Quality Improvement in Health Care (한국의료질향상학회지)

Korean Society for Quality in Health Care (한국의료질향상학회)
권호 표지

Survey on Discordance Rate between Final Principal Diagnosis and Principal Diagnosis at Emergency Room

응급실 주진단명과 퇴원시 주진단명의 불일치도 조사

  • Kim, Kwang Hwan (Department of Medical Record, Dankook University Hospital) ;
  • Seo, Sun Won (Department of Medical Record, Dankook University Hospital) ;
  • Won, Si Yeon (Department of Medical Record, Dankook University Hospital) ;
  • Park, Seok Gun (Department of Nuclear Medicine, Dankook University Hospital) ;
  • Kim, Seung Yul (Department of Emergency Medicine, Dankook University Hospital) ;
  • Song, Hwa Sik (Department of Emergency Medicine, Dankook University Hospital) ;
  • Kim, Kab Taug (Department of Emergency Medicine, Dankook University Hospital) ;
  • Jo, Hey Kyung (Department of Medical Record, Ulgi University Hospital) ;
  • Bu, You Kung (Department of Medical Record, Inha University Hospital) ;
  • Lee, Hyun Kyung (Taejon Health Sciences College Medical Administration)
  • 김광환 (단국대학교병원 의무기록과) ;
  • 서순원 (단국대학교병원 의무기록과) ;
  • 원시연 (단국대학교병원 의무기록과) ;
  • 박석건 (단국대학교병원 핵의학과) ;
  • 김승렬 (단국대학교병원 응급의학과) ;
  • 송화식 (단국대학교병원 응급의학과) ;
  • 김갑득 (단국대학교병원 응급의학과) ;
  • 조혜경 (을지대학병원 의무기록실) ;
  • 부유경 (인하대학교병원 의무기록과) ;
  • 이현경 (대전보건대학 의무행정과)
  • Published : 1998.12.30
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Abstract

We surveyed the discordance rate of principal diagnosis made at emergency room(ER) & made at ward on discharge of the patients. Subjects were four hundred eighty cases who came to the ER of one third-line hospital from January 1, 1998 to January 31, 1998. The discordance rate was higher in patients admitted to medical department(8.2%) than surgical department(1.5%). If the patients were transferred to other department during hospital stay, discordance rate increased from 3.3% to 6.3%. In conclusion, discordance rate of principal diagnosis made at ER and made at ward was higher in patients with complicated problems. Medical record department should keep these findings in mind if it has a plan to support the management of ER record.

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