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The mean rate of coding consistency was calculated by dividing the number of records with a consistent mode of delivery recorded in both the procedure field and the maternity tail by the total number of records containing valid information in both fields.
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All the procedure fields included in the MBDS were searched to identify all percutaneous procedures performed.
The method of delivery was obtained primarily from the procedure fields.
We found that the procedure fields contained the most complete information on method of delivery, being available in 99.2% of records.
Deliveries were included if the record contained information about mode of delivery in either the maternity tail or the procedure fields (OPCS codes: R17 to R25).
To examine data completeness for each NHS trust, we calculated the proportion of women for whom the method of delivery was recorded in a) the procedure fields, and b) the maternity tail.
Episodes involving these procedures were identified using a combination of OPCS4 codes in the procedure fields (codes from the Office of Population Censuses and Surveys that contain information about a patient's operations) and ICD-10 codes from the diagnostic fields (that contain information about a patient's illness or condition; web appendix).
This public body is England's central source of health and social care information and the value of its publications on maternity services would be enhanced if they again provided information on the level of agreement between data in the procedure fields and in the maternity tail.
There were nearly twice as many records having this method of delivery in the maternity tail (3,170) compared to the procedures field (1,809) (Table 3).
Mechanical ventilation was defined as the presence of ICD-9-CM codes 96.70 (continuous mechanical ventilation of unspecified duration), 96.71 (continuous mechanical ventilation for less than 96 consecutive hours) or 96.72 (continuous mechanical ventilation for 96 consecutive hours or more) in any of the 25 procedure fields.
Of note, speculation about contamination of bone biopsy samples from skin seems to be inconsistent after standard antiseptic procedures in the operation field.
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