Adaptation au codage CIM-10 de 15 indicateurs de la sécurité des patients proposés par l'Agence étasunienne pour la recherche et la qualité des soins de santé (AHRQ)

Translated title of the contribution: ICD-10 adaptation of 15 Agency for Healthcare Research and Quality patient safety indicators

J. M. Januel, C. M. Couris, J. C. Luthi, P. Halfon, B. Trombert-Paviot, H. Quan, S. Drosler, V. Sundararajan, E. Pradat, S. Touzet, E. Wen, J. Shepheard, G. Webster, Patrick S Romano, L. So, L. Moskal, L. Tournay-Lewis, L. Sundaresan, E. Kelley, N. KlazingaW. A. Ghali, C. Colin, B. Burnand

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


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.

Translated title of the contributionICD-10 adaptation of 15 Agency for Healthcare Research and Quality patient safety indicators
Original languageFrench
Pages (from-to)341-350
Number of pages10
JournalRevue d'Epidemiologie et de Sante Publique
Issue number5
StatePublished - Oct 2011


  • Adverse events
  • Health services research
  • ICD-10
  • ICD-9-CM
  • Indicators
  • International classification of disease codes
  • Patient safety

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology


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