified) accounted for 34% of broad category misclassifications. Among specified causes, machinery injuries were misclassified most often (39/60, 65%), predominantly as cut/pierce or struck by/against. E codes reliably identify the broad mechanism of injury, but inaccuracies and incompleteness suggest areas for training of hospital admissions staff, providers, and coders. [Description provided by NIOSH]
• Subjects:
  Health Care Facilities Workforce And Services Occupational Health Safety Surveys And Questionnaires
• Keywords:
  Information-processing Information-retrieval-systems Information-systems Injuries Medical-monitoring Medical-surveys Statistical-analysis Surveillance-programs
• ISSN:
  1353-8047
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  422-425
• Volume:
  13
• Issue:
  6
• NIOSHTIC Number:
  nn:20034059
• Citation:
  Inj Prev 2007 Dec; 13(6):422-425
• Contact Point Address:
  Dr P R Hunt, Occupational Health Surveillance Program, Massachusetts Department of Public Health, 250 Washington St, Sixth Floor, Boston, MA 02108
• Email:
  Phill.hunt@state.ma.us
• Federal Fiscal Year:
  2008
• NORA Priority Area:
  Research Tools and Approaches: Surveillance Research Methods
• Performing Organization:
  Massachusetts State Department of Public Health
• Peer Reviewed:
  True
• Start Date:
  20000930
• Source Full Name:
  Injury Prevention
• End Date:
  20040914
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:0a7f359904d4ef40d1f37561af7b7488c2d857402aa0059f1218d0195a6512033a05afd14a4841b42356c85fff93dfaa2d80160b788e74a57c58a1f76cd3003a
• Download URL:
  https://stacks.cdc.gov/view/cdc/189436/cdc_189436_DS1.pdf
• File Type:
  [PDF - 98.78 KB ]