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effectivehealthcare-admin.ahrq.gov/products/diabetes-claims-data/research
November 01, 2017 - Evidence Reports
Use of Electronic Medical Records and Administrative Claims … SHARE:
Use of Electronic Medical Records and Administrative Claims … may be validated using full-text information from the same EMR, whereas validation of administrative claims … Project Timeline
Use of Electronic Medical Records and Administrative Claims Data for Assessing Type … https://effectivehealthcare.ahrq.gov/products/diabetes-claims-data/research
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psnet.ahrq.gov/issue/toward-safer-practice-otology-report-15-years-clinical-negligence-claims
January 21, 2015 - Study
Toward safer practice in otology: a report on 15 years of clinical negligence claims … Toward safer practice in otology: a report on 15 years of clinical negligence claims. … This study found that operative complications were the most common source of medical negligence claims … While claims were associated with a high rate of success in settlement, a significant proportion of the … Toward safer practice in otology: a report on 15 years of clinical negligence claims.
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psnet.ahrq.gov/issue/evidence-nurses-need-participate-diagnosis-lessons-malpractice-claims
September 12, 2018 - Evidence that nurses need to participate in diagnosis: lessons from malpractice claims … Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. … This study analyzed malpractice claims to characterize nursing involvement in diagnosis-related (n … =139) and failure-to-monitor malpractice (n=647) claims. … Evidence that nurses need to participate in diagnosis: lessons from malpractice claims.
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psnet.ahrq.gov/issue/do-written-disclosures-serious-events-increase-risk-malpractice-claims-one-health-care
October 12, 2011 - Study
Do written disclosures of serious events increase risk of malpractice claims … Do Written Disclosures of Serious Events Increase Risk of Malpractice Claims? … Claims that were disclosed and claims that involved greater harm were associated with increased compensation … Do Written Disclosures of Serious Events Increase Risk of Malpractice Claims? … July 9, 2018
Malpractice claims related to diagnostic errors in the hospital.
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psnet.ahrq.gov/issue/analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers
February 17, 2011 - Study
Analysis of surgical errors in closed malpractice claims at 4 liability insurers … Analysis of surgical errors in closed malpractice claims at 4 liability insurers. … The authors identified 258 malpractice claims from 4 liability insurance companies where patients were … Analysis of surgical errors in closed malpractice claims at 4 liability insurers. … March 21, 2016
Paid malpractice claims for adverse events in inpatient and outpatient
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psnet.ahrq.gov/issue/violations-behavioral-practices-revealed-closed-claims-reviews
August 26, 2011 - Study
Violations of behavioral practices revealed in closed claims reviews. … Violations of behavioral practices revealed in closed claims reviews. … Violations of behavioral practices revealed in closed claims reviews. … Related Resources From the Same Author(s)
The American College of Surgeons' closed claims … Frequency and type of situational awareness errors contributing to death and brain damage: a closed claims
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psnet.ahrq.gov/issue/uk-government-set-small-claims-scheme-medical-mishaps
June 12, 2013 - Newspaper/Magazine Article
UK government to set up small claims scheme for medical … UK government to set up small claims scheme for medical mishaps. … This article reports on the National Health Service's plan to handle small claims from medical mistakes … UK government to set up small claims scheme for medical mishaps.
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psnet.ahrq.gov/issue/body-evidence-do-autopsy-findings-impact-medical-malpractice-claim-outcomes
August 19, 2020 - This study reviewed medical malpractice claims spanning a 10-year period involving deaths related to … The researchers found that 31% of claims demonstrated major discordance between autopsy and clinical … April 29, 2020
Serious misdiagnosis-related harms in malpractice claims: the "Big Three … July 17, 2019
Paid malpractice claims for adverse events in inpatient and outpatient … July 3, 2014
Prevention of surgical malpractice claims by a surgical safety checklist
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psnet.ahrq.gov/issue/comprehensive-obstetric-patient-safety-program-reduces-liability-claims-and-payments
June 22, 2017 - Study
A comprehensive obstetric patient safety program reduces liability claims and … A comprehensive obstetric patient safety program reduces liability claims and payments. … This follow-up study demonstrates that the program was also associated with a reduction in malpractice claims … The relationship between patient safety and malpractice claims is complex, as claims data likely do not … A comprehensive obstetric patient safety program reduces liability claims and payments.
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psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
October 26, 2010 - Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims … Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. … This study analyzed data from malpractice claims at four liability insurers, similar to companion studies … Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. … February 4, 2015
Analysis of surgical errors in closed malpractice claims at 4 liability
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psnet.ahrq.gov/issue/negligent-care-and-malpractice-claiming-behavior-utah-and-colorado
June 23, 2015 - The authors find 97% of adverse events caused by negligence did not result in malpractice claims. … Of the 18 malpractice claims in the sample, 14 were made in the absence of any negligence. … December 1, 2021
Preventable closed claims in the AANA Foundation closed malpractice … claims database. … adult radiology claims.
