Problem associated with clinical documentation

Definition

Clinical documentation error or omission led to injury of patient

Coding note

Code first the injury or harm associated with other health care interventions. Code also the cause of harm (i.e. PL10 Other health care related causes of injury or harm)

Also indexed as

Nearby in Mode of injury or harm associated with other health care related causes

• PL14.0Non-administration of necessary drug
• PL14.1Non provision of necessary procedure
• PL14.2Problem associated with physical transfer of patient
• PL14.3Mismatched blood used in transfusion
• PL14.4Other problem associated with transfusion
• PL14.5Problem associated with physical restraints
• PL14.6Problem associated with isolation protocol
• PL14.8Problem associated with clinical software