Ina tsammanin kusan duk wanda ke karanta wannan ya san halin da ake ciki ga masu ba da rahoto, likitoci, da sauran ƙwararrun likitoci sama da ƙasa a cikin ƙungiyar likitocin don yin rikodin covid a matsayin yanayin asibiti a cikin marasa lafiya inda ba a sami hujjar likita ba. Wannan ya haifar da adadi mai yawa na 'karya' shari'o'in covid ko mace-mace.
Mu ne kokarin haskaka a nan Wani sabon al'amari na musamman wanda ya faru a cikin wani yanki na mace-mace inda aka rubuta covid a matsayin sanadin Mutuwa (CoD), wanda muke kira 'UCoD swapping.'
Muhimmancin UCoD
Yana da mahimmanci a fahimci takamaiman ma'anoni masu zuwa don bin wannan labarin:
Wannan shine yadda yake kama akan ainihin takardar shaidar mutuwa (karanta umarnin):
Source: https://www.cdc.gov/nchs/data/dvs/blue_form.pdf
Ƙididdigar UCoD ita ce ta haskaka yanayin ko rauni wanda shine farkon abin da ya haifar da mutuwa ko jerin abubuwan da ke haifar da mutuwa.
Matsayin CDC wajen sanya lambobin bincike daga bayanan ICD-10
Akwai wani abu guda daya da ake bukata don fahimtar 'UCoD swapping.'
A cikin bayanan cututtukan cututtuka irin su CDC's Wonder datasets, ana yin rikodin yanayin likita ta amfani da lambobin bincike, ba bayanin rubutu na mai ba da kulawar likita da ke rubuta yanayin ba.
Don takaddun shaida na mutuwa, lambobin bincike daga bayanan ICD-10 ana amfani da su ta CDC zuwa duk sharuɗɗan da aka ƙulla akan takardar shaidar mutuwa azaman CoD. (To, watakila ba koyaushe ba.)
Mahimmanci, CDC tana ayyana ɗaya daga cikin lambobin ICD da ta yi amfani da takardar shaidar mutuwa azaman UCoD. A ka'ida, lambar ICD da CDC ta tsara a matsayin UCoD yakamata ya dace da yanayin da aka jera azaman UCoD akan takardar shaidar mutuwa. Koyaya, a zahiri, akwai lokutta da yawa inda CDC ke sanya sunan UCoD zuwa wani yanayi banda wanda takardar shaidar mutuwa ta ayyana azaman UCoD.
Shin wannan yaudara ce kawai? Ba lallai ba ne. Yawancin ƙwararrun likitoci ba su da masaniyar yadda za su cika takardar shaidar mutuwa da kyau, wani abu da aka tattara ta bincike da yawa yana nuna babban adadin manyan kurakurai ko kurakurai a cikin takaddun mutuwa, gami da CoD's.
Musanya UCoD don ayyana covid azaman UCoD akan takaddun shaida na mutuwa inda ba a rubuta covid azaman UCoD ba.
Babban mahimmancin UCoD a gare mu shine yana ba da ƙarin hanya ko hanya don haɓaka adadin "mutuwar covid." Ta hanyar ƙididdige covid a matsayin UCoD akan takaddun shaida na mutuwa inda aka jera wani yanayi daban a matsayin UCoD, CDC na iya sa cutar ta yi kama da mutuwa. Wannan kuma na iya ɓoye wani yanki mai yawa na mace-mace a cikin bayanan mace-mace wanda in ba haka ba za a iya gano shi cikin sauri a matsayin lokuta na "mutu tare da covid" inda ba zai yuwu ba Covidien ya kasance muhimmiyar mahimmancin asibiti a cikin mutuwar.
Hanyoyi
I a da buga jerin na sharuɗɗan da aka rubuta a matsayin UCoD akan takardar shaidar mutuwa inda CDC duk da haka ta sanya covid (ICD code U07.1) azaman UCoD lokacin da ta yi amfani da lambobin ICD - 'UCoD musanya.'
Ni tare da John Beaudoin (Coquin de Chien akan Substack) da wasu 'yan kaɗan sun mallaki takaddun shaidar mutuwa da ke rufe duk mace-mace daga jihohin Massachusetts da Minnesota zuwa 2015.
Tun da waɗannan takaddun shaida na mutuwa suna da lambobin ICD da CDC ke amfani da su, za mu iya kwatanta lambobin ICD da kwatancen rubutu na CoD's akan takaddun shaida na mutuwa. Wannan ya ba mu damar nemo takaddun shaida na mutuwa inda yanayin UCoD da CDC ta tsara bai yi daidai da yanayin UCoD da aka jera akan takardar shaidar mutuwa ba, musamman inda rashin daidaiton UCoD da CDC ta sanya ya kasance U07.1 (covid).
Hanyar binciken mu ta kasance kamar haka:
- Na ƙara wani shafi zuwa maƙunsar bayanai masu ɗauke da takaddun shaida na 'UCoD Text'. Anyi wannan ta hanyar dabarar Excel wacce ta ƙunshi yanayi 4 da aka kafa 'idan' waɗanda suka fara daga Dalilin D ta amfani da sigogi masu zuwa: Idan Dalili D =/= babu, UCoD = Dalili D; wani, idan Dalilin C =/= babu, UCoD = Dalilin C; wani, idan Dalilin B =/= babu, UCoD = Dalilin B; wani, UCoD = Dalilin A.
- Na keɓance duk mace-mace tare da UCoD na U07.1 ta amfani da Excel (maƙunsar bayanai sun riga sun ƙunshi filin da CDC ta ayyana lambar ICD a matsayin UCoD).
- Na kawar da duk mace-mace da ke ɗauke da kowane nau'i na magana game da covid a cikin bayanin rubutu na yanayin UCoD. An cim ma wannan ta hanyar rarraba filayen rubutu na UCoD a cikin tsari na haruffa da kuma cire duk mace-mace da hannu inda rubutun UCoD ya yi nuni ko siffanta covid. Duk wani abu da za a iya ta kowace hanya ana fassara shi azaman ko ta yaya ke siffanta covid azaman CoD an kawar da shi.
- Ta amfani da Excel, na kawar da kwafin kwafin kwatancen rubutu iri ɗaya na yanayin rashin covid don ƙirƙirar jerin abubuwan ƙarshe na yanayin UCoD marasa covid waɗanda suka kasance. da aka buga akan Brownstone. Adadin waɗannan mutuwar UCoD na kowane kwatancen rubutu na musamman an ƙididdige su ta amfani da aikin Countif na Excel da aka yi amfani da su zuwa saitin takaddun shaida na mutuwa wanda ke ɗauke da UCoD na U07.1
Muhimmiyar Magana
Ba a nufin wannan jeri a matsayin samfur na ƙarshe da ke nuna duk mace-mace inda CDC ta yi amfani da zamba ta UCoD na U07.1. Aiwatar da UCoD ban da wanda takardar shaidar mutuwa ta ƙunsa za a iya ba da hujja inda aka cika takardar shaidar mutuwa a fili cikin kuskure kuma a bayyane yake dangane da jimillar bayanan da aka gabatar a cikin takardar shaidar mutuwa wanda daga cikin sauran sharuɗɗan da aka bayyana a matsayin CoD ya kamata a gano su azaman UCoD da mai binciken ya cika takardar shaidar mutuwar da kyau.
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Haruna Hertzberg marubuci ne kan dukkan bangarorin martanin cutar. Kuna iya samun ƙarin rubutunsa a Substack: Resisting the Intellectual Illiteratti.
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