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 <div v:shape=3D"_x0000_s7171" class=3DT style=3D'position:absolute;top:8.7=
5%;
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dow:
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 <div v:shape=3D"_x0000_s7172">
 <div class=3DHB style=3D'mso-line-spacing:"80 20 0"'><span style=3D'positi=
on:absolute;
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4%;
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 position:absolute;left:-9.52%'>&#8226;</span></span><span style=3D'font-si=
ze:
 64%;color:white;mso-color-index:0'>Injury refers to damage to the </span><=
/span><span
 style=3D'position:absolute;top:26.75%;left:55.61%;width:38.57%;height:4.0%=
'><span
 style=3D'font-size:64%;color:white;mso-color-index:0'>body produced by ene=
rgy </span></span><span
 style=3D'position:absolute;top:30.0%;left:55.61%;width:44.19%;height:4.0%'=
><span
 style=3D'font-size:64%;color:white;mso-color-index:0'>exchanges with relat=
ively
 sudden </span></span><span style=3D'position:absolute;top:33.25%;left:55.6=
1%;
 width:39.88%;height:4.0%'><span style=3D'font-size:64%;color:white;mso-col=
or-index:
 0'>discernible effects (Robertson </span></span><span style=3D'position:ab=
solute;
 top:36.25%;left:55.61%;width:38.57%;height:4.0%'><span style=3D'font-size:=
64%;
 color:white;mso-color-index:0'>1988)&#13;</span></span></div>
 <div class=3DHB1 style=3D'mso-line-spacing:"80 20 0"'><span style=3D'posit=
ion:absolute;
 top:40.25%;left:59.92%;width:37.07%;height:2.75%'><span style=3D'font-size=
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 color:white;mso-color-index:0'><span style=3D'mso-special-format:bullet;
 position:absolute;left:-8.08%'>&#8211;</span></span><span style=3D'font-si=
ze:
 50%;color:white;mso-color-index:0'>What is </span><span style=3D'font-size=
:50%;
 color:aqua'><b>&#8220;damage to the body&#8221;</b></span><span
 style=3D'font-size:50%;color:white;mso-color-index:0'> &#8211; using a </s=
pan></span><span
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%'><span
 style=3D'font-size:50%;color:white;mso-color-index:0'>strict definition ex=
cludes
 many events typically </span></span><span style=3D'position:absolute;top:4=
4.5%;
 left:59.92%;width:34.26%;height:2.75%'><span style=3D'font-size:50%;color:=
white;
 mso-color-index:0'>identified as &#8220;injuries.&#13;</span></span></div>
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ion:absolute;
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 position:absolute;left:-7.88%'>&#8211;</span></span><span style=3D'font-si=
ze:
 50%;color:white;mso-color-index:0'>For example, ingestion of a foreign bod=
y, a
 </span></span><span style=3D'position:absolute;top:49.25%;left:59.92%;
 width:38.2%;height:2.75%'><span style=3D'font-size:50%;color:white;mso-col=
or-index:
 0'>coin, often results in no tissue damage and </span></span><span
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'><span
 style=3D'font-size:50%;color:white;mso-color-index:0'>can be removed witho=
ut
 damage to </span></span><span style=3D'position:absolute;top:53.5%;left:59=
.92%;
 width:34.26%;height:2.75%'><span style=3D'font-size:50%;color:white;mso-co=
lor-index:
 0'>surrounding tissues&#13;</span></span></div>
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ion:absolute;
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e </span></span><span
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%'><span
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scope
 of the definition </span></span><span style=3D'position:absolute;top:60.5%;
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'><span
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damage
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5%;
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 <div class=3DHB1><span style=3D'position:absolute;top:30.5%;left:14.04%;
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n></span><span
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 an </span></span><span
 style=3D'position:absolute;top:35.0%;left:14.04%;width:34.26%;height:4.5%'=
><span
 style=3D'font-size:83%;color:white;mso-color-index:0'>injury are thought t=
o </span></span><span
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'><span
 style=3D'font-size:83%;color:white;mso-color-index:0'>outweigh the cost, t=
he </span></span><span
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 style=3D'font-size:83%;color:white;mso-color-index:0'>theoretical definiti=
on is
 not </span></span><span style=3D'position:absolute;top:48.25%;left:14.04%;
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t of </span></span><span
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ay </span></span><span
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hite;
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ant in
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ion:absolute;
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he
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ze:
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igh
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5%;
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an></div>
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ze:
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n></div>
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pan
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l of
 the International Classification of </b></span></span><span style=3D'posit=
ion:
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, and
 Causes of Death, 10 Revision:&#13;</b></span></span></div>
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226;</span><span
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ing
 cause of death (i.e. an external cause </span></span><span style=3D'positi=
on:
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n></span></div>
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th:94.0%;
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span
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span
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 (i.e.
 multiple causes of death) recorded on </span></span><span style=3D'positio=
n:
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ince
 1999.&#13;</span></span></div>
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 width:35.39%;height:17.75%'><![endif]>
 <div v:shape=3D"_x0000_s17410" class=3DO style=3D'text-align:center;positi=
on:absolute;
 top:7.24%;left:34.45%;width:32.95%;height:8.5%'><span style=3D'font-size:2=
22%;
 text-shadow:auto'><b>E-Codes</b></span></div>
 <div v:shape=3D"_x0000_s17411" class=3DO>
 <div style=3D'position:absolute;top:23.0%;left:8.42%;width:84.83%;height:3=
.25%'><span
 style=3D'font-size:78%;color:aqua'><b><u>GENERAL E CODE CODING GUIDELINES<=
/u></b></span><span
 style=3D'font-size:78%;text-shadow:auto;color:yellow'><b><u> &#13;</u></b>=
</span></div>
 <span style=3D'position:absolute;top:26.25%;left:8.42%;width:95.69%;height=
:3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'>1. An E code may be =
used
 with any code in the range of 001-V82.9 which indicates an injury, </span>=
</span><span
 style=3D'position:absolute;top:29.25%;left:8.42%;width:84.83%;height:3.25%=
'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'>poisoning, or adverse
 effect due to an external cause. &#13;</span></span>
 <div style=3D'position:absolute;top:32.25%;left:8.42%;width:84.83%;height:=
3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0;display:none'>&#13;</=
span></div>
 <span style=3D'position:absolute;top:35.5%;left:8.42%;width:99.81%;height:=
3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'>2. Assign the approp=
riate
 E-code for all initial treatments of an injury, poisoning, or adverse effe=
ct </span></span><span
 style=3D'position:absolute;top:38.5%;left:8.42%;width:84.83%;height:3.25%'=
><span
 style=3D'font-size:78%;color:white;mso-color-index:0'>of drugs. &#13;</spa=
n></span>
 <div style=3D'position:absolute;top:41.75%;left:8.42%;width:84.83%;height:=
3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0;display:none'>&#13;</=
span></div>
 <span style=3D'position:absolute;top:44.75%;left:8.42%;width:100.18%;heigh=
t:
 3.25%'><span style=3D'font-size:78%;color:white;mso-color-index:0'>3. Use =
a late
 effect E code for subsequent visits when a late effect of the initial inju=
ry
 or poisoning </span></span><span style=3D'position:absolute;top:47.75%;
 left:8.42%;width:84.83%;height:3.25%'><span style=3D'font-size:78%;color:w=
hite;
 mso-color-index:0'>is being treated. There is no late effect E code for
 adverse effects of drugs.&#13;</span></span>
 <div style=3D'position:absolute;top:51.0%;left:8.42%;width:84.83%;height:3=
.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0;display:none'>&#13;</=
span></div>
 <span style=3D'position:absolute;top:54.0%;left:8.42%;width:95.31%;height:=
3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'>4. Use the full rang=
e of E
 codes to completely describe the cause, the intent and the place of </span=
></span><span
 style=3D'position:absolute;top:57.25%;left:8.42%;width:84.83%;height:3.25%=
'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'>occurrence, if appli=
cable,
 for all injuries, poisonings, and adverse effects of drugs. &#13;</span></=
span>
 <div style=3D'position:absolute;top:60.25%;left:8.42%;width:84.83%;height:=
3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0;display:none'>&#13;</=
span></div>
 <span style=3D'position:absolute;top:63.5%;left:8.42%;width:98.12%;height:=
3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'>5. Assign as many E =
codes
 as necessary to fully explain each cause. If only one E code can be </span=
></span><span
 style=3D'position:absolute;top:66.5%;left:8.42%;width:84.83%;height:3.25%'=
><span
 style=3D'font-size:78%;color:white;mso-color-index:0'>recorded, assign the=
 E
 code most related to the principal diagnosis. &#13;</span></span>
 <div style=3D'position:absolute;top:69.5%;left:8.42%;width:84.83%;height:3=
.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0;display:none'>&#13;</=
span></div>
 <span style=3D'position:absolute;top:72.75%;left:8.42%;width:95.88%;height=
:3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'>6. The selection of =
the
 appropriate E code is guided by the Index to External Causes which is </sp=
an></span><span
 style=3D'position:absolute;top:75.75%;left:8.42%;width:93.82%;height:3.25%=
'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'>located after the
 alphabetical index to diseases and by Inclusion and Exclusion notes in the=
 </span></span><span
 style=3D'position:absolute;top:79.0%;left:8.42%;width:84.83%;height:3.25%'=
><span
 style=3D'font-size:78%;color:white;mso-color-index:0'>Tabular List. &#13;<=
/span></span>
 <div style=3D'position:absolute;top:82.0%;left:8.42%;width:84.83%;height:3=
.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0;display:none'>&#13;</=
span></div>
 <div style=3D'position:absolute;top:85.0%;left:8.42%;width:84.83%;height:3=
.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'>7. An E code can nev=
er be
 a principal (first listed) diagnosis. &#13;</span></div>
 <div style=3D'mso-char-wrap:0;mso-kinsoku-overflow:0;position:absolute;
 top:88.25%;left:8.42%;width:84.83%;height:3.25%'><span style=3D'font-size:=
78%;
 color:white;mso-color-index:0;mso-special-format:lastCR;display:none'>&#13=
;</span></div>
 </div>
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  <v:textbox style=3D'mso-fit-shape-to-text:t'/>
 </v:rect>
 <div v:shape=3D"_x0000_s19458" class=3DO>
 <div style=3D'position:absolute;top:5.25%;left:8.42%;width:84.08%;height:4=
.0%'><span
 style=3D'color:aqua'><b><u>PLACE OF OCCURRENCE GUIDELINE</u></b></span><sp=
an
 style=3D'color:aqua'><b> &#13;</b></span></div>
 <div style=3D'position:absolute;top:9.25%;left:8.42%;width:84.08%;height:4=
.0%'><span
 style=3D'color:aqua;display:none'>&#13;</span></div>
 <span style=3D'position:absolute;top:13.25%;left:8.42%;width:88.95%;height=
:4.0%'><span
 style=3D'color:white;mso-color-index:0'>Use an additional code from catego=
ry
 E849 to indicate the Place of </span></span><span style=3D'position:absolu=
te;
 top:17.25%;left:8.42%;width:84.08%;height:4.0%'><span style=3D'color:white;
 mso-color-index:0'>Occurrence for injuries and poisonings. &#13;</span></s=
pan>
 <div style=3D'position:absolute;top:21.25%;left:8.42%;width:84.08%;height:=
