@article{ref1,
title="Use of international classification of diseases, ninth revision, clinical modification, codes to identify inpatient fall-related injuries",
journal="Journal of the American Geriatrics Society",
year="2013",
author="Waters, Teresa M. and Chandler, A. Michelle and Mion, Lorraine C. and Daniels, Michael J. and Kessler, Lori A. and Miller, Stephen T. and Shorr, Ronald I.",
volume="61",
number="12",
pages="2186-2191",
abstract="OBJECTIVES: To compare falls and fall-related injuries that a fall evaluator or hospital incident report identified with injuries identified according to discharge International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes for the same set of inpatient episodes of care. DESIGN: Prospective, descriptive study. SETTING: Sixteen adult general medical and surgical units in a major urban teaching hospital. PARTICIPANTS: All adults who sustained a fall with injury during a 5-year period (380 falls with injury). MEASUREMENTS: Falls that a fall evaluator or hospital incident report identified were classified according to their injury severity. Discharge abstracts provided diagnosis codes (ICD-9-CM) for the discharge, including fall-related injury codes. RESULTS: Three hundred forty-three inpatient falls with injury (90.2%) resulted in temporary harm to the individual; the remaining 37 falls (9.8%) resulted in more-serious harm. Sixteen of the 37 falls with injury extending hospitalization or resulting in death were identified using Centers for Medicare and Medicaid Services (CMS)-targeted injury code ranges combined with present-on-admission indicators. Of the 21 falls with injury that were not identified, nine (42.9%) lacked documentation of any injury, and seven (33.3%) identified other injuries outside the CMS-targeted injury code ranges. CONCLUSION: The CMS-targeted ICD-9-CM codes used to identify fall-related injuries in claims data do not always detect the most-serious falls.<p /> <p>Language: en</p>",
language="en",
issn="0002-8614",
doi="10.1111/jgs.12539",
url="http://dx.doi.org/10.1111/jgs.12539"
}