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  1. Data Development for Patient Safety — A Pilot Study using Medicare Part B Drug Data | Effective Health Care (EHC) Program

    effectivehealthcare-admin.ahrq.gov/products/patient-safety-drug-data/abstract
    April 01, 2018 - Page Contents Topic Abstract Medicare administrative claims … Medicare claims provide a broad picture of the health services received by individuals, with considerable … of frameworks to organize claims data into structures that link relevant interventions, outcomes and … The analysis will exploit information available in Part B claims on drugs, to produce a framework that … can be readily adapted to incorporate Part D claims when they come on line next year.

  2. Physician and Physician Practice Research Database, Geographic Physician Practice Public Use File Codebook (pdf file)

    ce.effectivehealthcare.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

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866158/psn-pdf
    June 19, 2024 - Anesthesia-related closed claims in free-standing ambulatory surgery centers. … Anesthesia-related closed claims in free-standing ambulatory surgery centers. … https://psnet.ahrq.gov/issue/anesthesia-related-closed-claims-free-standing-ambulatory-surgery-centers … This study examined closed anesthesia-related malpractice claims of ASCs and hospital-based operating … Claims with higher severity of injury were less frequent in ASCs compared to HORs, but patient burns

  4. Appendix A. Detailed Literature Search Methodology | Agency for Healthcare Research and Quality

    www.ahrq.gov/data/apcd/envscan/app-a.html
    June 01, 2017 - All-Payer Claims Databases Measurement of Care: Systematic Review and Environmental Scan of Current Practices … Literature Search Methodology Previous Page Next Page Table of Contents All-Payer Claims … The search included articles since January 2008, when the first all-payer claims databases (APCDs) were … data” OR “claims data.” … data (e.g., survey data or clinical data not available in the claims database).

  5. Physician and Physician Practice Research Database, Geographic Physician Public Use File Codebook (pdf file)

    ce.effectivehealthcare.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

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60822/psn-pdf
    August 19, 2020 - An examination of medical malpractice claims involving physician trainees. … An examination of medical malpractice claims involving physician trainees. … https://psnet.ahrq.gov/issue/examination-medical-malpractice-claims-involving-physician-trainees This … factors in claims directly involving physician trainees in the events. … The majority of claims were procedure- related and the most common diagnosis in claims cases was puncture

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837668/psn-pdf
    July 13, 2022 - Factors associated with malpractice claim payout: an analysis of closed emergency department claims. … Factors associated with malpractice claim payout: an analysis of closed emergency department claims. … psnet.ahrq.gov/issue/factors-associated-malpractice-claim-payout-analysis-closed-emergency- department-claims … Analysis of closed malpractice claims can be used to identify potential safety hazards in a variety … This analysis of closed emergency department malpractice claims indicates that diagnostic errors dominate

  8. Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of a randomized prospective study | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency

    digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/using-claims-data-based-sentinel
    February 01, 2005 - Using a claims data-based sentinel system to improve compliance with clinical guidelines: results of … Purpose of Study:  To assess the effect of a sentinel system that scans administrative claims information … Evaluation Method:  claims data for costs of care, admissions and hospital LOS Description:  A rule-based … Daily data inputs include insurance claims, hospital discharge and outpatient claims, laboratory claims … and test results, and pharmacy claims.

  9. 2014 Annual Benchmarking Report: Malpractice Risks in the Diagnostic Process. | PSNet

    psnet.ahrq.gov/issue/2014-annual-benchmarking-report-malpractice-risks-diagnostic-process
    September 26, 2012 - This analysis of more than 4700 diagnosis-related malpractice claims found that most errors occur in … August 22, 2018 Malpractice claims related to diagnostic errors in the hospital. … March 21, 2016 Paid malpractice claims for adverse events in inpatient and outpatient … July 3, 2014 Characteristics of paid malpractice claims settled in and out of court in … August 7, 2013 Prevention of surgical malpractice claims by a surgical safety checklist

  10. A contemporary medicolegal analysis of outpatient medication management in chronic pain. | PSNet

    psnet.ahrq.gov/issue/contemporary-medicolegal-analysis-outpatient-medication-management-chronic-pain
    September 28, 2017 - Malpractice claims can identify trends in patient hazards and have been previously employed to better … This retrospective observational study examined all closed claims from a large malpractice carrier levied … documenting those conversations, and monitoring for diversion as strategies to reduce malpractice claims … November 4, 2020 Preventable closed claims in the AANA Foundation closed malpractice … claims database.