4.0%'><span
 style=3D'color:white;mso-color-index:0;display:none'>&#13;</span></div>
 <div style=3D'position:absolute;top:25.25%;left:8.42%;width:84.08%;height:=
4.0%'><span
 style=3D'color:white;mso-color-index:0;display:none'>&#13;</span></div>
 <div style=3D'position:absolute;top:29.5%;left:8.42%;width:84.08%;height:4=
.0%'><span
 style=3D'color:white;mso-color-index:0;display:none'>&#13;</span></div>
 <div style=3D'position:absolute;top:33.25%;left:8.42%;width:84.08%;height:=
2.25%'><span
 style=3D'font-size:56%;color:aqua;display:none'>&#13;</span></div>
 <div style=3D'position:absolute;top:35.5%;left:8.42%;width:84.08%;height:2=
.75%'><span
 style=3D'font-size:67%;color:aqua;display:none'>&#13;</span></div>
 <div style=3D'position:absolute;top:38.25%;left:8.42%;width:84.08%;height:=
2.75%'><span
 style=3D'font-size:67%;color:aqua;display:none'>&#13;</span></div>
 <div style=3D'position:absolute;top:40.75%;left:8.42%;width:84.08%;height:=
2.75%'><span
 style=3D'font-size:67%;color:aqua;display:none'>&#13;</span></div>
 <div style=3D'position:absolute;top:43.5%;left:8.42%;width:84.08%;height:4=
.0%'><span
 style=3D'color:white;mso-color-index:0;display:none'>&#13;</span></div>
 <div style=3D'position:absolute;top:47.5%;left:8.42%;width:84.08%;height:4=
.0%'><span
 style=3D'color:white;mso-color-index:0;display:none'>&#13;</span></div>
 <div style=3D'position:absolute;top:51.5%;left:8.42%;width:84.08%;height:4=
.0%'><span
 style=3D'color:white;mso-color-index:0;display:none'>&#13;</span></div>
 <div style=3D'position:absolute;top:55.5%;left:8.42%;width:84.08%;height:4=
.0%'><span
 style=3D'color:white;mso-color-index:0;display:none'>&#13;</span></div>
 <div style=3D'position:absolute;top:59.5%;left:8.42%;width:84.08%;height:4=
.0%'><span
 style=3D'color:white;mso-color-index:0;display:none'>&#13;</span></div>
 <div style=3D'position:absolute;top:63.5%;left:8.42%;width:84.08%;height:4=
.0%'><span
 style=3D'color:white;mso-color-index:0;mso-special-format:lastCR;display:n=
one'>&#13;</span></div>
 </div>
 <div v:shape=3D"_x0000_s19459" class=3DO>
 <div style=3D'position:absolute;top:29.75%;left:25.09%;width:47.94%;height=
:3.25%'><span
 style=3D'font-size:78%;color:yellow'>E849.0 also known as:&#13;</span></di=
v>
 <div style=3D'position:absolute;top:32.75%;left:25.09%;width:47.94%;height=
:3.25%'><span
 style=3D'font-size:78%;color:yellow'>Apartment &#13;</span></div>
 <div style=3D'position:absolute;top:36.0%;left:25.09%;width:47.94%;height:=
3.25%'><span
 style=3D'font-size:78%;color:yellow'>Boarding house &#13;</span></div>
 <div style=3D'position:absolute;top:39.0%;left:25.09%;width:47.94%;height:=
3.25%'><span
 style=3D'font-size:78%;color:yellow'>Farm house &#13;</span></div>
 <div style=3D'position:absolute;top:42.25%;left:25.09%;width:47.94%;height=
:3.25%'><span
 style=3D'font-size:78%;color:yellow'>Home premises &#13;</span></div>
 <div style=3D'position:absolute;top:45.25%;left:25.09%;width:47.94%;height=
:3.25%'><span
 style=3D'font-size:78%;color:yellow'>House (residential) &#13;</span></div>
 <div style=3D'position:absolute;top:48.25%;left:25.09%;width:47.94%;height=
:3.25%'><span
 style=3D'font-size:78%;color:yellow'>Noninstitutional place of residence &=
#13;</span></div>
 <div style=3D'position:absolute;top:51.5%;left:25.09%;width:47.94%;height:=
3.25%'><span
 style=3D'font-size:78%;color:yellow'>Private: driveway , garage, garden, h=
ome
 &#13;</span></div>
 <div style=3D'position:absolute;top:54.5%;left:25.09%;width:47.94%;height:=
3.25%'><span
 style=3D'font-size:78%;color:yellow'>Swimming pool in private house or gar=
den
 &#13;</span></div>
 <div style=3D'position:absolute;top:57.75%;left:25.09%;width:47.94%;height=
:3.25%'><span
 style=3D'font-size:78%;color:yellow'>Yard of home&#13;</span></div>
 <div style=3D'position:absolute;top:60.75%;left:25.09%;width:47.94%;height=
:3.25%'><span
 style=3D'font-size:78%;color:yellow;display:none'>&#13;</span></div>
 <div style=3D'position:absolute;top:63.74%;left:25.09%;width:47.94%;height=
:3.25%'><span
 style=3D'font-size:78%;color:yellow'>E849.0 excludes:&#13;</span></div>
 <div style=3D'position:absolute;top:67.0%;left:25.09%;width:57.49%;height:=
3.25%'><span
 style=3D'font-size:78%;color:yellow'>home under construction but not yet
 occupied (</span><span style=3D'font-size:78%;color:yellow'><p:onmouseclick
  hyperlinktype=3D"url"
  href=3D"http://www.icd9data.com/2008/Volume1/E800-E999/E846-E849/E849/E84=
9.3.htm"/><a
 href=3D"http://www.icd9data.com/2008/Volume1/E800-E999/E846-E849/E849/E849=
.3.htm"
 target=3D"_parent" onclick=3D"window.event.cancelBubble=3Dtrue;">E849.3</a=
></span><span
 style=3D'font-size:78%;color:yellow'>) &#13;</span></div>
 <div style=3D'position:absolute;top:70.0%;left:25.09%;width:47.94%;height:=
3.25%'><span
 style=3D'font-size:78%;color:yellow'>institutional place of residence (</s=
pan><span
 style=3D'font-size:78%;color:yellow'><p:onmouseclick hyperlinktype=3D"url"
  href=3D"http://www.icd9data.com/2008/Volume1/E800-E999/E846-E849/E849/E84=
9.7.htm"/><a
 href=3D"http://www.icd9data.com/2008/Volume1/E800-E999/E846-E849/E849/E849=
.7.htm"
 target=3D"_parent" onclick=3D"window.event.cancelBubble=3Dtrue;">E849.7</a=
></span><span
 style=3D'font-size:78%;color:yellow'>)</span></div>
 </div>
 <div v:shape=3D"_x0000_s19460" class=3DO><span style=3D'position:absolute;
 top:81.0%;left:16.85%;width:73.97%;height:4.0%'><span style=3D'color:white;
 mso-color-index:0'>The Place of Occurrence describes the place where the <=
/span></span><span
 style=3D'position:absolute;top:85.0%;left:16.85%;width:80.89%;height:4.0%'=
><span
 style=3D'color:white;mso-color-index:0'>event occurred and not the patient=
's
 activity at the time of the </span></span><span style=3D'position:absolute;
 top:89.0%;left:16.85%;width:67.97%;height:4.0%'><span style=3D'color:white;
 mso-color-index:0'>event.</span></span></div>
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75%;
 left:5.99%;width:88.2%;height:7.75%'><span style=3D'font-size:82%;color:aq=
ua'>E-Codes</span></div>
 <div v:shape=3D"_x0000_s21507" class=3DO><span style=3D'position:absolute;
 top:12.0%;left:11.79%;width:92.13%;height:3.25%'><span style=3D'font-size:=
78%;
 color:yellow'><b>POISONINGS AND ADVERSE EFFECTS OF DRUGS, MEDICINAL AND
 BIOLOGICAL </b></span></span><span style=3D'position:absolute;top:15.0%;
 left:11.79%;width:79.02%;height:3.25%'><span style=3D'font-size:78%;color:=
yellow'><b>SUBSTANCES
 GUIDELINES &#13;</b></span></span><span style=3D'position:absolute;top:18.=
25%;
 left:11.79%;width:92.88%;height:3.25%'><span style=3D'font-size:78%;color:=
white;
 mso-color-index:0'><b>1. Do not code directly from the Table of Drugs and
 Chemicals. Always refer back to </b></span></span><span style=3D'position:=
absolute;
 top:21.25%;left:11.79%;width:79.02%;height:3.25%'><span style=3D'font-size=
:78%;
 color:white;mso-color-index:0'><b>the Tabular List. &#13;</b></span></span>
 <div style=3D'position:absolute;top:24.25%;left:11.79%;width:79.02%;height=
:3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0;display:none'><b>&#13=
;</b></span></div>
 <span style=3D'position:absolute;top:27.5%;left:11.79%;width:90.82%;height=
:3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>2. Use as many co=
des as
 necessary to describe completely all drugs, medicinal or </b></span></span=
><span
 style=3D'position:absolute;top:30.5%;left:11.79%;width:79.02%;height:3.25%=
'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>biological substa=
nces.
 &#13;</b></span></span>
 <div style=3D'position:absolute;top:33.75%;left:11.79%;width:79.02%;height=
:3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0;display:none'><b>&#13=
;</b></span></div>
 <span style=3D'position:absolute;top:36.75%;left:11.79%;width:92.88%;heigh=
t:
 3.25%'><span style=3D'font-size:78%;color:white;mso-color-index:0'><b>3. I=
f the
 same E code would describe the causative agent for more than one adverse <=
/b></span></span><span
 style=3D'position:absolute;top:39.75%;left:11.79%;width:79.02%;height:3.25=
%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>reaction, assign =
the
 code only once. &#13;</b></span></span>
 <div style=3D'position:absolute;top:43.0%;left:11.79%;width:79.02%;height:=
3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0;display:none'><b>&#13=
;</b></span></div>
 <span style=3D'position:absolute;top:46.0%;left:11.79%;width:92.13%;height=
:3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>4. If two or more
 drugs, medicinal or biological substances are reported, code each </b></sp=
an></span><span
 style=3D'position:absolute;top:49.25%;left:11.79%;width:83.52%;height:3.25=
%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>individually unle=
ss the
 combination code is listed in the Table of Drugs and </b></span></span><sp=
an
 style=3D'position:absolute;top:52.25%;left:11.79%;width:79.02%;height:3.25=
%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>Chemicals. In that
 case, assign the E code for the combination. &#13;</b></span></span>
 <div style=3D'position:absolute;top:55.25%;left:11.79%;width:79.02%;height=
:3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0;display:none'><b>&#13=
;</b></span></div>
 <span style=3D'position:absolute;top:58.5%;left:11.79%;width:83.7%;height:=
3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>5. When a reaction
 results from the interaction of a drug(s) and alcohol, use </b></span></sp=
an><span
 style=3D'position:absolute;top:61.5%;left:11.79%;width:79.02%;height:3.25%=
'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>poisoning codes a=
nd E
 codes for both. &#13;</b></span></span>
 <div style=3D'position:absolute;top:64.75%;left:11.79%;width:79.02%;height=
:3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0;display:none'><b>&#13=
;</b></span></div>
 <span style=3D'position:absolute;top:67.75%;left:11.79%;width:91.94%;heigh=
t:
 3.25%'><span style=3D'font-size:78%;color:white;mso-color-index:0'><b>6. I=
f the
 reporting format limits the number of E codes that can be used in reportin=
g </b></span></span><span
 style=3D'position:absolute;top:71.0%;left:11.79%;width:90.44%;height:3.25%=
'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>clinical data, co=
de the
 one most related to the principal diagnosis. Include at least </b></span><=
/span><span
 style=3D'position:absolute;top:74.0%;left:11.79%;width:92.69%;height:3.25%=
'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>one from each cat=
egory
 (cause, intent, place) if possible. If there are different fourth </b></sp=
an></span><span
 style=3D'position:absolute;top:77.0%;left:11.79%;width:89.88%;height:3.25%=
'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>digit codes in th=
e same
 three digit category, use the code for &quot;Other specified&quot; of </b>=
</span></span><span
 style=3D'position:absolute;top:80.25%;left:11.79%;width:83.14%;height:3.25=
%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>that category. If=
 there
 is no &quot;Other specified&quot; code in that category, use the </b></spa=
n></span><span
 style=3D'position:absolute;top:83.25%;left:11.79%;width:90.26%;height:3.25=
%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>appropriate
 &quot;Unspecified&quot; code in that category. If the codes are in differe=
nt
 three </b></span></span><span style=3D'position:absolute;top:86.5%;left:11=
.79%;
 width:83.52%;height:3.25%'><span style=3D'font-size:78%;color:white;mso-co=
lor-index:
 0'><b>digit categories, assign the appropriate E code for other multiple d=
rugs
 and </b></span></span><span style=3D'position:absolute;top:89.5%;left:11.7=
9%;
 width:79.02%;height:3.25%'><span style=3D'font-size:78%;color:white;mso-co=
lor-index:
 0'><b>medicinal substances. &#13;</b></span></span>
 <div style=3D'mso-char-wrap:0;mso-kinsoku-overflow:0;position:absolute;
 top:92.5%;left:11.79%;width:79.02%;height:3.25%'><span style=3D'font-size:=
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 color:white;mso-color-index:0;mso-special-format:lastCR;display:none'>&#13=
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0%;
 left:5.99%;width:88.2%;height:9.25%'><span style=3D'color:aqua'>E-Codes</s=
pan></div>
 <div v:shape=3D"_x0000_s23555">
 <div class=3DO1 style=3D'mso-margin-left-alt:504'></div>
 <div class=3DO2 style=3D'mso-margin-left-alt:792'></div>
 <div class=3DO3 style=3D'mso-margin-left-alt:1080'></div>
 <div class=3DO4 style=3D'mso-margin-left-alt:1368'></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:25.0=
