A multi-institution study published in the Journal of the American Medical Informatics Association is sounding alarm bells over the transition from ICD-9 to ICD-10 Patient Safety Indicators.

"Ethical organizations addressing ‘data-, process-, and system-focused’ improvements could be penalized using the new ICD-10-CM Agency for Healthcare Research and Quality PSIs because of apparent increases in PSIs bearing the same PSI identifier and label, yet calculated differently," the authors wrote in introducing their study.

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