{
  "abstract": "Introduction Emergency Departments (EDs) in Ireland often lack consistent, coded diagnostic data, limiting their ability to understand case mix, secure appropriate funding, and plan services strategically. ICD-10-AM coding at the point of diagnosis offers a solution but is rarely embedded in ED workflows. This project aimed to implement real-time ICD-10-AM coding using a custom-built diagnosis lookup system supported by education and staffing.Methods A bespoke IT tool was developed incorporating over 1,400 common ED diagnoses mapped to ICD-10-AM codes. Two dedicated medical students were assigned to deliver on-the-floor training, support clinicians with system use, and troubleshoot issues in real time. A series of four audits was conducted over a 6-week period to monitor compliance and identify barriers. Findings were fed back into iterative education and workflow adjustments.Results Initial compliance with diagnostic coding was 38%. Within three weeks of implementation, this rose to 98%. Audits highlighted common issues: low engagement from locum staff, failure to capture diagnoses in patients referred to inpatient teams and inclusion of self-discharged patients. These were addressed through targeted interventions. A final audit following full implementation demonstrated sustained high compliance (X%, pending final data). Diagnostic coding data is now being used locally to inform service planning and resource requests.Conclusion A multifaceted implementation strategy — combining a custom IT tool, dedicated support staff, and targeted education — resulted in a rapid and sustained improvement in ICD-10-AM coding compliance in an Irish ED. This enhanced diagnostic visibility strengthens local service planning and provides a reproducible model for national scale-up. *presenting author",
  "authors": [
    {
      "affiliations": [
        "University College Cork, Ireland"
      ],
      "name": "Oscar Doyle"
    },
    {
      "affiliations": [
        "University College Cork, Ireland"
      ],
      "name": "Ethan Slattery"
    },
    {
      "affiliations": [
        "Cork University Hospital, Ireland"
      ],
      "name": "Peter Cuthbert"
    }
  ],
  "title": "#108 Pioneering ICD-10 implementation in Irish emergency departments: enhancing visibility, resourcing and strategic planning",
  "uid": "ff41901f-4991-5ddf-81b3-376e664cce3d"
}