%;
 left:13.48%;width:76.4%;height:3.5%'><span style=3D'font-size:89%;color:ye=
llow'>MULTIPLE
 CAUSE E CODE CODING GUIDELINES &#13;</span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:28.7=
4%;
 left:13.48%;width:76.4%;height:3.5%'><span style=3D'font-size:89%;color:ye=
llow;
 display:none'>&#13;</span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216'><span style=3D'position:a=
bsolute;
 top:32.25%;left:17.22%;width:84.45%;height:3.25%'><span style=3D'font-size=
:78%;
 color:white;mso-color-index:0;font-weight:bold'><span style=3D'mso-special=
-format:
 "numbullet3\,1";position:absolute;left:-4.43%'>1.</span></span><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>If two or more ev=
ents
 cause separate injuries, an E code should be assigned </b></span></span><s=
pan
 style=3D'position:absolute;top:35.25%;left:17.22%;width:84.64%;height:3.25=
%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>for each cause. T=
he
 first listed E code will be selected in the following order:&#13;</b></spa=
n></span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:38.5=
%;
 left:13.48%;width:76.4%;height:3.25%'><span style=3D'font-size:78%;color:w=
hite;
 mso-color-index:0;display:none'><b>&#13;</b></span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216'><span style=3D'position:a=
bsolute;
 top:41.5%;left:13.48%;width:88.01%;height:3.25%'><span style=3D'font-size:=
78%;
 color:white;mso-color-index:0'><b><span style=3D'mso-tab-count:1;width:4.2=
6%'> </span>E
 codes for child and adult abuse take priority over all other E codes- <span
 style=3D'mso-tab-count:1;width:2.14%'> </span>see </b></span></span><span
 style=3D'position:absolute;top:44.5%;left:17.22%;width:72.65%;height:3.25%=
'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>Child and Adult a=
buse
 guidelines&#13;</b></span></span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:47.7=
5%;
 left:13.48%;width:76.4%;height:3.25%'><span style=3D'font-size:78%;color:w=
hite;
 mso-color-index:0;display:none'><b>&#13;</b></span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:50.7=
4%;
 left:13.48%;width:77.71%;height:3.25%'><span style=3D'font-size:78%;color:=
white;
 mso-color-index:0'><b><span style=3D'mso-tab-count:1;width:4.82%'> </span>E
 codes for cataclysmic events take priority over all other e codes &#13;</b=
></span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:54.0=
%;
 left:13.48%;width:76.4%;height:3.25%'><span style=3D'font-size:78%;color:w=
hite;
 mso-color-index:0'><b><span style=3D'mso-tab-count:1;width:4.9%'> </span>e=
xcept
 child and adult abuse&#13;</b></span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:56.9=
9%;
 left:13.48%;width:76.4%;height:3.25%'><span style=3D'font-size:78%;color:w=
hite;
 mso-color-index:0;display:none'><b>&#13;</b></span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:60.0=
%;
 left:13.48%;width:78.08%;height:3.25%'><span style=3D'font-size:78%;color:=
white;
 mso-color-index:0'><b><span style=3D'mso-tab-count:1;width:4.8%'> </span>E=
 codes
 for transport accidents take priority over all other e codes &#13;</b></sp=
an></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:63.2=
4%;
 left:13.48%;width:76.4%;height:3.25%'><span style=3D'font-size:78%;color:w=
hite;
 mso-color-index:0'><b><span
 style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
 </span>except cataclysmic events and child and adult abuse&#13;</b></span>=
</div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:66.2=
5%;
 left:13.48%;width:76.4%;height:3.25%'><span style=3D'font-size:78%;color:w=
hite;
 mso-color-index:0;display:none'><b>&#13;</b></span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216'><span style=3D'position:a=
bsolute;
 top:69.5%;left:13.48%;width:91.01%;height:3.25%'><span style=3D'font-size:=
78%;
 color:white;mso-color-index:0'><b>The first list E code should correspond =
to
 the cause of the most serious diagnosis </b></span></span><span
 style=3D'position:absolute;top:72.5%;left:17.22%;width:80.71%;height:3.25%=
'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>due to an assault,
 accident, or self-harm, following the order of hierarchy </b></span></span=
><span
 style=3D'position:absolute;top:75.5%;left:17.22%;width:72.65%;height:3.25%=
'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>listed above.</b>=
</span></span></div>
 </div>
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 </v:rect>
 <div v:shape=3D"_x0000_s25602" class=3DT style=3D'position:absolute;top:8.=
0%;
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pan></div>
 <div v:shape=3D"_x0000_s25603" class=3DO>
 <div style=3D'position:absolute;top:22.0%;left:9.36%;width:84.83%;height:3=
.25%'><span
 style=3D'font-size:78%;color:yellow'><b>CHILD AND ADULT ABUSE GUIDELINE &#=
13;</b></span></div>
 <div style=3D'position:absolute;top:25.0%;left:9.36%;width:84.83%;height:3=
.25%'><span
 style=3D'font-size:78%;color:yellow;display:none'><b>&#13;</b></span></div>
 <span style=3D'position:absolute;top:28.24%;left:9.36%;width:101.31%;heigh=
t:
 3.25%'><span style=3D'font-size:78%;color:white;mso-color-index:0'><b>1. W=
hen
 the cause of an injury or neglect is intentional child or adult abuse, the
 first listed e </b></span></span><span style=3D'position:absolute;top:31.2=
5%;
 left:9.36%;width:93.63%;height:3.25%'><span style=3D'font-size:78%;color:w=
hite;
 mso-color-index:0'><b>code should be assigned from categories E960-E968,
 Homicide and injury purposely </b></span></span><span style=3D'position:ab=
solute;
 top:34.25%;left:9.36%;width:97.19%;height:3.25%'><span style=3D'font-size:=
78%;
 color:white;mso-color-index:0'><b>inflicted by other persons, (except cate=
gory
 E967). An E code from category E967, Child </b></span></span><span
 style=3D'position:absolute;top:37.5%;left:9.36%;width:94.38%;height:3.25%'=
><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>and adult batteri=
ng and
 other maltreatment, should be added as an additional code to </b></span></=
span><span
 style=3D'position:absolute;top:40.5%;left:9.36%;width:84.83%;height:3.25%'=
><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>identify the
 perpetrator, if known. &#13;</b></span></span>
 <div style=3D'position:absolute;top:43.75%;left:9.36%;width:84.83%;height:=
3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0;display:none'><b>&#13=
;</b></span></div>
 <span style=3D'position:absolute;top:46.75%;left:9.36%;width:92.13%;height=
:3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>2. In cases of ne=
glect
 when the intent is determined to be accidental E code E904.0, </b></span><=
/span><span
 style=3D'position:absolute;top:49.75%;left:9.36%;width:97.56%;height:3.25%=
'><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>Abandonment or ne=
glect
 of infant and helpless person, should be the first listed E code.</b></spa=
n><span
 style=3D'font-size:78%;text-shadow:auto;color:white;mso-color-index:0'><b>=
 &#13;</b></span></span>
 <div style=3D'mso-char-wrap:0;mso-kinsoku-overflow:0;position:absolute;
 top:53.0%;left:9.36%;width:84.83%;height:3.25%'><span style=3D'font-size:7=
8%;
 text-shadow:auto;color:white;mso-color-index:0;mso-special-format:lastCR;
 display:none'>&#13;</span></div>
 </div>
 <div v:shape=3D"_x0000_s25604" class=3DO>
 <div style=3D'position:absolute;top:59.0%;left:11.04%;width:84.08%;height:=
4.0%'><span
 style=3D'font-size:78%;color:yellow'><b>UNKNOWN OR SUSPECTED INTENT GUIDEL=
INE</b></span><span
 style=3D'color:white;mso-color-index:0'><b> &#13;</b></span></div>
 <div style=3D'position:absolute;top:63.0%;left:11.04%;width:84.08%;height:=
4.0%'><span
 style=3D'color:white;mso-color-index:0;display:none'><b>&#13;</b></span></=
div>
 <span style=3D'position:absolute;top:66.75%;left:11.04%;width:92.69%;heigh=
t:
 3.25%'><span style=3D'font-size:78%;color:white;mso-color-index:0'><b>1. I=
f the
 intent (accident, self-harm, assault) of the cause of an injury or poisoni=
ng
 is </b></span></span><span style=3D'position:absolute;top:70.0%;left:11.04=
%;
 width:84.08%;height:3.25%'><span style=3D'font-size:78%;color:white;mso-co=
lor-index:
 0'><b>unknown or unspecified, code the intent as undetermined E980-E989. &=
#13;</b></span></span>
 <div style=3D'position:absolute;top:73.0%;left:11.04%;width:84.08%;height:=
3.25%'><span
 style=3D'font-size:78%;color:white;mso-color-index:0;display:none'><b>&#13=
;</b></span></div>
 <span style=3D'position:absolute;top:76.25%;left:11.04%;width:92.69%;heigh=
t:
 3.25%'><span style=3D'font-size:78%;color:white;mso-color-index:0'><b>2. I=
f the
 intent (accident, self-harm, assault) of the cause of an injury or poisoni=
ng
 is </b></span></span><span style=3D'position:absolute;top:79.25%;left:11.0=
4%;
 width:90.63%;height:3.25%'><span style=3D'font-size:78%;color:white;mso-co=
lor-index:
 0'><b>questionable, probable or suspected, code the intent as undetermined
 E980-E989</b></span><span style=3D'font-size:78%;text-shadow:auto;color:wh=
ite;
 mso-color-index:0'><b>. &#13;</b></span></span>
 <div style=3D'mso-char-wrap:0;mso-kinsoku-overflow:0;position:absolute;
 top:82.25%;left:11.04%;width:84.08%;height:3.25%'><span style=3D'font-size=
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 text-shadow:auto;color:white;mso-color-index:0;mso-special-format:lastCR;
 display:none'>&#13;</span></div>
 </div>
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 <div v:shape=3D"_x0000_s27650">
 <div class=3DO1 style=3D'mso-margin-left-alt:504'></div>
 <div class=3DO2 style=3D'mso-margin-left-alt:792'></div>
 <div class=3DO3 style=3D'mso-margin-left-alt:1080'></div>
 <div class=3DO4 style=3D'mso-margin-left-alt:1368'></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:17.5=
%;
 left:8.42%;width:84.83%;height:3.25%'><span style=3D'font-size:78%;color:y=
ellow'><b>UNDETERMINED
 CAUSE</b></span><span style=3D'font-size:78%;color:yellow'> &#13;</span></=
div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:20.5=
%;
 left:8.42%;width:84.83%;height:3.25%'><span style=3D'font-size:78%;color:y=
ellow;
 display:none'>&#13;</span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:23.7=
5%;
 left:8.42%;width:95.31%;height:3.25%'><span style=3D'position:absolute;
 top:0%;left:3.92%;width:96.07%;height:100.0%'><span style=3D'font-size:78%;
 color:white;mso-color-index:0'><span style=3D'mso-special-format:"numbulle=
t3\,1";
 position:absolute;left:-4.08%'>1.</span></span><span style=3D'font-size:78=
%;
 color:white;mso-color-index:0'>When the intent of an injury or poisoning is
 known, but the cause is unknown, use codes:<span
 style=3D'mso-spacerun:yes'>&nbsp; </span>&#13;</span></span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216'><span style=3D'position:a=
bsolute;
 top:26.75%;left:8.42%;width:100.0%;height:3.25%'><span style=3D'font-size:=
78%;
 color:white;mso-color-index:0'><span
 style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>E92=
8.9,
 Unspecified accident, E958.9, Suicide and self-inflicted injury by unspeci=
fied
 means, </span></span><span style=3D'position:absolute;top:30.0%;left:12.17=
%;
 width:81.08%;height:3.25%'><span style=3D'font-size:78%;color:white;mso-co=
lor-index:
 0'>and E968.9, Assault by unspecified means.&#13;</span></span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:33.0=
%;
 left:8.42%;width:84.83%;height:3.25%'><span style=3D'font-size:78%;color:w=
hite;
 mso-color-index:0;display:none'>&#13;</span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:36.0=
%;
 left:8.42%;width:94.56%;height:3.25%'><span style=3D'font-size:78%;color:w=
hite;
 mso-color-index:0'>2. These E codes should rarely be used as the documenta=
tion
 in the medical record, in both&#13;</span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:39.2=
5%;
 left:8.42%;width:99.43%;height:3.25%'><span style=3D'font-size:78%;color:w=
hite;
 mso-color-index:0'><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbs=
p;
 </span>the inpatient and outpatient settings, should normally provide
 sufficient detail to determine the&#13;</span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:42.2=
5%;
 left:8.42%;width:84.83%;height:3.25%'><span style=3D'font-size:78%;color:w=
hite;
 mso-color-index:0'><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbs=
p;
 </span>cause of the injury.</span></div>
 </div>
 <div v:shape=3D"_x0000_s27651">
 <div class=3DO1 style=3D'mso-margin-left-alt:504'></div>
 <div class=3DO2 style=3D'mso-margin-left-alt:792'></div>
 <div class=3DO3 style=3D'mso-margin-left-alt:1080'></div>