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psnet.ahrq.gov/issue/association-between-patient-safety-indicators-and-medical-malpractice-risk-evidence-florida
September 28, 2022 - In this analysis of malpractice claims data from Florida and Texas hospitals, investigators found that … hospitals with higher rates of PSIs experienced an increased number of paid claims. … , the authors suggest that improving patient safety may decrease costs associated with malpractice claims … September 28, 2022
Association of past and future paid medical malpractice claims. … May 30, 2018
Malpractice claims related to diagnostic errors in the hospital.
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www.ahrq.gov/es/hai/patient-safety-resources/advances-in-hai/hai-article13.html
June 01, 2014 - Medical claims were restricted to paid claims. … Claims data algorithm for classification of hernia repair
Problem Claims
We created an algorithm … to identify "problem claims." … claims on the same date, were also classified as problem claims. … We used these supplemental claims, which included anesthesia and pathology, along with claims for surgical
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www.ahrq.gov/hai/patient-safety-resources/advances-in-hai/hai-article13.html
June 01, 2014 - Medical claims were restricted to paid claims. … Claims data algorithm for classification of hernia repair
Problem Claims
We created an algorithm … to identify "problem claims." … claims on the same date, were also classified as problem claims. … We used these supplemental claims, which included anesthesia and pathology, along with claims for surgical
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www.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Physician-Practice-Directory-PUF-Codebook.pdf
March 01, 2023 - Variable Name: SING_SPEC_TYPE
Input Data Sources: 3P-RD Physician file, APCD Claims, CMS Claims … Number of Claims per Month
Medicaid (MCO): Average Number of Claims per Month
Medicare Advantage: … Number of Claims per Month
Any Payer within the APCD: Average Number of Claims per Month
Medicaid … (FFS & MCO): Maximum Number of Claims per Month
Medicaid (FFS): Maximum Number of Claims per Month … Medicaid (MCO): Maximum Number of Claims per Month
Medicare Advantage: Maximum Number of Claims per
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psnet.ahrq.gov/issue/missed-diagnosis-cancer-primary-care-insights-malpractice-claims-data
March 15, 2017 - Study
Missed diagnosis of cancer in primary care: insights from malpractice claims … Missed diagnosis of cancer in primary care: Insights from malpractice claims data. … Malpractice risk in the outpatient setting is significant and claims often involve missed and delayed … This retrospective study examined diagnostic error claims in outpatient general medicine to identify … Missed diagnosis of cancer in primary care: Insights from malpractice claims data.
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psnet.ahrq.gov/issue/litigation-related-drug-errors-anaesthesia-analysis-claims-against-nhs-england-1995-2007
November 12, 2014 - Study
Litigation related to drug errors in anaesthesia: an analysis of claims against … Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995 … This study analyzed nearly a hundred claims alleging patient harm and categorized them by error type, … Investigators surmised that less than half the claims could have been prevented by using recommended … Litigation related to drug errors in anaesthesia: an analysis of claims against the NHS in England 1995
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www.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-Geographic-Physician-Practice-PUF-Codebook.pdf
February 01, 2023 - Name: AVG_PRVDR_SBMT_CLMS_MCAIDFFS
Input Data Sources: APCD/CMS Claims, 3P-RD Physician … Name: AVG_PRVDR_SBMT_CLMS_MCAIDMCO
Input Data Sources: APCD/CMS Claims, 3P-RD Physician … Name: AVG_PRVDR_SBMT_CLMS_CMRCL
Input Data Sources: APCD/CMS Claims, 3P-RD Physician
Type: … Average physician submitting Medicaid (FFS) claims
Average physician submitting Medicaid (MCO) claims … Average physician submitting Medicare Advantage claims
Average physician submitting Commercial claims
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www.ahrq.gov/sites/default/files/wysiwyg/data/3P-RD-geographic-physician-puf-codebook.pdf
February 01, 2023 - Number of Claims per Month
Medicaid (MCO): Average Number of Claims per Month
Medicare Advantage: … Number of Claims per Month
Any Payer within the APCD: Average Number of Claims per Month
Medicaid … (FFS & MCO): Maximum Number of Claims per Month
Medicaid (FFS): Maximum Number of Claims per Month … Medicaid (MCO): Maximum Number of Claims per Month
Medicare Advantage: Maximum Number of Claims per … the APCD: Minimum Number of Claims per Patients
Medicaid (FFS & MCO): Maximum Number of Claims per
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psnet.ahrq.gov/issue/designing-highly-reliable-adverse-event-detection-systems-predict-subsequent-claims
September 01, 2018 - Designing highly reliable adverse-event detection systems to predict subsequent claims … Designing highly reliable adverse-event detection systems to predict subsequent claims. … reports could identify reports that were most likely to be associated with subsequent malpractice claims … Designing highly reliable adverse-event detection systems to predict subsequent claims. … September 1, 2018
Decreasing malpractice claims by reducing preventable perinatal harm