title: [ICD-10 adaptation of 15 Agency for Healthcare Research and Quality patient safety indicators].
abstract: BACKGROUND
  In the United States, the Agency for Healthcare Research and Quality (AHRQ) has developed 20 Patient Safety Indicators (PSIs) to measure the occurrence of hospital adverse events from medico-administrative data coded according to the ninth revision of the international classification of disease (ICD-9-CM). The adaptation of these PSIs to the WHO version of ICD-10 was carried out by an international consortium.
  
  
  METHODS
  Two independent teams transcoded ICD-9-CM diagnosis codes proposed by the AHRQ into ICD-10-WHO. Using a Delphi process, experts from six countries evaluated each code independently, stating whether it was "included", "excluded" or "uncertain". During a two-day meeting, the experts then discussed the codes that had not obtained a consensus, and the additional codes proposed.
  
  
  RESULTS
  Fifteen PSIs were adapted. Among the 2569 proposed diagnosis codes, 1775 were unanimously adopted straightaway. The 794 remaining codes and 2541 additional codes were discussed. Three documents were prepared: (1) a list of ICD-10-WHO codes for the 15 adapted PSIs; (2) recommendations to the AHRQ for the improvement of the nosological frame and the coding of PSI with ICD-9-CM; (3) recommendations to the WHO to improve ICD-10.
  
  
  CONCLUSIONS
  This work allows international comparisons of PSIs among the countries using ICD-10. Nevertheless, these PSIs must still be evaluated further before being broadly used.
authors: Pôle d'information médicale-évaluation-recherche, hospices civils de Lyon, Lyon, France. Jean-Marie.Januel@chuv.ch
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mesh_terms: D000465:Algorithms; D059019:Clinical Coding / Q000379:methods* / Q000458:organization & administration / Q000592:standards; D003953:Diagnosis-Related Groups / Q000145:classification; D005602:France; D006307:Health Systems Agencies / Q000458:organization & administration / Q000592:standards; D006801:Humans; D038801:International Classification of Diseases / Q000592:standards; D007391:International Cooperation; D061214:Patient Safety; D019984:Quality Indicators, Health Care / Q000145:classification / Q000458:organization & administration / Q000592:standards; D009626:Terminology as Topic; D014481:United States; D016270:United States Agency for Healthcare Research and Quality