 <div class=3DO4 style=3D'mso-margin-left-alt:1368'></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:56.4=
9%;
 left:6.92%;width:87.26%;height:3.25%'><span style=3D'font-size:78%;color:y=
ellow'><b>LATE
 EFFECTS OF EXTERNAL CAUSE GUIDELINES&#13;</b></span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:59.5=
%;
 left:6.92%;width:87.26%;height:3.25%'><span style=3D'font-size:78%;color:y=
ellow;
 display:none'><b>&#13;</b></span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:62.5=
%;
 left:6.92%;width:101.87%;height:3.25%'><span style=3D'position:absolute;
 top:0%;left:3.67%;width:96.32%;height:100.0%'><span style=3D'font-size:78%;
 color:white;mso-color-index:0;font-weight:bold'><span style=3D'mso-special=
-format:
 "numbullet3\,1";position:absolute;left:-3.81%'>1.</span></span><span
 style=3D'font-size:78%;color:white;mso-color-index:0'><b>Late effect E cod=
es
 exist for injuries and poisonings but not for adverse effects of drugs, &#=
13;</b></span></span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:65.7=
5%;
 left:6.92%;width:87.26%;height:3.25%'><span style=3D'font-size:78%;color:w=
hite;
 mso-color-index:0'><b><span
 style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
 </span>misadventures and surgical complications. &#13;</b></span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:68.7=
5%;
 left:6.92%;width:87.26%;height:3.25%'><span style=3D'font-size:78%;color:w=
hite;
 mso-color-index:0;display:none'><b>&#13;</b></span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:72.0=
%;
 left:6.92%;width:103.37%;height:3.25%'><span style=3D'font-size:78%;color:=
white;
 mso-color-index:0'><b>2. A late effect E code (E929, E959, E969, E977, E98=
9,
 or E999) should be used with any report &#13;</b></span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:75.0=
%;
 left:6.92%;width:92.32%;height:3.25%'><span style=3D'font-size:78%;color:w=
hite;
 mso-color-index:0'><b><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;
 </span>of a late effect or sequela resulting from a previous injury or
 poisoning (905-909). &#13;</b></span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:78.0=
%;
 left:6.92%;width:87.26%;height:3.25%'><span style=3D'font-size:78%;color:w=
hite;
 mso-color-index:0;display:none'><b>&#13;</b></span></div>
 <div class=3DO style=3D'mso-margin-left-alt:216;position:absolute;top:81.2=
5%;
 left:6.92%;width:97.19%;height:3.25%'><span style=3D'font-size:78%;color:w=
hite;
 mso-color-index:0'><b>3. A late effect E code should never be used with a
 related current nature of injury code</b></span><span style=3D'font-size:7=
8%;
 text-shadow:auto;color:white;mso-color-index:0'><b>. &#13;</b></span></div>
 <div class=3DO style=3D'text-align:center;mso-margin-left-alt:216;mso-char=
-wrap:
 0;mso-kinsoku-overflow:0;position:absolute;top:84.25%;left:6.92%;width:87.=
26%;
 height:3.25%'><span style=3D'font-size:78%;text-shadow:auto;color:white;
 mso-color-index:0;mso-special-format:lastCR;display:none'>&#13;</span></di=
v>
 </div>
 <div v:shape=3D"_x0000_s27652" class=3DT style=3D'position:absolute;top:6.=
25%;
 left:5.99%;width:88.2%;height:9.25%'><span style=3D'color:aqua'>E-Codes</s=
pan></div>
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58.23%;
 width:34.64%;height:66.5%'><![endif]>
 <div v:shape=3D"_x0000_s29698" class=3DT style=3D'position:absolute;top:8.=
0%;
 left:5.99%;width:88.2%;height:9.25%'><span style=3D'color:aqua'><b>Abbrevi=
ated
 Injury Scale</b></span> </div>
 <div v:shape=3D"_x0000_s29699" class=3DHB>
 <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute;
 top:23.75%;left:9.73%;width:41.57%;height:3.25%'><span style=3D'font-size:=
50%;
 color:white;mso-color-index:0'><span style=3D'mso-special-format:bullet;
 position:absolute;left:-9.0%'>&#8226;</span></span><span style=3D'font-siz=
e:
 50%;color:white;mso-color-index:0'>The Abbreviated Injury Scale (AIS) is a=
n </span></span><span
 style=3D'position:absolute;top:26.25%;left:9.73%;width:45.88%;height:3.25%=
'><span
 style=3D'font-size:50%;color:white;mso-color-index:0'>anatomical scoring s=
ystem
 first introduced in </span></span><span style=3D'position:absolute;top:28.=
49%;
 left:9.73%;width:41.94%;height:3.25%'><span style=3D'font-size:50%;color:w=
hite;
 mso-color-index:0'>1969. Since this time it has been revised </span></span=
><span
 style=3D'position:absolute;top:31.0%;left:9.73%;width:44.19%;height:3.25%'=
><span
 style=3D'font-size:50%;color:white;mso-color-index:0'>and updated against
 survival so that it now </span></span><span style=3D'position:absolute;
 top:33.5%;left:9.73%;width:39.88%;height:3.25%'><span style=3D'font-size:5=
0%;
 color:white;mso-color-index:0'>provides a reasonably accurate was of </spa=
n></span><span
 style=3D'position:absolute;top:36.0%;left:9.73%;width:40.63%;height:3.25%'=
><span
 style=3D'font-size:50%;color:white;mso-color-index:0'>ranking the severity=
 of
 injury. The latest </span></span><span style=3D'position:absolute;top:38.5=
%;
 left:9.73%;width:40.82%;height:3.25%'><span style=3D'font-size:50%;color:w=
hite;
 mso-color-index:0'>incarnation of the AIS score is the 1990 </span></span>=
<span
 style=3D'position:absolute;top:41.0%;left:9.73%;width:44.19%;height:3.25%'=
><span
 style=3D'font-size:50%;color:white;mso-color-index:0'>revision. The AIS is
 monitored by a scaling </span></span><span style=3D'position:absolute;
 top:43.5%;left:9.73%;width:38.57%;height:3.25%'><span style=3D'font-size:5=
0%;
 color:white;mso-color-index:0'>committee of the Association for the </span=
></span><span
 style=3D'position:absolute;top:46.0%;left:9.73%;width:39.88%;height:3.25%'=
><span
 style=3D'font-size:50%;color:white;mso-color-index:0'>Advancement of Autom=
otive
 Medicine. &#13;</span></span></div>
 <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute;
 top:49.0%;left:9.73%;width:45.13%;height:3.25%'><span style=3D'font-size:5=
0%;
 color:white;mso-color-index:0'><span style=3D'mso-special-format:bullet;
 position:absolute;left:-8.29%'>&#8226;</span></span><span style=3D'font-si=
ze:
 50%;color:white;mso-color-index:0'>Injuries are ranked on a scale of 1 to =
6,
 with </span></span><span style=3D'position:absolute;top:51.5%;left:9.73%;
 width:38.57%;height:3.25%'><span style=3D'font-size:50%;color:white;mso-co=
lor-index:
 0'>1 being minor, 5 severe and 6 an </span></span><span style=3D'position:=
absolute;
 top:54.0%;left:9.73%;width:40.63%;height:3.25%'><span style=3D'font-size:5=
0%;
 color:white;mso-color-index:0'>unsurvivable injury. This represents the </=
span></span><span
 style=3D'position:absolute;top:56.49%;left:9.73%;width:46.06%;height:3.25%=
'><span
 style=3D'font-size:50%;color:white;mso-color-index:0'>'threat to life'
 associated with an injury and is </span></span><span style=3D'position:abs=
olute;
 top:59.0%;left:9.73%;width:41.94%;height:3.25%'><span style=3D'font-size:5=
0%;
 color:white;mso-color-index:0'>not meant to represent a comprehensive </sp=
an></span><span
 style=3D'position:absolute;top:61.5%;left:9.73%;width:45.88%;height:3.25%'=
><span
 style=3D'font-size:50%;color:white;mso-color-index:0'>measure of severity.=
 The
 AIS is not an injury </span></span><span style=3D'position:absolute;top:64=
.0%;
 left:9.73%;width:43.07%;height:3.25%'><span style=3D'font-size:50%;color:w=
hite;
 mso-color-index:0'>scale, in that the difference between AIS1 </span></spa=
n><span
 style=3D'position:absolute;top:66.5%;left:9.73%;width:43.25%;height:3.25%'=
><span
 style=3D'font-size:50%;color:white;mso-color-index:0'>and AIS2 is not the =
same
 as that between </span></span><span style=3D'position:absolute;top:68.75%;
 left:9.73%;width:44.75%;height:3.25%'><span style=3D'font-size:50%;color:w=
hite;
 mso-color-index:0'>AIS4 and AIS5. There are many similarities </span></spa=
n><span
 style=3D'position:absolute;top:71.25%;left:9.73%;width:45.13%;height:3.25%=
'><span
 style=3D'font-size:50%;color:white;mso-color-index:0'>between the AIS scal=
e and
 the </span><span style=3D'font-size:50%;color:white;mso-color-index:0'>Org=
an
 Injury </span></span><span style=3D'position:absolute;top:73.75%;left:9.73=
%;
 width:44.0%;height:3.25%'><span style=3D'font-size:50%;color:white;mso-col=
or-index:
 0'>Scales</span><span style=3D'font-size:50%;color:white;mso-color-index:0=
'> of
 the American Association for the </span></span><span style=3D'position:abs=
olute;
 top:76.25%;left:9.73%;width:38.57%;height:3.25%'><span style=3D'font-size:=
50%;
 color:white;mso-color-index:0'>Surgery of Trauma. </span></span></div>
 </div>
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line-spacing:
 "100 0 0";position:absolute;top:80.5%;left:72.84%;width:19.85%;height:3.75=
%'><span
 style=3D'font-family:Verdana;font-size:57%;color:white;mso-color-index:0'>=
<b>Unsurvivable
 </b></span><span style=3D'font-size:57%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'><b>&#13;</b></span></div>
 <div v:shape=3D"_x0000_s29702" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:80.5%;left:59.36%;width:12.35%;height:3.75=
%'><span
 style=3D'font-family:Verdana;font-size:57%;color:white;mso-color-index:0'>=
<b>6 </b></span><span
 style=3D'font-size:57%;color:white;mso-color-index:0;mso-special-format:la=
stCR;
 display:none'><b>&#13;</b></span></div>
 <div v:shape=3D"_x0000_s29703" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:71.0%;left:73.59%;width:18.16%;height:3.75=
%'><span
 style=3D'font-family:Verdana;font-size:57%;color:white;mso-color-index:0'>=
<b>Critical
 </b></span><span style=3D'font-size:57%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'><b>&#13;</b></span></div>
 <div v:shape=3D"_x0000_s29704" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:71.0%;left:59.36%;width:12.35%;height:3.75=
%'><span
 style=3D'font-family:Verdana;font-size:57%;color:white;mso-color-index:0'>=
<b>5 </b></span><span
 style=3D'font-size:57%;color:white;mso-color-index:0;mso-special-format:la=
stCR;
 display:none'><b>&#13;</b></span></div>
 <div v:shape=3D"_x0000_s29705" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:61.75%;left:73.59%;width:18.16%;height:3.7=
5%'><span
 style=3D'font-family:Verdana;font-size:57%;color:white;mso-color-index:0'>=
<b>Severe
 </b></span><span style=3D'font-size:57%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'><b>&#13;</b></span></div>
 <div v:shape=3D"_x0000_s29706" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:61.75%;left:59.36%;width:12.35%;height:3.7=
5%'><span
 style=3D'font-family:Verdana;font-size:57%;color:white;mso-color-index:0'>=
<b>4 </b></span><span
 style=3D'font-size:57%;color:white;mso-color-index:0;mso-special-format:la=
stCR;
 display:none'><b>&#13;</b></span></div>
 <div v:shape=3D"_x0000_s29707" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:52.25%;left:73.59%;width:18.16%;height:3.7=
5%'><span
 style=3D'font-family:Verdana;font-size:57%;color:white;mso-color-index:0'>=
<b>Serious
 </b></span><span style=3D'font-size:57%;color:white;mso-color-index:0;
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 <div v:shape=3D"_x0000_s29708" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:52.25%;left:59.36%;width:12.35%;height:3.7=
5%'><span
 style=3D'font-family:Verdana;font-size:57%;color:white;mso-color-index:0'>=
<b>3 </b></span><span
 style=3D'font-size:57%;color:white;mso-color-index:0;mso-special-format:la=
stCR;
 display:none'><b>&#13;</b></span></div>
 <div v:shape=3D"_x0000_s29709" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:42.75%;left:73.59%;width:18.16%;height:3.7=
5%'><span
 style=3D'font-family:Verdana;font-size:57%;color:white;mso-color-index:0'>=
<b>Moderate
 </b></span><span style=3D'font-size:57%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'><b>&#13;</b></span></div>
 <div v:shape=3D"_x0000_s29710" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:42.75%;left:59.36%;width:12.35%;height:3.7=
5%'><span
 style=3D'font-family:Verdana;font-size:57%;color:white;mso-color-index:0'>=
<b>2 </b></span><span
 style=3D'font-size:57%;color:white;mso-color-index:0;mso-special-format:la=
stCR;
 display:none'><b>&#13;</b></span></div>
 <div v:shape=3D"_x0000_s29711" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:33.5%;left:73.59%;width:18.16%;height:3.75=
%'><span
 style=3D'font-family:Verdana;font-size:57%;color:white;mso-color-index:0'>=
<b>Minor
 </b></span><span style=3D'font-size:57%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'><b>&#13;</b></span></div>
 <div v:shape=3D"_x0000_s29712" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:33.5%;left:59.36%;width:12.35%;height:3.75=
