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www.innovations.ahrq.gov/topics/all-payer-claims.html
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All-Payer Claims … Databases: Data Evaluation of All-Payer Claims Databases
This report provides background on APCDs … Expanding and Enhancing All Payer Claims Database System Capacity in States
This report summarizes … the Fifth All Payer Claims Database Conference, Expanding and Enhancing All Payer Claims Database System
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psnet.ahrq.gov/issue/relation-between-malpractice-claims-and-adverse-events-due-negligence-results-harvard-medical
February 18, 2011 - Relation between Malpractice Claims and Adverse Events Due to Negligence. … The ratio of adverse events caused by negligence to malpractice claims was 7.6:1. … Relation between Malpractice Claims and Adverse Events Due to Negligence. … in the AANA Foundation closed malpractice claims database. … adult radiology claims.
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psnet.ahrq.gov/issue/analysis-medical-malpractice-claims-against-medical-oncologists-national-database
July 02, 2019 - Study
An analysis of medical malpractice claims against medical oncologists from … An analysis of medical malpractice claims against medical oncologists from a national database: implications … Closed malpractice claims are frequently analyzed to identify serious patient safety threats. … This study used malpractice claims against medical oncologists to identify areas for practice and … July 17, 2019
Rates and characteristics of paid malpractice claims among US physicians
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psnet.ahrq.gov/issue/understanding-diagnostic-safety-emergency-medicine-case-case-review-closed-ed-malpractice
May 11, 2019 - Understanding diagnostic safety in emergency medicine: a case‐by‐case review of closed ED malpractice claims … Understanding diagnostic safety in emergency medicine: A case-by-case review of closed ED malpractice claims … Analysis of closed malpractice claims has been used to characterize safety hazards in a variety of … This study used retrospective review of malpractice claims to examine the underlying causes of diagnostic … May 18, 2022
Missed diagnosis of cancer in primary care: insights from malpractice claims
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psnet.ahrq.gov/issue/rates-and-characteristics-paid-malpractice-claims-among-us-physicians-specialty-1992-2014
December 19, 2014 - Classic
Rates and characteristics of paid malpractice claims … Rates and Characteristics of Paid Malpractice Claims Among US Physicians by Specialty, 1992-2014. … This retrospective study of a claims database found that medical malpractice claims declined significantly … Rates and Characteristics of Paid Malpractice Claims Among US Physicians by Specialty, 1992-2014. … April 12, 2019
Changes in practice among physicians with malpractice claims.
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psnet.ahrq.gov/issue/learning-lawsuits-using-malpractice-claims-data-develop-care-transitions-planning-tools
January 21, 2019 - Study
Learning from lawsuits: using malpractice claims data to develop care transitions … Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools. … This study used review of malpractice claims and stakeholder focus groups to inform planning tools for … Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools. … July 3, 2014
Neurologic patient safety: an in-depth study of malpractice claims.
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psnet.ahrq.gov/issue/litigation-related-inadequate-anaesthesia-analysis-claims-against-nhs-england-1995-2007
November 16, 2022 - Study
Litigation related to inadequate anaesthesia: an analysis of claims against … Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007 … during anesthesia, and inadequate regional anesthesia were implicated in nearly 20% of malpractice claims … Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007 … February 15, 2023
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Insurance claims
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psnet.ahrq.gov/issue/tort-claims-and-adverse-events-emergency-medical-services
January 02, 2008 - Study
Tort claims and adverse events in emergency medical services. … Tort claims and adverse events in emergency medical services. … This study of closed malpractice claims against prehospital emergency medical services found that clinical … Tort claims and adverse events in emergency medical services. … Factors associated with malpractice claim payout: an analysis of closed emergency department claims
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psnet.ahrq.gov/issue/25-year-summary-us-malpractice-claims-diagnostic-errors-1986-2010-analysis-national
July 17, 2019 - Study
25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an … Citation Text:
Tehrani ASS, Lee HW, Mathews SC, et al. 25-Year summary of US malpractice claims for … The authors analyzed 25 years of closed malpractice claims from the National Practitioner Data Bank and … Although data from closed malpractice claims may not be representative of all error types, it is clear … April 25, 2016
Paid malpractice claims for adverse events in inpatient and outpatient
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psnet.ahrq.gov/issue/breakdowns-initial-patient-provider-encounter-are-frequent-source-diagnostic-error-among
January 23, 2019 - frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims … frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims … Using a large medical malpractice claims database, this study found that nearly half of all malpractice … claims involving ischemic stroke included diagnostic errors, primarily originating in the ED. … July 28, 2023
Serious misdiagnosis-related harms in malpractice claims: the "Big Three
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www.ahrq.gov/sites/default/files/publications/files/prioritization-report_0.pdf
January 01, 2020 - Further, the issue of duplicate claims likely far outweighs the
claims lost.
