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

Since 2001, the Safe States Alliance has convened multidisciplinary groups of experts to recommend improvements to important public health injury surveillance practices. Known as Injury Surveillance Workgroups (ISWs), these groups are comprised of representatives from organizations from across the United States that research, implement, and/or influence efforts associated with injury surveillance and key injury and violence-related topic areas. ISW reports provide practitioners with expert recommendations for improving injury surveillance, data analysis, and reporting. Click on the links below to download full ISW reports.


The Transition from ICD-9-CM to ICD-10-CM: Guidance for Analysis and Reporting of Injuries by Mechanism and Intent (ISW9), 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. In preparation for this change, Safe States, in partnership with the National Center for Injury Prevention and Control, the National Center for Health Statistics and the Council of State and Territorial Epidemiologists, developed a new ISW report on the transition from ICD-9-CM to ICD-10-CM. The purpose of the report is to provide guidance to epidemiologists and others as they begin to use ICD-10-CM coded data for injury and violence surveillance. Specifically, the report provides guidance for:

  • conducting initial analyses using ICD-10-CM coded data;
  • using the proposed ICD-10-CM external cause of injury matrix to analyze and report injury data by mechanism and intent of injury; and
  • presenting injury trend data that span the transition from ICD-9-CM to ICD-10-CM.

Additional Resources:

  • 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?” 

Updates to the Report:

  • An update was made to the ISW9 report on January 23, 2017.  Click here for summary of the updates made.


Consensus Recommendations for Pedestrian Injury Surveillance (ISW8), 2017

This report is designed to provide practitioners – particularly state and local public health injury prevention professionals and traffic safety professionals – with 10 recommendations for improving pedestrian injury data collection, analysis, and reporting.


The report includes recommendations for:

  • Enhancing Definitions of “Pedestrian” and “Pedestrian Injury”
  • Improving Pedestrian Injury Data
  • Utilizing Pedestrian Exposure and Risk Data
  • Analyzing Pedestrian Injury Data


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 Michelle Wynn 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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