%'><span
 style=3D'font-family:Verdana;font-size:57%;color:white;mso-color-index:0'>=
<b>1 </b></span><span
 style=3D'font-size:57%;color:white;mso-color-index:0;mso-special-format:la=
stCR;
 display:none'><b>&#13;</b></span></div>
 <div v:shape=3D"_x0000_s29713" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:24.0%;left:73.59%;width:18.16%;height:3.75=
%'><span
 style=3D'font-family:Verdana;font-size:57%;color:white;mso-color-index:0'>=
<b>Injury
 </b></span><span style=3D'font-size:57%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'><b>&#13;</b></span></div>
 <div v:shape=3D"_x0000_s29714" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:24.0%;left:58.05%;width:14.98%;height:3.75=
%'><span
 style=3D'font-family:Verdana;font-size:57%;color:white;mso-color-index:0'>=
<b>AIS
 Score</b></span><span style=3D'font-size:57%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'><b>&#13;</b></span></div>
 <v:rect id=3D"_x0000_s29726" style=3D'position:absolute;left:48pt;top:466.=
25pt;
  width:390pt;height:55.25pt;rotation:11761873fd;flip:y;v-text-anchor:middl=
e'
  filled=3D"f" fillcolor=3D"#bbe0e3 [4]" stroked=3D"f" strokecolor=3D"black=
 [1]">
  <v:fill color2=3D"white [0]"/>
  <v:shadow color=3D"gray [2]"/>
  <v:textbox style=3D'mso-fit-shape-to-text:t'/>
 </v:rect><![if !ppt]><img border=3D0 v:shapes=3D"_x0000_s29726"
 src=3D"slide0014_image021.gif"
 alt=3D"Text Box: Copes WS, Sacco WJ, Champion HR, Bain LW, &quot;Progress =
in Characterizing Anatomic Injury&quot;, In Proceedings of the 33rd Annual =
Meeting of the Association for the Advancement of Automotive Medicine, Balt=
imore, MA, USA 205-218&#11;"
 style=3D'position:absolute;top:86.25%;left:6.74%;width:61.42%;height:10.75=
%'><![endif]>
 <div v:shape=3D"_x0000_s29726" class=3DO style=3D'visibility:hidden'><span
 style=3D'position:absolute;top:87.25%;left:7.67%;width:56.17%;height:2.25%=
'><span
 style=3D'font-size:56%;color:yellow'>Copes WS, Sacco WJ, Champion HR, Bain=
 LW,
 &quot;Progress in Characterizing </span></span><span style=3D'position:abs=
olute;
 top:89.5%;left:7.67%;width:60.48%;height:2.25%'><span style=3D'font-size:5=
6%;
 color:yellow'>Anatomic Injury&quot;, In </span><span style=3D'font-size:56=
%;
 color:yellow'><i>Proceedings of the 33rd Annual Meeting of the Association=
 for
 </i></span></span><span style=3D'position:absolute;top:91.5%;left:7.67%;
 width:52.99%;height:2.25%'><span style=3D'font-size:56%;color:yellow'><i>t=
he
 Advancement of Automotive Medicine, Baltimore, MA, USA</i></span><span
 style=3D'font-size:56%;color:yellow'> 205-218<br>
  </span></span><span style=3D'position:absolute;top:93.75%;left:7.67%;
 width:52.43%;height:2.25%'><span style=3D'font-size:56%;color:yellow;mso-s=
pecial-format:
 lastCR;display:none'>&#13;</span></span></div>
</p:slide></div>

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t;top:114pt;
  width:5in;height:288.375pt' filled=3D"f" fillcolor=3D"#bbe0e3 [4]" stroke=
d=3D"f"
  strokecolor=3D"black [1]">
  <v:fill color2=3D"white [0]"/>
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  <v:textbox style=3D'mso-fit-shape-to-text:t'/>
 </v:rect>
 <div v:shape=3D"_x0000_s31746" class=3DT style=3D'position:absolute;top:8.=
0%;
 left:5.99%;width:88.2%;height:9.25%'><span style=3D'color:aqua'><b>Organ I=
njury
 Scaling</b></span> </div>
 <div v:shape=3D"_x0000_s31747" class=3DO>
 <div style=3D'position:absolute;top:76.25%;left:4.3%;width:91.57%;height:2=
.25%'><span
 style=3D'font-size:56%;color:white;mso-color-index:0;display:none'>&#13;</=
span></div>
 <div style=3D'position:absolute;top:78.5%;left:4.3%;width:91.57%;height:2.=
25%'><span
 style=3D'font-size:56%;color:white;mso-color-index:0'>The original papers,
 complete with associated ICD-9 codes are all from the Journal of Trauma,
 referenced below : &#13;</span></div>
 <span style=3D'position:absolute;top:80.75%;left:4.3%;width:91.57%;height:=
2.25%'><span
 style=3D'font-size:56%;color:white;mso-color-index:0'>1. Moore EE, Shackfo=
rd SR,
 Pachter HL, et al: Organ injury scaling - spleen, liver and kidney. J Trau=
ma
 29:1664, 1989.<br>
  </span></span><span style=3D'position:absolute;top:83.0%;left:4.3%;width:=
109.17%;
 height:2.25%'><span style=3D'font-size:56%;color:white;mso-color-index:0'>=
2.
 Moore EE, Cogbill TH, Malangoni MA, et al: Organ injury scaling II: pancre=
as,
 duodenum, small bowel, colon and rectum. J Trauma 30:1427, 1990<br>
  </span></span><span style=3D'position:absolute;top:85.25%;left:4.3%;width=
:101.49%;
 height:2.25%'><span style=3D'font-size:56%;color:white;mso-color-index:0'>=
3.
 Moore EE, Cognill TH, Jurkovich GJ, et al: Organ injury scaling III: chest
 wall, abdominal vascular, ureter, bladder and urethra. J trauma </span></s=
pan><span
 style=3D'position:absolute;top:87.5%;left:4.3%;width:91.57%;height:2.25%'>=
<span
 style=3D'font-size:56%;color:white;mso-color-index:0'>33:337,1992<br>
  </span></span><span style=3D'position:absolute;top:89.75%;left:4.3%;width=
:104.49%;
 height:2.25%'><span style=3D'font-size:56%;color:white;mso-color-index:0'>=
4.
 Moore EE, Malangoni MA, Cogbill TH, et al: Organ injury scaling IV: thorac=
ic
 vascular, lung, cardiac and diaphragm. J Trauma 36:229, 1994<br>
  </span></span><span style=3D'position:absolute;top:92.0%;left:4.3%;width:=
91.57%;
 height:2.25%'><span style=3D'font-size:56%;color:white;mso-color-index:0'>=
5.
 Moore EE, Cogbill TH, Jurkovich MD, et al: Organ injury scaling: spleen and
 liver (1994 revision). J Trauma 38:323, 1995<br>
  </span></span><span style=3D'position:absolute;top:94.25%;left:4.3%;width=
:91.57%;
 height:2.25%'><span style=3D'font-size:56%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'>&#13;</span></span></div>
 <div v:shape=3D"_x0000_s31748" class=3DO>
 <div style=3D'text-align:center;position:absolute;top:26.5%;left:9.17%;
 width:26.96%;height:4.0%'><span style=3D'color:yellow'><b>Thoracic Vascula=
r</b></span><span
 style=3D'color:yellow'> </span><span style=3D'color:yellow;display:none'>&=
#13;</span></div>
 <div style=3D'text-align:center;position:absolute;top:30.5%;left:10.11%;
 width:24.9%;height:4.0%'><span style=3D'color:yellow'><b>Lung</b></span><s=
pan
 style=3D'color:yellow'> &#13;</span></div>
 <div style=3D'text-align:center;position:absolute;top:34.5%;left:10.11%;
 width:24.9%;height:4.0%'><span style=3D'color:yellow'><b>Heart</b></span><=
span
 style=3D'color:yellow'> &#13;</span></div>
 <div style=3D'text-align:center;position:absolute;top:38.5%;left:10.11%;
 width:24.9%;height:4.0%'><span style=3D'color:yellow'><b>Chest Wall</b></s=
pan><span
 style=3D'color:yellow'> &#13;</span></div>
 <div style=3D'text-align:center;position:absolute;top:42.5%;left:10.11%;
 width:24.9%;height:4.0%'><span style=3D'color:yellow'><b>Diaphragm</b></sp=
an><span
 style=3D'color:yellow'> &#13;</span></div>
 <div style=3D'text-align:center;position:absolute;top:46.5%;left:10.11%;
 width:24.9%;height:4.0%'><span style=3D'color:yellow'><b>Spleen</b></span>=
<span
 style=3D'color:yellow'> &#13;</span></div>
 <div style=3D'text-align:center;position:absolute;top:50.5%;left:10.11%;
 width:24.9%;height:4.0%'><span style=3D'color:yellow'><b>Liver</b></span><=
span
 style=3D'color:yellow'> &#13;</span></div>
 <div style=3D'text-align:center;position:absolute;top:54.5%;left:7.67%;
 width:29.77%;height:4.0%'><span style=3D'color:yellow'><b>Abdominal Vascul=
ar</b></span><span
 style=3D'color:yellow'> &#13;</span></div>
 <div style=3D'text-align:center;position:absolute;top:58.5%;left:10.11%;
 width:24.9%;height:4.0%'><span style=3D'color:yellow'><b>Kidney</b></span>=
<span
 style=3D'color:yellow'> &#13;</span></div>
 <div style=3D'text-align:center;position:absolute;top:62.5%;left:10.11%;
 width:24.9%;height:4.0%'><span style=3D'color:yellow'><b>Ureter</b></span>=
<span
 style=3D'color:yellow'> &#13;</span></div>
 <div style=3D'text-align:center;position:absolute;top:66.5%;left:10.11%;
 width:24.9%;height:4.0%'><span style=3D'color:yellow'><b>Bladder</b></span=
><span
 style=3D'color:yellow'> &#13;</span></div>
 <div style=3D'text-align:center;position:absolute;top:70.5%;left:10.11%;
 width:24.9%;height:4.0%'><span style=3D'color:yellow'><b>Urethra</b></span=
><span
 style=3D'color:yellow'> </span></div>
 </div>
 <div v:shape=3D"_x0000_s31749" class=3DO>
 <div style=3D'position:absolute;top:22.0%;left:44.38%;width:48.12%;height:=
4.0%'>&#13;</div>
 <span style=3D'position:absolute;top:26.0%;left:44.38%;width:54.3%;height:=
4.0%'><span
 style=3D'color:white;mso-color-index:0'>The Organ Injury Scaling given her=
e was </span></span><span
 style=3D'position:absolute;top:30.0%;left:44.38%;width:51.12%;height:4.0%'=
><span
 style=3D'color:white;mso-color-index:0'>developed by the Organ Injury Scal=
ing </span></span><span
 style=3D'position:absolute;top:34.0%;left:44.38%;width:57.11%;height:4.0%'=
><span
 style=3D'color:white;mso-color-index:0'>Committee of the </span><span
 style=3D'color:white;mso-color-index:0'>American Association for </span></=
span><span
 style=3D'position:absolute;top:38.0%;left:44.38%;width:48.12%;height:4.0%'=
><span
 style=3D'color:white;mso-color-index:0'>the Surgery of Trauma</span><span
 style=3D'color:white;mso-color-index:0'>. Originally </span></span><span
 style=3D'position:absolute;top:42.0%;left:44.38%;width:55.24%;height:4.0%'=
><span
 style=3D'color:white;mso-color-index:0'>convened in 1987, these scoring sy=
stems </span></span><span
 style=3D'position:absolute;top:46.0%;left:44.38%;width:49.81%;height:4.0%'=
><span
 style=3D'color:white;mso-color-index:0'>are modified and updated as deemed=
 </span></span><span
 style=3D'position:absolute;top:50.0%;left:44.38%;width:48.12%;height:4.0%'=
><span
 style=3D'color:white;mso-color-index:0'>appropriate. &#13;</span></span><s=
pan
 style=3D'position:absolute;top:54.0%;left:44.38%;width:54.11%;height:4.0%'=
><span
 style=3D'color:white;mso-color-index:0'>The scale is graded 1 through 6 fo=
r each
 </span></span><span style=3D'position:absolute;top:57.99%;left:44.38%;
 width:57.11%;height:4.0%'><span style=3D'color:white;mso-color-index:0'>or=
gan, 1
 being least severe and 5 the most </span></span><span style=3D'position:ab=
solute;
 top:62.0%;left:44.38%;width:53.93%;height:4.0%'><span style=3D'color:white;
 mso-color-index:0'>severe injury from which the patient may </span></span>=
<span
 style=3D'position:absolute;top:66.0%;left:44.38%;width:54.49%;height:4.0%'=
><span
 style=3D'color:white;mso-color-index:0'>survive. Grade 6 injuries are by
 definition </span></span><span style=3D'position:absolute;top:70.0%;left:4=
4.38%;
 width:48.12%;height:4.0%'><span style=3D'color:white;mso-color-index:0'>not
 salvageable.</span> </span></div>
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0%;
 left:5.99%;width:88.2%;height:9.25%'><span style=3D'color:aqua'><b>Injury
 Severity Score</b></span> </div>
 <div v:shape=3D"_x0000_s33795" class=3DHB style=3D'mso-line-spacing:"90 20=
 0"'><span
 style=3D'position:absolute;top:22.75%;left:8.05%;width:36.89%;height:3.5%'=
><span
 style=3D'font-size:57%;color:white;mso-color-index:0'><span style=3D'mso-s=
pecial-format:
 bullet;position:absolute;left:-10.15%'>&#8226;</span></span><span
 style=3D'font-size:57%;color:white;mso-color-index:0'>The Injury Severity =
Score
 (ISS) </span></span><span style=3D'position:absolute;top:26.0%;left:8.05%;
 width:38.01%;height:3.5%'><span style=3D'font-size:57%;color:white;mso-col=
or-index:
 0'>is an anatomical scoring system </span></span><span style=3D'position:a=
bsolute;
 top:29.25%;left:8.05%;width:38.95%;height:3.5%'><span style=3D'font-size:5=
7%;
 color:white;mso-color-index:0'>that provides an overall score for </span><=
/span><span
 style=3D'position:absolute;top:32.5%;left:8.05%;width:34.83%;height:3.5%'>=
<span
 style=3D'font-size:57%;color:white;mso-color-index:0'>patients with multip=
le
 injuries. </span></span><span style=3D'position:absolute;top:35.75%;left:8=
.05%;
 width:32.77%;height:3.5%'><span style=3D'font-size:57%;color:white;mso-col=
or-index:
 0'>Each injury is assigned an </span></span><span style=3D'position:absolu=
te;
 top:39.0%;left:8.05%;width:35.95%;height:3.5%'><span style=3D'font-size:57=
%;
 color:white;mso-color-index:0'>Abbreviated Injury Scale</span><span
 style=3D'font-size:57%;color:white;mso-color-index:0'> (AIS) </span></span=
><span
 style=3D'position:absolute;top:42.25%;left:8.05%;width:37.07%;height:3.5%'=
><span
 style=3D'font-size:57%;color:white;mso-color-index:0'>score and is allocat=
ed to
