目的提高死因调查及死因监测中ICD-10编码质量。方法对全国第三次死因抽样回顾调查河北省抽样点资料进行审核,分析各抽样点对根本死因的确定及编码出现的一些错误。结果常见错误有:不能正确应用规则C进行联合编码,忽视对规则F的应用,错将传染病作为恶性肿瘤的原因等。结论死因调查及死因监测ICD-10编码人员应重视编码原则的学习,进一步提高编码质量。 Objective To improve the quality of ICD-10 coding in cause of death investigation and cause of death surveillance. Methods A review of the country’s third cause of death was conducted to examine sampling sites in Hebei Province, and the errors in the identification and coding of the underlying cause of death at each sampling site were analyzed. Common mistakes in the results are: the correct application of the rules of the joint coding of the rules, ignore the application of the rules of the F, the wrong reasons for the cause of malignancy and other infectious diseases. Conclusions Cause of Death Investigation and Cause of Death Monitoring ICD-10 coders should pay attention to the study of coding principles and further improve coding quality.