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Injury Surveillance Workgroup (ISW) Reports
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Injury Surveillance Workgroup (ISW) Reports



ICD-10-CM Injury Data (ISW9) – Are You Ready for ICD-10-CM Injury Data? (Full report coming in October 2016)


On October 1, 2015, ICD-10-CM replaced ICD-9-CM coding for hospital discharge, emergency department, and outpatient records, including injury records. This change directly impacts state and national injury surveillance activities involving health care encounters. Safe States formed an Injury Surveillance Workgroup (ISW9) in September 2015 to develop tools and resources for use by states. The ISW9 full report will provide guidance for implementing the injury matrices and displaying injury trend data from time periods that span both coding systems.


In anticipation of the full report, the ISW9 is releasing a resource document to assist states’ readiness. Click here for a list of things you can do now to prepare for using injury data coded in ICD-10-CM. Click here for the ISW9 presentation at the Safe States Annual Meeting titled “Is your state ready to use the ICD-10-CM coded data?” 


The ISW9 will release the full report, in October 2016.  Using these ISW9 products, state injury programs and others will be able to:

  • Use common starting points for the transition to ICD-10-CM
  • Quickly present evaluation results using standard methods and tables
  • Compare results with other states
  • Gather information to distinguish between true changes due to the implementation of ICD-10-CM versus state-specific differences in health care practices, medical record documentation or injury patterns


Pedestrian Injury Surveillance (ISW8) - Coming Soon!


Consensus Recommendations for National and State Poisoning Surveillance (ISW7), 2012

This report provides a new, broader conceptual definition of poisoning, an expanded framework for categorizing poisonings, and standardized operational definitions using ICD-9-CM and ICD-10 codes. The aim is to improve the available poisoning surveillance tools not only for injury prevention research and practice, but also for the control and prevention of substance use disorders.NOTE: a few small errors have been found, please use with caution, specifically with appendixes B2 and C2 using SAS programming. Contact Margaret Warner for more details (


Additional Resources:   


Assessing an Expanded Definition for Injuries in Hospital Discharge Data Systems (ISW6), 2008

This ISW report focuses on determining the impact of expanding the Safe States Alliance 2003 definition for hospital discharge data, matching the newly recommended definition to be used with emergency department data.







Consensus Recommendations for Injury Surveillance in State Health Departments (ISW5), 2007

This report provides the current recommendations for injury surveillance in state health departments.  These recommendations are presented in four categories: improving coding of injury surveillance data, improving state injury surveillance capacity, new challenges in injury surveillance, and future challenges in injury surveillance. 






Consensus Recommendations on Falls and Fall-Related Injuries (ISW4), 2006

The Consensus Recommendations for Surveillance of Falls and Fall-Related Injuries is the latest in a series of guidelines issued by a national, collaborative workgroup to improve standardization in the collection of injury data. This report was prepared by the Injury Surveillance Workgroup on Falls ( ISW4), which examined over twenty healthcare and related data sources that can be used to monitor falls and associated injuries in national, state and local jurisdictional levels.





Consensus Recommendations for Using Hospital Discharge Data for Injury Surveillance, 2003

The ultimate goal of these recommendations is to improve state injury surveillance and to support injury prevention programs and policies. To that end, this report recommends a minimum set of state surveillance standards for hospital discharge data.

Consensus Recommendations for National and State Poisoning Surveillance (ISW7), 2012
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