 one of </span></span><span style=3D'position:absolute;top:45.25%;left:8.05=
%;
 width:35.58%;height:3.5%'><span style=3D'font-size:57%;color:white;mso-col=
or-index:
 0'>six body regions (Head, Face, </span></span><span style=3D'position:abs=
olute;
 top:48.5%;left:8.05%;width:34.83%;height:3.5%'><span style=3D'font-size:57=
%;
 color:white;mso-color-index:0'>Chest, Abdomen, Extremities </span></span><=
span
 style=3D'position:absolute;top:51.74%;left:8.05%;width:33.14%;height:3.5%'=
><span
 style=3D'font-size:57%;color:white;mso-color-index:0'>(including Pelvis),
 External). </span></span><span style=3D'position:absolute;top:55.0%;left:8=
.05%;
 width:34.64%;height:3.5%'><span style=3D'font-size:57%;color:white;mso-col=
or-index:
 0'>Only the highest AIS score in </span></span><span style=3D'position:abs=
olute;
 top:58.25%;left:8.05%;width:38.2%;height:3.5%'><span style=3D'font-size:57=
%;
 color:white;mso-color-index:0'>each body region is used. The 3 </span></sp=
an><span
 style=3D'position:absolute;top:61.5%;left:8.05%;width:32.77%;height:3.5%'>=
<span
 style=3D'font-size:57%;color:white;mso-color-index:0'>most severely injure=
d body
 </span></span><span style=3D'position:absolute;top:64.75%;left:8.05%;width=
:38.95%;
 height:3.5%'><span style=3D'font-size:57%;color:white;mso-color-index:0'>r=
egions
 have their score squared </span></span><span style=3D'position:absolute;
 top:67.75%;left:8.05%;width:36.7%;height:3.5%'><span style=3D'font-size:57=
%;
 color:white;mso-color-index:0'>and added together to produce </span></span=
><span
 style=3D'position:absolute;top:71.0%;left:8.05%;width:32.77%;height:3.5%'>=
<span
 style=3D'font-size:57%;color:white;mso-color-index:0'>the ISS score </span=
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45.69%;
 width:49.62%;height:59.0%'><![endif]>
 <div v:shape=3D"_x0000_s33797" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:77.0%;left:85.39%;width:8.8%;height:4.25%'=
><span
 style=3D'font-family:Verdana;font-size:64%;color:white;mso-color-index:0'>=
<b>50 </b></span><span
 style=3D'font-size:64%;color:white;mso-color-index:0;mso-special-format:la=
stCR;
 display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33798" class=3DTbl style=3D'text-align:right;mso-l=
ine-spacing:
 "100 0 0";position:absolute;top:77.0%;left:46.81%;width:36.7%;height:3.5%'=
><span
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bsp; </span><span
 style=3D'font-size:50%;mso-special-format:lastCR;display:none'>&#13;</span=
></div>
 <div v:shape=3D"_x0000_s33799" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:72.0%;left:85.39%;width:8.8%;height:2.5%'>=
<span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
&nbsp;
 </span><span style=3D'font-size:36%;color:white;mso-color-index:0;mso-spec=
ial-format:
 lastCR;display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33800" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:70.75%;left:79.77%;width:3.74%;height:2.5%=
'><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
0 </span><span
 style=3D'font-size:36%;color:white;mso-color-index:0;mso-special-format:la=
stCR;
 display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33801" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:70.75%;left:59.55%;width:18.35%;height:2.5=
%'><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
No
 Injury </span><span style=3D'font-size:36%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33802" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:70.75%;left:46.81%;width:10.86%;height:2.5=
%'><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
<b>External
 </b></span><span style=3D'font-size:36%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33803" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:65.75%;left:85.39%;width:8.8%;height:2.5%'=
><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
&nbsp;
 </span><span style=3D'font-size:36%;color:white;mso-color-index:0;mso-spec=
ial-format:
 lastCR;display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33804" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:64.25%;left:79.77%;width:3.74%;height:2.5%=
'><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
3 </span><span
 style=3D'font-size:36%;color:white;mso-color-index:0;mso-special-format:la=
stCR;
 display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33805" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:64.25%;left:59.55%;width:18.35%;height:2.5=
%'><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
Fractured
 femur </span><span style=3D'font-size:36%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33806" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:64.25%;left:46.81%;width:10.86%;height:2.5=
%'><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
<b>Extremity
 </b></span><span style=3D'font-size:36%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33807" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:57.25%;left:85.39%;width:8.8%;height:2.5%'=
><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
&nbsp;25
 </span><span style=3D'font-size:36%;color:white;mso-color-index:0;mso-spec=
ial-format:
 lastCR;display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33808" class=3DTbl>
 <div style=3D'text-align:center;mso-line-spacing:"100 0 0";position:absolu=
te;
 top:54.0%;left:79.77%;width:3.74%;height:2.5%'><span style=3D'font-family:=
Verdana;
 font-size:36%;color:white;mso-color-index:0'>2&#13;</span></div>
 <div style=3D'text-align:center;mso-line-spacing:"100 0 0";position:absolu=
te;
 top:56.25%;left:79.77%;width:3.74%;height:2.5%'><span style=3D'font-family=
:Verdana;
 font-size:36%;color:white;mso-color-index:0'>5 </span><span style=3D'font-=
size:
 36%;color:white;mso-color-index:0;mso-special-format:lastCR;display:none'>=
&#13;</span></div>
 </div>
 <div v:shape=3D"_x0000_s33809" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0"'><span style=3D'position:absolute;top:54.0%;left:58.42%;width:20=
.59%;
 height:2.5%'><span style=3D'font-family:Verdana;font-size:36%;color:white;
 mso-color-index:0'>Minor Contusion of Liver<br>
  </span></span><span style=3D'position:absolute;top:56.25%;left:63.29%;
 width:14.79%;height:2.5%'><span style=3D'font-family:Verdana;font-size:36%;
 color:white;mso-color-index:0'>Complex Rupture </span></span><span
 style=3D'position:absolute;top:58.5%;left:63.29%;width:14.6%;height:2.5%'>=
<span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
Spleen
 </span><span style=3D'font-size:36%;color:white;mso-color-index:0;mso-spec=
ial-format:
 lastCR;display:none'>&#13;</span></span></div>
 <div v:shape=3D"_x0000_s33810" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:54.0%;left:46.81%;width:10.86%;height:2.5%=
'><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
<b>Abdomen
 </b></span><span style=3D'font-size:36%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33811" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:49.5%;left:85.39%;width:8.8%;height:2.5%'>=
<span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
<span
 style=3D'mso-spacerun:yes'>&nbsp;</span>16 </span><span style=3D'font-size=
:36%;
 color:white;mso-color-index:0;mso-special-format:lastCR;display:none'>&#13=
;</span></div>
 <div v:shape=3D"_x0000_s33812" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:48.5%;left:79.77%;width:3.74%;height:2.5%'=
><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
4 </span><span
 style=3D'font-size:36%;color:white;mso-color-index:0;mso-special-format:la=
stCR;
 display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33813" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:48.5%;left:59.55%;width:18.35%;height:2.5%=
'><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
Flail
 Chest </span><span style=3D'font-size:36%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33814" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:48.5%;left:46.81%;width:10.86%;height:2.5%=
'><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
<b>Chest
 </b></span><span style=3D'font-size:36%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33815" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:43.75%;left:85.39%;width:8.8%;height:2.5%'=
><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
&nbsp;
 </span><span style=3D'font-size:36%;color:white;mso-color-index:0;mso-spec=
ial-format:
 lastCR;display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33816" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:42.75%;left:79.77%;width:3.74%;height:2.5%=
'><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
0 </span><span
 style=3D'font-size:36%;color:white;mso-color-index:0;mso-special-format:la=
stCR;
 display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33817" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:42.75%;left:59.55%;width:18.35%;height:2.5=
%'><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
No
 Injury </span><span style=3D'font-size:36%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33818" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:42.75%;left:46.81%;width:10.86%;height:2.5=
%'><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
<b>Face
 </b></span><span style=3D'font-size:36%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33819" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:38.25%;left:85.39%;width:8.8%;height:2.5%'=
><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
9 </span><span
 style=3D'font-size:36%;color:white;mso-color-index:0;mso-special-format:la=
stCR;
 display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33820" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:37.25%;left:79.77%;width:3.74%;height:2.5%=
'><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
3 </span><span
 style=3D'font-size:36%;color:white;mso-color-index:0;mso-special-format:la=
stCR;
 display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33821" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:37.25%;left:59.55%;width:18.35%;height:2.5=
%'><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
Cerebral
 Contusion </span><span style=3D'font-size:36%;color:white;mso-color-index:=
0;
 mso-special-format:lastCR;display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33822" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:37.25%;left:46.25%;width:12.17%;height:2.5=
%'><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
<b>Head
 &amp; Neck </b></span><span style=3D'font-size:36%;color:white;mso-color-i=
ndex:
 0;mso-special-format:lastCR;display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33823" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0"'><span style=3D'position:absolute;top:28.24%;left:84.64%;width:1=
0.29%;
 height:2.5%'><span style=3D'font-family:Verdana;font-size:36%;color:white;
 mso-color-index:0'><b>SquareTop </b></span></span><span style=3D'position:=
absolute;
 top:30.5%;left:88.95%;width:5.61%;height:2.5%'><span style=3D'font-family:=
Verdana;
 font-size:36%;color:white;mso-color-index:0'><b>Three </b></span><span
 style=3D'font-size:36%;color:white;mso-color-index:0;mso-special-format:la=
stCR;
 display:none'>&#13;</span></span></div>
 <div v:shape=3D"_x0000_s33824" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:25.0%;left:79.77%;width:3.74%;height:2.5%'=
><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
<b>AIS
 </b></span><span style=3D'font-size:36%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33825" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0"'><span style=3D'position:absolute;top:25.0%;left:59.55%;width:18=
.35%;
 height:2.5%'><span style=3D'font-family:Verdana;font-size:36%;color:white;
 mso-color-index:0'><b>Injury<br>
  </b></span></span><span style=3D'position:absolute;top:27.25%;left:63.29%;
 width:14.6%;height:2.5%'><span style=3D'font-family:Verdana;font-size:36%;
 color:white;mso-color-index:0'><b>Description </b></span><span
 style=3D'font-size:36%;color:white;mso-color-index:0;mso-special-format:la=
stCR;
 display:none'>&#13;</span></span></div>
 <div v:shape=3D"_x0000_s33826" class=3DTbl style=3D'text-align:center;mso-=
line-spacing:
 "100 0 0";position:absolute;top:25.0%;left:46.81%;width:10.86%;height:2.5%=
'><span
 style=3D'font-family:Verdana;font-size:36%;color:white;mso-color-index:0'>=
<b>Region
 </b></span><span style=3D'font-size:36%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'>&#13;</span></div>
 <div v:shape=3D"_x0000_s33841" class=3DO style=3D'position:absolute;top:19=
.75%;
 left:55.24%;width:43.63%;height:3.5%'><span style=3D'font-size:89%;color:y=
