AHRQ, Author Interviews, BMJ, Outcomes & Safety / 11.09.2014
Patient Safety Indicators Likely To Change Under New ICD-10 Coding
MedicalResearch.com Interview with:
Yves A. Lussier, MD, Fellow ACMI
Professor of Medicine
Associate Vice President for Health Sciences (Chief Knowledge Officer)
The University of Arizona
Medical Research: What are the main findings of the study?
Dr. Lussier: The main finding is that reporting patient safety using ICD-10-CM coding schema rather than ICD-9-CM will change the reported percentage of adverse events reported for half the specific "patient safety indicators" (PSIs), even with a true unaltered frequency of reported events in the medical center. For some patient safety indicators, the reported frequency will appear to increase substantially and for others, it will appear to decrease. The latter is particularly worrisome as it may erroneously appease administrators and prospective clients (patients) as their apparent trend is improving, while their institution may inadvertently be under-reporting adverse events.

