16 All-Payer Claims … claims contain
fewer diagnosis codes. … file
Deductible amount 100% In claims file
Amount prepaid 100% In claims file
Amount paid 100% In … claims file
20 All-Payer Claims Databases Report
Variable Type
Nonmissing Range
in Quarter … Validity of electronic prescription claims records: a comparison of commercial
insurance claims with
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psnet.ahrq.gov/issue/resolving-malpractice-claims-after-tort-reform-experience-self-insured-texas-public-academic
December 19, 2018 - Study
Resolving malpractice claims after tort reform: experience in a self-insured … Resolving Malpractice Claims after Tort Reform: Experience in a Self-Insured Texas Public Academic Health … Medical malpractice claims represent a mechanism to address medical errors. … Resolving Malpractice Claims after Tort Reform: Experience in a Self-Insured Texas Public Academic Health … March 26, 2014
Characteristics of paid malpractice claims settled in and out of court
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psnet.ahrq.gov/issue/analysis-medical-malpractice-claims-improve-quality-care-cautionary-remarks
May 09, 2012 - Commentary
Analysis of medical malpractice claims to improve quality of care: cautionary … Analysis of medical malpractice claims to improve quality of care: Cautionary remarks. … This commentary describes weaknesses associated with relying on medical malpractice claims as research … Concerns center on the number of claims available to assess, the content in the claims, and the transferability … Analysis of medical malpractice claims to improve quality of care: Cautionary remarks.
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psnet.ahrq.gov/issue/paid-malpractice-claims-adverse-events-inpatient-and-outpatient-settings
June 24, 2009 - Study
Paid malpractice claims for adverse events in inpatient and outpatient settings … Paid malpractice claims for adverse events in inpatient and outpatient settings. … This study conducted a similar analysis of paid malpractice claims and found that 43% occurred in the … Paid malpractice claims for adverse events in inpatient and outpatient settings. … April 12, 2023
Characteristics of paid malpractice claims settled in and out of court
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psnet.ahrq.gov/issue/physician-spending-and-subsequent-risk-malpractice-claims-observational-study
May 01, 2015 - Classic
Physician spending and subsequent risk of malpractice claims … Physician spending and subsequent risk of malpractice claims: observational study. … Physician spending and subsequent risk of malpractice claims: observational study. … May 1, 2015
Rates and characteristics of paid malpractice claims among US physicians … March 1, 2023
Association of past and future paid medical malpractice claims.
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psnet.ahrq.gov/issue/characteristics-medical-professional-liability-claims-patients-cardiovascular-diseases
August 02, 2015 - Study
Characteristics of medical professional liability claims in patients with cardiovascular … Characteristics of medical professional liability claims in patients with cardiovascular diseases. … This study of closed malpractice claims found that diagnostic error —particularly for missed diagnoses … Characteristics of medical professional liability claims in patients with cardiovascular diseases. … December 21, 2014
Paid malpractice claims for adverse events in inpatient and outpatient
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psnet.ahrq.gov/issue/impact-incorporating-pharmacy-claims-data-electronic-medication-reconciliation
September 01, 2016 - Study
Impact of incorporating pharmacy claims data into electronic medication reconciliation … Impact of incorporating pharmacy claims data into electronic medication reconciliation. … The information provided from electronic health records and the insurance claims matched the gold-standard … may be possible to use available data, such as that found in electronic health records and insurance claims … Impact of incorporating pharmacy claims data into electronic medication reconciliation.
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psnet.ahrq.gov/issue/insurance-claims-wrong-side-wrong-organ-wrong-procedure-or-wrong-person-surgical-errors
October 20, 2021 - Study
Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person … Insurance claims for wrong-side, wrong-organ, wrong-procedure, or wrong-person surgical errors: a retrospective … This retrospective analysis of medical liability claims data examined the incidence of WSPEs in France … During this ten-year period, WSPEs accounted for 0.4% of all claims. … August 24, 2022
A contemporary analysis of closed claims related to wrong site surgery
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psnet.ahrq.gov/issue/characteristics-paid-malpractice-claims-settled-and-out-court-usa-retrospective-analysis
July 03, 2014 - Study
Characteristics of paid malpractice claims settled in and out of court in the … Characteristics of paid malpractice claims settled in and out of court in the USA: a retrospective analysis … This analysis of paid malpractice claims from the National Practitioner Data Bank found that the vast … majority of claims were settled without a trial. … February 6, 2013
Characteristics of medical professional liability claims in patients
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ce.effectivehealthcare.ahrq.gov/learning-health-systems/frailty-ehr.html
September 01, 2022 - Data
Data Infographics
Data Visualizations
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Data Innovations
All-Payer Claims … Multiple claims-based frailty indexes (CFIs) have been developed and validated over the past few years … ; however, healthcare providers often do not have access to the insurance claims records of their entire … This project focused on validating an established CFI using linked claims-EHR databases of multiple large … Developing and Assessing the Validity of Claims-based Indicators of Frailty & Functional Disabilities