ellow'><b>An
 example of the ISS calculation </b></span></div>
 <div v:shape=3D"_x0000_s33842" class=3DO><span style=3D'position:absolute;
 top:87.5%;left:7.67%;width:70.78%;height:2.25%'><span style=3D'font-size:5=
6%;
 color:white;mso-color-index:0'>Baker SP et al, &quot;The Injury Severity
 Score: a method for describing patients with multiple injuries </span></sp=
an><span
 style=3D'position:absolute;top:89.75%;left:7.67%;width:59.73%;height:2.25%=
'><span
 style=3D'font-size:56%;color:white;mso-color-index:0'>and evaluating emerg=
ency
 care&quot;, J Trauma 14:187-196;1974<br>
  </span></span><span style=3D'position:absolute;top:92.0%;left:7.67%;width=
:59.73%;
 height:2.25%'><span style=3D'font-size:56%;color:white;mso-color-index:0;
 mso-special-format:lastCR;display:none'>&#13;</span></span></div>
</p:slide></div>

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 top:4.0%;left:5.99%;width:88.2%;height:8.5%'><span style=3D'font-size:91%;
 color:aqua'><b>Injury Severity Score</b></span><span style=3D'font-size:91=
%;
 color:aqua'> <br>
  </span></span><span style=3D'position:absolute;top:12.75%;left:5.99%;
 width:88.2%;height:8.5%'><span style=3D'font-size:91%;color:aqua;mso-speci=
al-format:
 lastCR;display:none'>&#13;</span></span></div>
 <div v:shape=3D"_x0000_s35843" class=3DB>
 <div style=3D'mso-line-spacing:"90 20 0"'><span style=3D'position:absolute;
 top:23.75%;left:9.73%;width:96.06%;height:5.25%'><span style=3D'font-size:=
75%;
 color:white;mso-color-index:0;text-shadow:auto'><span style=3D'mso-special=
-format:
 bullet;position:absolute;left:-3.89%'>&#8226;</span></span><span
 style=3D'font-size:75%;text-shadow:auto;color:white;mso-color-index:0'>The=
 ISS
 score takes values from 0 to 75. If an injury is </span></span><span
 style=3D'position:absolute;top:28.74%;left:9.73%;width:100.18%;height:5.25=
%'><span
 style=3D'font-size:75%;text-shadow:auto;color:white;mso-color-index:0'>ass=
igned
 an AIS of 6 (unsurvivable injury), the ISS score </span></span><span
 style=3D'position:absolute;top:33.5%;left:9.73%;width:100.93%;height:5.25%=
'><span
 style=3D'font-size:75%;text-shadow:auto;color:white;mso-color-index:0'>is
 automatically assigned to 75. The ISS score is virtually </span></span><sp=
an
 style=3D'position:absolute;top:38.25%;left:9.73%;width:100.74%;height:5.25=
%'><span
 style=3D'font-size:75%;text-shadow:auto;color:white;mso-color-index:0'>the=
 only
 anatomical scoring system in use and correlates </span></span><span
 style=3D'position:absolute;top:43.0%;left:9.73%;width:100.37%;height:5.25%=
'><span
 style=3D'font-size:75%;text-shadow:auto;color:white;mso-color-index:0'>sli=
nearly
 with mortality, morbidity, hospital stay and other </span></span><span
 style=3D'position:absolute;top:47.75%;left:9.73%;width:84.45%;height:5.25%=
'><span
 style=3D'font-size:75%;text-shadow:auto;color:white;mso-color-index:0'>mea=
sures
 of severity. &#13;</span></span></div>
 <div style=3D'mso-line-spacing:"90 20 0"'><span style=3D'position:absolute;
 top:53.75%;left:9.73%;width:85.95%;height:5.25%'><span style=3D'font-size:=
75%;
 color:white;mso-color-index:0;text-shadow:auto'><span style=3D'mso-special=
-format:
 bullet;position:absolute;left:-4.35%'>&#8226;</span></span><span
 style=3D'font-size:75%;text-shadow:auto;color:white;mso-color-index:0'>It's
 weaknesses are that any error in AIS scoring </span></span><span
 style=3D'position:absolute;top:58.5%;left:9.73%;width:94.94%;height:5.25%'=
><span
 style=3D'font-size:75%;text-shadow:auto;color:white;mso-color-index:0'>inc=
reases
 the ISS error, many different injury patterns </span></span><span
 style=3D'position:absolute;top:63.24%;left:9.73%;width:93.63%;height:5.25%=
'><span
 style=3D'font-size:75%;text-shadow:auto;color:white;mso-color-index:0'>can=
 yield
 the same ISS score and injuries to different </span></span><span
 style=3D'position:absolute;top:68.0%;left:9.73%;width:100.37%;height:5.25%=
'><span
 style=3D'font-size:75%;text-shadow:auto;color:white;mso-color-index:0'>body
 regions are not weighted. Also, as a full description </span></span><span
 style=3D'position:absolute;top:72.75%;left:9.73%;width:100.74%;height:5.25=
%'><span
 style=3D'font-size:75%;text-shadow:auto;color:white;mso-color-index:0'>of
 patient injuries is not known prior to full investigation &amp; </span></s=
pan><span
 style=3D'position:absolute;top:77.5%;left:9.73%;width:97.37%;height:5.25%'=
><span
 style=3D'font-size:75%;text-shadow:auto;color:white;mso-color-index:0'>ope=
ration,
 the ISS (along with other anatomical scoring </span></span><span
 style=3D'position:absolute;top:82.5%;left:9.73%;width:84.45%;height:5.25%'=
><span
 style=3D'font-size:75%;text-shadow:auto;color:white;mso-color-index:0'>sys=
tems)
 is not useful as a triage tool. </span></span></div>
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0%;
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:white;
 mso-color-index:0'>Scoring Tools</span></div>
 <div v:shape=3D"_x0000_s37891" class=3DO><span style=3D'position:absolute;
 top:19.75%;left:15.16%;width:75.28%;height:3.5%'><span style=3D'font-size:=
89%;
 color:white;mso-color-index:0'>These links allow an easy &quot;on line&quo=
t;
 calculation of scores used in </span></span><span style=3D'position:absolu=
te;
 top:23.25%;left:15.16%;width:84.64%;height:3.5%'><span style=3D'font-size:=
89%;
 color:white;mso-color-index:0'>general or specialized Intensive Care or
 Anesthesia. Their only purpose </span></span><span style=3D'position:absol=
ute;
 top:27.0%;left:15.16%;width:82.39%;height:3.5%'><span style=3D'font-size:8=
9%;
 color:white;mso-color-index:0'>is the calculation of the scores,
 irrespectively of any judgment on their </span></span><span style=3D'posit=
ion:
 absolute;top:30.5%;left:15.16%;width:78.08%;height:3.5%'><span
 style=3D'font-size:89%;color:white;mso-color-index:0'>relevance or usefuln=
ess. </span><span
 style=3D'font-size:89%;color:aqua'><b><i>The calculation of a risk assigne=
d to a
 </i></b></span></span><span style=3D'position:absolute;top:34.0%;left:15.1=
6%;
 width:79.21%;height:3.5%'><span style=3D'font-size:89%;color:aqua'><b><i>m=
easured
 score is an epidemiologic tool, and never should be </i></b></span></span>=
<span
 style=3D'position:absolute;top:37.5%;left:15.16%;width:78.27%;height:3.5%'=
><span
 style=3D'font-size:89%;color:aqua'><b><i>used as a single patient previsio=
n tool</i></b></span><span
 style=3D'font-size:89%;color:white;mso-color-index:0'><b><i>.</i></b></spa=
n><span
 style=3D'font-size:89%;color:white;mso-color-index:0'> One should read on =
this </span></span><span
 style=3D'position:absolute;top:41.25%;left:15.16%;width:80.89%;height:3.5%=
'><span
 style=3D'font-size:89%;color:white;mso-color-index:0'>subject : Lemeshow S=
, Le
 Gall JR. Modeling the severity of illness of </span></span><span
 style=3D'position:absolute;top:44.75%;left:15.16%;width:70.59%;height:3.5%=
'><span
 style=3D'font-size:89%;color:white;mso-color-index:0'>ICU patients. A syst=
ems
 update. </span><span style=3D'font-size:89%;color:white;mso-color-index:0'=
><i>JAMA</i></span><span
 style=3D'font-size:89%;color:white;mso-color-index:0'>. 1994;272:1049-55 <=
/span></span></div>
 <div v:shape=3D"_x0000_s37892" class=3DO>
 <div style=3D'position:absolute;top:51.5%;left:26.77%;width:48.12%;height:=
3.5%'><span
 style=3D'font-size:89%;color:#BBE0E3;mso-color-index:4'><p:onmouseclick
  hyperlinktype=3D"url" href=3D"http://www.sfar.org/scores2/apache22.html"/=
><a
 href=3D"http://www.sfar.org/scores2/apache22.html" target=3D"_parent"
 onclick=3D"window.event.cancelBubble=3Dtrue;">APACHE II and predicted mort=
ality</a></span><span
 style=3D'font-size:89%;color:#BBE0E3;mso-color-index:4'> &#13;</span></div>
 <div style=3D'position:absolute;top:55.0%;left:26.77%;width:48.12%;height:=
3.5%'><span
 style=3D'font-size:89%;color:#BBE0E3;mso-color-index:4'><span
 style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>&#13;</span></div>
 <span style=3D'position:absolute;top:58.5%;left:26.77%;width:49.62%;height=
:3.5%'><span
 style=3D'font-size:89%;color:#BBE0E3;mso-color-index:4'><p:onmouseclick
  hyperlinktype=3D"url" href=3D"http://www.sfar.org/scores2/triss2.html"/><a
 href=3D"http://www.sfar.org/scores2/triss2.html" target=3D"_parent"
 onclick=3D"window.event.cancelBubble=3Dtrue;">ISS (Injury Severity Score),=
 RTS
 (Revised </a></span></span><span style=3D'position:absolute;top:62.25%;
 left:26.77%;width:55.8%;height:3.5%'><span style=3D'font-size:89%;color:#B=
BE0E3;
 mso-color-index:4'><p:onmouseclick hyperlinktype=3D"url"
  href=3D"http://www.sfar.org/scores2/triss2.html"/><a
 href=3D"http://www.sfar.org/scores2/triss2.html" target=3D"_parent"
 onclick=3D"window.event.cancelBubble=3Dtrue;">Trauma Score), TRISS (Trauma=
 Injury
 Severity </a></span></span><span style=3D'position:absolute;top:65.75%;
 left:26.77%;width:48.12%;height:3.5%'><span style=3D'font-size:89%;color:#=
BBE0E3;
 mso-color-index:4'><p:onmouseclick hyperlinktype=3D"url"
  href=3D"http://www.sfar.org/scores2/triss2.html"/><a
 href=3D"http://www.sfar.org/scores2/triss2.html" target=3D"_parent"
 onclick=3D"window.event.cancelBubble=3Dtrue;">Score</a></span><span
 style=3D'font-size:89%;color:#BBE0E3;mso-color-index:4'>) &#13;</span></sp=
an>
 <div style=3D'position:absolute;top:69.25%;left:26.77%;width:48.12%;height=
:3.5%'><span
 style=3D'font-size:89%;color:#BBE0E3;mso-color-index:4;display:none'>&#13;=
</span></div>
 <div style=3D'position:absolute;top:72.75%;left:26.77%;width:57.67%;height=
:3.5%'><span
 style=3D'font-size:89%;color:#BBE0E3;mso-color-index:4'><u><p:onmouseclick
  hyperlinktype=3D"url" href=3D"http://www.sfar.org/scores2/ascot2.html"/><a
 href=3D"http://www.sfar.org/scores2/ascot2.html" target=3D"_parent"
 onclick=3D"window.event.cancelBubble=3Dtrue;">ASCOT</a></u></span><span
 style=3D'font-size:89%;color:#BBE0E3;mso-color-index:4'><u> (A Severity
 Characterization Of Trauma)</u></span><span style=3D'font-size:89%;color:#=
BBE0E3;
 mso-color-index:4'> &#13;</span></div>
 <div style=3D'position:absolute;top:76.5%;left:26.77%;width:48.12%;height:=
3.5%'><span
 style=3D'font-size:89%;color:#BBE0E3;mso-color-index:4;display:none'>&#13;=
</span></div>
 <div style=3D'position:absolute;top:80.0%;left:26.77%;width:48.12%;height:=
3.5%'><span
 style=3D'font-size:89%;color:#BBE0E3;mso-color-index:4'><p:onmouseclick
  hyperlinktype=3D"url" href=3D"http://www.sfar.org/scores2/ICU_trauma2.htm=
l"/><a
 href=3D"http://www.sfar.org/scores2/ICU_trauma2.html" target=3D"_parent"
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ventable
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%;
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dow:
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issions
 to U.S. hospitals in 1997, the </span></span><span style=3D'position:absol=
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%;
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dow:
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000
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%;
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span></span><span
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an
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al
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6%;
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7.6 </span></span><span
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'><span
 style=3D'font-size:56%;text-shadow:auto;color:white;mso-color-index:0'>bil=
lion
 and $50 billion for adverse </span></span><span style=3D'position:absolute;
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6%;
 text-shadow:auto;color:white;mso-color-index:0'>events and between $17 bil=
lion
 and </span></span><span style=3D'position:absolute;top:27.25%;left:10.67%;
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 color:white;mso-color-index:0'>$29 billion for preventable adverse </span>=
</span><span
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><span
 style=3D'font-size:56%;text-shadow:auto;color:white;mso-color-index:0'>eve=
nts.&#13;</span></span></div>
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an
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56%;
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adow:
 auto;color:white;mso-color-index:0'>total national costs associated with <=
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lth
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ts of
