ࡱ> `! ǑôT*(} x͚}lG|n]DC#ZrfM*@ʭqB'cmkg[kΩZ"T$t(THTECE+  PnI613;|w\}۷o~3潷o?& ?&=&(?]&NssTM=tv!dbbViwvѩL) :I#D5gbHxF?wp2v'cn\9g >?&nݥsyurw |;ߗXaI80?!Ùۓ`rĝM 5Mg+Ikֱ͑G#5s,gvfʷ(u(-CtZT#b!םl|n?F)1FN[ğ WpDGǸV~̹ i31o wM8Vjb&'l:|O9Fe+v^쩓1^J;09Ym#Q8.KcvzS9 9Ijfj2WbdT>G^qĿN19[9H1῭]M V|kV]nt4]WX n;Z+֧-ZjȪZۄv]V&-͒9q[6G (ݲ9R8GjX,iX^_q[cQ]eFVQ]lJZR}>}*}} k`ګG_nj}8]cu&c&كPO4NC>$;9TRI%:j+&ʷ4qҲϭOć=<eu%kfYJ1ռom)\Ym-gq(ʵYRJ0 [p\RYk=N|P8XHo7LM?qqo${ R&waxћA)%5ԝp\R:gLzup\Rj9RIϣǥ1^y;$QǥE<_i(uG`Q%:ZE!xL&VK+UcQgbM4&Ȅ%('JڌJC(4OnZ+$ Xg,ZO~.'?WYx3aRAxprvQ>|۶gF^-/lV׬i۞\]ϑ&#wl60Ų D7 l#t :ln쀡CؽF]p38vؒb{-Ŧ$Jbqܶ=yQLz` 6ЌQ滭aP&,-/G<{!&*M[aDT:UzfTD~Ukiki;+WD]}I"+0S}9 AimsPrimary To empirically investigate whether diagnoses captured using ICISS<0.941 have a high probability of admission Secondary To identify sentinel ICD diagnoses that have a high probability of admission^m MA+ M Possible outcomesConfirmation of the validity of the NZ indicators. A change to the severity threshold that define the NZIPS serious injury indicators - to ensure validity of the indicators. The identification of valid indicators that include lower severity injuries than the current NZ indicators. Abandonment of the NZIPS / ICISS-based serious injury indicators, and substitution with indicators based on a basket of sentinel injuries approach. A combination of these. Z Proposed approachSources of data: ED Operational definition of injury  to be agreed Minimum data required Diagnosis (ICD) Disposal (whether or not admitted) Estimate Diagnosis-specific admission fractions with 95% CIsL[3 4[3 4 IssuesOperational definition of injury Diagnosis Coding frames (ICD-10-AM, ICD-10, ICD-9-CM, etc.) Restrictive or inclusive Accuracy of coding Who codes Correspondence between ED and inpatient diagnoses Admission fractions Stability Dependency on Demography (eg. older people), comorbidity, circmstances What approach to estimation when: Multiple diagnoses Multiple attendances for same injuries Cases died before arrival or in ED (before admission)+P2PPP<PPP9P"PpP+2<  9"p  Sources of dataVPotential sources identified to date: Australia Canada Denmark Greece Italy US Others?&&1&1  What now?Description of potential sources of ED data Coding frame used Who codes the data Any information on accuracy Whether linked to inpatient data. Presentation of the issues Open discussion of the proposal, data sources, issues. N,A"S,A"S   0` 3` ff>>\fg` J*T333` QYmx~3ft` \ғhEy`` cb^DDf`Y˵W` sg7xGr` K%ޯd{mG/` 33f>?" dd@,?nFd@    @ `  n?" dd@   @@``PR    @ ` `<p>> $(  $ $ 6P  #" `b ` 8 X*  $ 6Tq  #" `` ` 8 Z* xT ~ $ "~\ { $ "{ $ c BB CDEFd @ bb   H   T W6Vw}\gFQ6<1++11 1L b6xQrq 6\}N   - c    0 A Q g     S    6N KawF bFy0 a*ly7lE;uz  B | a F 0 ! 1 < B < & l L 0  @`"T  $ c |BC+DEFyd @ ==gL6cI}\eA& w6m!W<! &<W!r6W}F6\}>68QNlX^XH8+Sgg|@`"Jo 5 J $  B! CDEF @ ))\*l{FDNF W% W ! !   ! 6X L b x_ /aF6b}SA$|l\\TX@`s"*  T  u4  $ B C%DEF ss&QW}k6D Q r 8 N c t y y ;t Qi gS }8     T   :0\-Q4*%%v*o(V}5q;  S   < s } l \ g} \, L ;n &  Z}\[6 }WF<! e C }h m W ]  ,t B RxkqA,Rg@`" {b  $  BCDEFy @ ,,Lh6\}mWG &a*zCxsh-&jG]~5g6&LLZ\@`s"*   u(   $  BCDE|Fy @ __@% M|f4@{ f0`lA}L\A+h MB6ww FJl{ 0V|{J  *5KlGn a*:Pf\|6 /6Kbf|F kP}5x}VvaP@@@`s"*   =>   $ c BlCrDEF"d@ rlrl@`"~  $ 6  " `} 8 T Click to edit Master title style! ! $ 6  #" ``    Z* $ $ 0  " `   RClick to edit Master text styles Second level Third level Fourth level Fifth level!     SB $ s *޽h ? 3___PPT10i. u%.+D=' 8= @B +  Stream 0 (](  (xT ~ ( "~\ { ( "{ ( c BB CDEFd @ bb   H   T W6Vw}\gFQ6<1++11 1L b6xQrq 6\}N   - c    0 A Q g     S    6N KawF bFy0 a*ly7lE;uz  B | a F 0 ! 1 < B < & l L 0  @`"T  ( c |BC+DEFyd @ ==gL6cI}\eA& w6m!W<! &<W!r6W}F6\}>68QNlX^XH8+Sgg|@`"Jo 5 J (  B! CDEF @ ))\*l{FDNF W% W ! !   ! 6X L b x_ /aF6b}SA$|l\\TX@`s"*  T  u4 ( B C%DEF ss&QW}k6D Q r 8 N c t y y ;t Qi gS }8     T   :0\-Q4*%%v*o(V}5q;  S   < s } l \ g} \, L ;n &  Z}\[6 }WF<! e C }h m W ]  ,t B RxkqA,Rg@`" {b (  BCDEFy @ ,,Lh6\}mWG &a*zCxsh-&jG]~5g6&LLZ\@`s"*   u(   (  BCDE|Fy @ __@% M|f4@{ f0`lA}L\A+h MB6ww FJl{ 0V|{J  *5KlGn a*:Pf\|6 /6Kbf|F kP}5x}VvaP@@@`s"*   =>   ( c BlCrDEF"d@ rlrl@`"~  ( <#@ "F  @ T Click to edit Master title style! !  ( 0 @ " `   @ W#Click to edit Master subtitle style$ $  ( 6;@ #" `` ` @ X*  ( 6?@ABCDEFGHIKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstvwxyz{|~Root EntrydO)PicturesCurrent User}SummaryInformation(J,UPowerPoint Document(DocumentSummaryInformation8uRoot EntrydO)&@PicturesCurrent User,SummaryInformation(J,U  !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIKLMNOPQRSTUVWXYZ[\]^_`abcdefghijklmnopqrstvwxyz{|_laf4laf4