ICD-11 for quality and safety: Overview of the who quality and safety topic advisory group

William A. Ghali, Harold A. Pincus, Danielle A. Southern, Susan E. Brien, Patrick S Romano, Bernard Burnand, Saskia E. Drösler, Vijaya Sundararajan, Lori Moskal, Alan J. Forster, Yana Gurevich, Hude Quan, Cyrille Colin, William B. Munier, James Harrison, Brigitta Spaeth-Rublee, Nenad Kostanjsek, T. Bedirhan Üstün

Research output: Contribution to journalArticle

17 Scopus citations


This paper outlines the approach that the WHO's Family of International Classifications (WHO-FIC) network is undertaking to create ICD-11. We also outline the more focused work of the Quality and Safety Topic Advisory Group, whose activities include the following: (i) cataloguing existing ICD-9 and ICD-10 quality and safety indicators; (ii) reviewing ICD morbidity coding rules for main condition, diagnosis timing, numbers of diagnosis fields and diagnosis clustering; (iii) substantial restructuring of the healthcare related injury concepts coded in the ICD-10 chapters 19/20, (iv) mapping of ICD-11 quality and safety concepts to the information model of the WHO's International Classification for Patient Safety and the AHRQ Common Formats; (v) the review of vertical chapter content in all chapters of the ICD-11 beta version and (vi) downstream field testing of ICD-11 prior to its official 2015 release. The transition from ICD-10 to ICD-11 promises to produce an enhanced classification that will have better potential to capture important concepts relevant to measuring health system safety and quality-an important use case for the classification.

Original languageEnglish (US)
Article numbermzt074
Pages (from-to)621-625
Number of pages5
JournalInternational Journal for Quality in Health Care
Issue number6
StatePublished - 2013


  • ICD-11
  • Patient safety
  • Quality
  • Safety

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

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    Ghali, W. A., Pincus, H. A., Southern, D. A., Brien, S. E., Romano, P. S., Burnand, B., Drösler, S. E., Sundararajan, V., Moskal, L., Forster, A. J., Gurevich, Y., Quan, H., Colin, C., Munier, W. B., Harrison, J., Spaeth-Rublee, B., Kostanjsek, N., & Bedirhan Üstün, T. (2013). ICD-11 for quality and safety: Overview of the who quality and safety topic advisory group. International Journal for Quality in Health Care, 25(6), 621-625. [mzt074]. https://doi.org/10.1093/intqhc/mzt074