  11. Data Points #5: Prevalence and Medicare Reimbursement by Recurrent International Classification of Diseases Categories, 2006-2009 | Effective Health Care (EHC) Program

    effectivehealthcare-admin.ahrq.gov/products/icd-categories-prevalence-reimbursement/research
    December 01, 2019 - Inpatient Claims Pneumonia (Organism Unspecified) as a Principal Diagnosis on All Claims and on Skilled … Claims and on Inpatient Claims Osteoarthrosis and Allied Disorders as a Principal Diagnosis on All … Claims and on Carrier Claims Care Involving Use of Rehabilitation Procedures as a Principal Diagnosis … on All Claims and on Skilled Nursing Facility Claims Tables Beneficiary and Claim Counts, by File … Home Health Claims. Select for Excel File (2.8 MB), or PDF (7.0 MB). Hospice Claims.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73657/psn-pdf
    September 01, 2021 - Communication failures contributing to patient injury in anaesthesia malpractice claims. … Communication failures contributing to patient injury in anaesthesia malpractice claims. … //psnet.ahrq.gov/issue/communication-failures-contributing-patient-injury-anaesthesia-malpractice- claims … Through analysis of perioperative malpractice claims using the Anesthesia Closed Claims Project database … , researchers found that communication failures contributed to 43% of total claims, with the majority

  13. The medical liability climate and prospects for reform. | PSNet

    psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform
    September 29, 2017 - This review of national trends in medical malpractice claims explores the current environment, in which … there has been a declining rate of paid claims as well as decreasing or flat compensation amounts. … April 21, 2015 Claims, errors, and compensation payments in medical malpractice litigation … 12, 2016 Effects of a communication-and-resolution program on hospitals' malpractice claims … January 29, 2014 Characteristics of paid malpractice claims settled in and out of court

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47014/psn-pdf
    July 02, 2019 - Multisource evaluation of surgeon behavior is associated with malpractice claims. … Multisource Evaluation of Surgeon Behavior Is Associated With Malpractice Claims. … https://psnet.ahrq.gov/issue/multisource-evaluation-surgeon-behavior-associated-malpractice-claims Physicians … receive more patient complaints about communication and behavior are more likely to face malpractice claims … https://psnet.ahrq.gov/issue/multisource-evaluation-surgeon-behavior-associated-malpractice-claims https

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48083/psn-pdf
    August 07, 2019 - Missed diagnosis of cancer in primary care: insights from malpractice claims data. … Missed diagnosis of cancer in primary care: Insights from malpractice claims data. … risk in the outpatient setting is significant and claims often involve missed and delayed diagnoses … This retrospective study examined diagnostic error claims in outpatient general medicine to identify … ://psnet.ahrq.gov/issue/primary-care-closed-claims-experience-massachusetts-malpractice-insurers https

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836852/psn-pdf
    April 06, 2022 - Frequency and nature of communication and handoff failures in medical malpractice claims. … Frequency and nature of communication and handoff failures in medical malpractice claims. … /psnet.ahrq.gov/issue/frequency-and-nature-communication-and-handoff-failures-medical- malpractice-claims … . 498 closed malpractice claims were reviewed, with communication failures identified in nearly half … ://psnet.ahrq.gov/issue/frequency-and-nature-communication-and-handoff-failures-medical-malpractice-claims

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74061/psn-pdf
    November 10, 2021 - Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. … Oncologic errors in diagnostic radiology: a 10-year analysis based on medical malpractice claims. … psnet.ahrq.gov/issue/oncologic-errors-diagnostic-radiology-10-year-analysis-based-medical- malpractice-claims … three”) account for nearly half of all serious misdiagnosis-related harm identified in malpractice claims … This retrospective analysis of malpractice claims data from 2008 to 2017 found that oncology-related

  18. 1b.4_Input_File_Specifications_508 (xls file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/input-file-specifications.xlsx
    January 01, 2014 - Medical Claims Reference Name Concept Description Variable Type Note claim_header_id Claim level … unique identifier text or numeric Can be derived, just need a way to uniquely identify claims. … unique identifier text or numeric Can be derived, just need a way to uniquely identify claims. … Note: Comorbidity source table is in wide form, unlike the medical claims source table DX2 The ICD9 … End of Table Pharmacy Claims Pharmacy Claims Reference Name Concept Description Required Variable

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60277/psn-pdf
    January 01, 2021 - Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. … Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. … study analyzed malpractice claims to characterize nursing involvement in diagnosis-related (n=139) … and failure-to-monitor malpractice (n=647) claims. … psnet.ahrq.gov/issue/nurses-role-causation-compensable-injury https://psnet.ahrq.gov/issue/preventable-closed-claims-aana-foundation-closed-malpractice-claims-database

  20. Measure Inventory for Use with All-Payer Claims Databases (pdf file)

    ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcdmeasinvrpt.pdf
    January 01, 2020 - APCDs are large-scale databases that systematically collect medical claims, facility claims, pharmacy … claims, dental claims (typically, but not always), and eligibility and provider files from private … The basics of all-payer claims databases: a primer for states. … The value of all-payer claims databases to states. … All-payer claims databases: an overview for policymakers.
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