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国际疾病分类第九版简称ICD-9是一种有效的疾病分类系统,对提高原始资料质量,促进统计信息的利用,增加分析研究的可比性都有重要作用。要正确的开展好这项工作,对我们病案管理人员来说,是一项新的课题,在实际工作中也会碰到许多问题。要准确、完整、规范的给疾病分类,必须做到以下几点: 1 提高认识,掌握原则 分类是我们科学的管理疾病、研究疾病的基础,虽然ICD-9工作看起来简单,但做起来难,它要求编码人员不仅要懂得医学知识,而且要掌握ICD-9的原则和要求,克服在工作中一病多码,多病一码等不负责任的工作做风。努力掌握好分类的标准及主要诊断的选择,同时,虚心请教,增强工作责任心,有效的、科学的管好和用好病案资料,为临床教学科学研究提供真实的依据。 2 详细审阅,熟悉方法
The Ninth Edition of the International Classification of Diseases ICD-9 is an effective disease classification system. It plays an important role in improving the quality of original data, promoting the use of statistical information, and increasing the comparability of analytical research. To properly carry out this work is a new topic for our medical record managers. Many problems will also be encountered in practical work. To classify diseases accurately, completely, and in a standardized manner, the following must be done: 1. Raising awareness and mastering the principles of classification are the basis for our scientific management of disease and disease research. Although ICD-9 work looks simple, it is difficult to do. It requires coders not only to understand medical knowledge, but also to master the principles and requirements of ICD-9, to overcome irresponsible work styles such as one disease, multiple codes, and one disease. Efforts should be made to grasp the criteria for classification and the selection of major diagnostics. At the same time, they should humbly ask for advice, strengthen their work responsibilities, and effectively and scientifically manage and use medical records to provide real evidence for clinical teaching scientific research. 2 detailed review, familiar with the method