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25%;
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adow:
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s</span></div>
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 <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute;
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<i>An
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 is defined as the failure of a planned action to be completed </i></span><=
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<span
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 underlying condition of the patient. An adverse event </i></span></span><s=
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rror
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llet;
 display:none'>&#8226;</span><span style=3D'font-size:63%;color:white;mso-c=
olor-index:
 0;display:none'>&#13;</span></div>
 <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute;
 top:55.5%;left:9.73%;width:101.12%;height:4.5%'><span style=3D'font-size:6=
3%;
 color:aqua'><span style=3D'mso-special-format:bullet;position:absolute;
 left:-3.7%'>&#8226;</span></span><span style=3D'font-size:63%;color:aqua'>=
Negligent
 adverse events</span><span style=3D'font-size:63%;color:white;mso-color-in=
dex:
 0'> represent a subset of preventable adverse </span></span><span
 style=3D'position:absolute;top:59.25%;left:9.73%;width:100.18%;height:4.5%=
'><span
 style=3D'font-size:63%;color:white;mso-color-index:0'>events that satisfy =
legal
 criteria used in determining negligence (i.e., </span></span><span
 style=3D'position:absolute;top:62.74%;left:9.73%;width:90.07%;height:4.5%'=
><span
 style=3D'font-size:63%;color:white;mso-color-index:0'>whether the care pro=
vided
 failed to meet the standard of care </span></span><span style=3D'position:=
absolute;
 top:66.25%;left:9.73%;width:98.68%;height:4.5%'><span style=3D'font-size:6=
3%;
 color:white;mso-color-index:0'>reasonably expected of an average physician
 qualified to take care </span></span><span style=3D'position:absolute;
 top:69.75%;left:9.73%;width:84.45%;height:4.5%'><span style=3D'font-size:6=
3%;
 color:white;mso-color-index:0'>of the patient in question) </span></span><=
/div>
 </div>
 <div v:shape=3D"_x0000_s44036" class=3DO><span style=3D'position:absolute;
 top:88.75%;left:35.95%;width:66.66%;height:3.5%'><span style=3D'font-size:=
89%;
 text-shadow:auto;color:white;mso-color-index:0'>To Err Is Human: Building a
 Safer Health System (2000)<br>
  </span></span><span style=3D'position:absolute;top:92.25%;left:35.95%;
 width:55.43%;height:3.5%'><span style=3D'font-size:89%;text-shadow:auto;
 color:white;mso-color-index:0'>Institute of Medicine </span></span></div>
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 top:2.25%;left:5.99%;width:88.2%;height:8.5%'><span style=3D'font-size:91%;
 color:yellow'><b>Glossary of Terms<br>
  </b></span></span><span style=3D'position:absolute;top:11.0%;left:5.99%;
 width:88.2%;height:8.5%'><span style=3D'font-size:91%;color:yellow;mso-spe=
cial-format:
 lastCR;display:none'><b>&#13;</b></span></span></div>
 <div v:shape=3D"_x0000_s46083" class=3DB>
 <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute;
 top:16.0%;left:9.73%;width:101.49%;height:3.25%'><span style=3D'font-size:=
44%;
 color:aqua'><span style=3D'mso-special-format:bullet;position:absolute;
 left:-3.69%'>&#8226;</span></span><span style=3D'font-size:44%;color:aqua'=
><b>Adverse
 event:</b></span><span style=3D'font-size:44%;color:white;mso-color-index:=
0'><b>
 </b></span><span style=3D'font-size:44%;color:white;mso-color-index:0'>an =
injury
 that was caused by medical management and that results in measurable </spa=
n></span><span
 style=3D'position:absolute;top:18.25%;left:9.73%;width:86.14%;height:3.25%=
'><span
 style=3D'font-size:44%;color:white;mso-color-index:0'>disability.&#13;</sp=
an></span></div>
 <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:21.5%;left:=
5.99%;
 width:89.88%;height:3.25%'><span style=3D'mso-special-format:nobullet;
 display:none'>&#8226;</span><span style=3D'font-size:44%;color:white;mso-c=
olor-index:
 0;display:none'>&#13;</span></div>
 <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute;
 top:24.5%;left:9.73%;width:97.75%;height:3.25%'><span style=3D'font-size:4=
4%;
 color:aqua'><span style=3D'mso-special-format:bullet;position:absolute;
 left:-3.83%'>&#8226;</span></span><span style=3D'font-size:44%;color:aqua'=
><b>Error:</b></span><span
 style=3D'font-size:44%;color:white;mso-color-index:0'> the failure of a pl=
anned
 action to be completed as intended or the use of a wrong plan to </span></=
span><span
 style=3D'position:absolute;top:27.0%;left:9.73%;width:95.5%;height:3.25%'>=
<span
 style=3D'font-size:44%;color:white;mso-color-index:0'>achieve an aim. Erro=
rs can
 include problems in practice, products, procedures, and systems.&#13;</spa=
n></span></div>
 <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:30.25%;
 left:5.99%;width:89.88%;height:3.25%'><span style=3D'mso-special-format:no=
bullet;
 display:none'>&#8226;</span><span style=3D'font-size:44%;color:white;mso-c=
olor-index:
 0;display:none'>&#13;</span></div>
 <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute;
 top:33.25%;left:9.73%;width:97.37%;height:3.25%'><span style=3D'font-size:=
44%;
 color:aqua'><span style=3D'mso-special-format:bullet;position:absolute;
 left:-3.84%'>&#8226;</span></span><span style=3D'font-size:44%;color:aqua'=
><b>Unpreventable
 adverse event:</b></span><span style=3D'font-size:44%;color:white;mso-colo=
r-index:
 0'> an adverse event resulting from a complication that cannot be </span><=
/span><span
 style=3D'position:absolute;top:35.75%;left:9.73%;width:86.14%;height:3.25%=
'><span
 style=3D'font-size:44%;color:white;mso-color-index:0'>prevented given the
 current state of knowledge.&#13;</span></span></div>
 <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:38.75%;
 left:5.99%;width:89.88%;height:3.25%'><span style=3D'mso-special-format:no=
bullet;
 display:none'>&#8226;</span><span style=3D'font-size:44%;color:white;mso-c=
olor-index:
 0;display:none'><b>&#13;</b></span></div>
 <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute;
 top:42.0%;left:9.73%;width:100.56%;height:3.25%'><span style=3D'font-size:=
44%;
 color:aqua'><span style=3D'mso-special-format:bullet;position:absolute;
 left:-3.72%'>&#8226;</span></span><span style=3D'font-size:44%;color:aqua'=
><b>Medical
 error:</b></span><span style=3D'font-size:44%;color:white;mso-color-index:=
0'><b>
 </b></span><span style=3D'font-size:44%;color:white;mso-color-index:0'>an
 adverse event or near miss that is preventable with the current state of
 medical </span></span><span style=3D'position:absolute;top:44.5%;left:9.73=
%;
 width:86.14%;height:3.25%'><span style=3D'font-size:44%;color:white;mso-co=
lor-index:
 0'>knowledge.&#13;</span></span></div>
 <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:47.5%;left:=
5.99%;
 width:89.88%;height:3.25%'><span style=3D'position:absolute;top:0%;left:4.=
16%;
 width:95.83%;height:100.0%'><span style=3D'font-size:44%;color:white;mso-c=
olor-index:
 0;visibility:hidden'><span style=3D'mso-special-format:bullet;position:abs=
olute;
 left:-4.34%'>&#8226;</span></span><span style=3D'font-size:44%;color:white;
 mso-color-index:0;display:none'><b>&#13;</b></span></span></div>
 <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute;
 top:50.5%;left:9.73%;width:99.06%;height:3.25%'><span style=3D'font-size:4=
4%;
 color:aqua'><span style=3D'mso-special-format:bullet;position:absolute;
 left:-3.78%'>&#8226;</span></span><span style=3D'font-size:44%;color:aqua'=
><b>Near
 miss:</b></span><span style=3D'font-size:44%;color:white;mso-color-index:0=
'> an
 event or situation that could have resulted in an accident, injury or illn=
ess,
 but did </span></span><span style=3D'position:absolute;top:53.0%;left:9.73=
%;
 width:86.14%;height:3.25%'><span style=3D'font-size:44%;color:white;mso-co=
lor-index:
 0'>not, either by chance or through timely intervention.&#13;</span></span=
></div>
 <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:56.25%;
 left:5.99%;width:89.88%;height:3.25%'><span style=3D'mso-special-format:no=
bullet;
 display:none'>&#8226;</span><span style=3D'font-size:44%;color:white;mso-c=
olor-index:
 0;display:none'><b>&#13;</b></span></div>
 <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:59.25%;
 left:5.99%;width:95.31%;height:3.25%'><span style=3D'position:absolute;
 top:0%;left:3.92%;width:96.07%;height:100.0%'><span style=3D'font-size:44%;
 color:aqua'><span style=3D'mso-special-format:bullet;position:absolute;
 left:-4.08%'>&#8226;</span></span><span style=3D'font-size:44%;color:aqua'=
><b>System:</b></span><span
 style=3D'font-size:44%;color:white;mso-color-index:0'> a regularly interac=
ting
 or interdependent group of items forming a unified whole.&#13;</span></spa=
n></div>
 <div style=3D'mso-line-spacing:"80 20 0";position:absolute;top:62.5%;left:=
5.99%;
 width:89.88%;height:3.25%'><span style=3D'mso-special-format:nobullet;
 display:none'>&#8226;</span><span style=3D'font-size:44%;color:white;mso-c=
olor-index:
 0;display:none'><b>&#13;</b></span></div>
 <div style=3D'mso-line-spacing:"80 20 0"'><span style=3D'position:absolute;
 top:65.5%;left:9.73%;width:102.24%;height:3.25%'><span style=3D'font-size:=
44%;
 color:aqua'><span style=3D'mso-special-format:bullet;position:absolute;
 left:-3.66%'>&#8226;</span></span><span style=3D'font-size:44%;color:aqua'=
><b>Systems
 error:</b></span><span style=3D'font-size:44%;color:white;mso-color-index:=
0'> an
 error that is not the result of an individual&#8217;s actions, but the
 predictable outcome </span></span><span style=3D'position:absolute;top:68.=
0%;
 left:9.73%;width:86.14%;height:3.25%'><span style=3D'font-size:44%;color:w=
hite;
 mso-color-index:0'>of a series of actions and factors that comprise a
 diagnostic or treatment process.</span><span style=3D'font-size:44%;text-s=
hadow:
 auto;color:white;mso-color-index:0'> </span></span></div>
 </div>
 <div v:shape=3D"_x0000_s46084" class=3DO><span style=3D'position:absolute;
 top:90.25%;left:10.11%;width:97.37%;height:2.25%'><span style=3D'font-size=
:56%;
 color:white;mso-color-index:0'><i>Doing What Counts for Patient Safety:
 Federal Actions to Reduce Medical Errors and Their Impact</i></span><span
 style=3D'font-size:56%;color:white;mso-color-index:0'>. Report of the Qual=
ity
 Interagency </span></span><span style=3D'position:absolute;top:92.5%;left:=
10.11%;
 width:94.94%;height:2.75%'><span style=3D'font-size:56%;color:white;mso-co=
lor-index:
 0'>Coordination Task Force (QuIC) to the President, February 2000. Quality
 Interagency Coordination Task Force. Washington, DC</span><span
 style=3D'font-size:67%;text-shadow:auto;color:white;mso-color-index:0'>. <=
/span></span></div>
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3%;
 color:aqua'>Creating Safety Systems in Health Care </span></span><span
 style=3D'position:absolute;top:12.0%;left:5.99%;width:88.2%;height:8.5%'><=
span
 style=3D'font-size:73%;color:aqua'>Organizations</span><span style=3D'font=
-size:
 91%'> </span></span></div>
 <div v:shape=3D"_x0000_s48131">
 <div class=3DB style=3D'mso-line-spacing:"80 20 0";position:absolute;top:2=
1.25%;
 left:5.99%;width:44.75%;height:4.0%'><span style=3D'position:absolute;
 top:0%;left:8.36%;width:91.63%;height:100.0%'><span style=3D'font-size:56%;
 color:yellow'><span style=3D'mso-special-format:bullet;position:absolute;
 left:-9.13%'>&#8226;</span></span><span style=3D'font-size:56%;color:yello=
w'><b><u>RECOMMENDATION
 &#13;</u></b></span></span></div>
 <div class=3DB style=3D'mso-line-spacing:"80 20 0"'><span style=3D'positio=
n:absolute;
 top:25.25%;left:9.73%;width:47.56%;height:4.0%'><span style=3D'font-size:5=
6%;
 color:white;mso-color-index:0'><span style=3D'mso-special-format:bullet;
 position:absolute;left:-7.87%'>&#8226;</span></span><span style=3D'font-si=
ze:
 56%;color:white;mso-color-index:0'>1 Health care organizations and the </s=
pan></span><span
 style=3D'position:absolute;top:28.49%;left:9.73%;width:43.63%;height:4.0%'=
><span
 style=3D'font-size:56%;color:white;mso-color-index:0'>professionals affili=
ated
 with them </span></span><span style=3D'position:absolute;top:31.75%;left:9=
.73%;
 width:45.31%;height:4.0%'><span style=3D'font-size:56%;color:white;mso-col=
or-index:
 0'>should make continually improved </span></span><span style=3D'position:=
absolute;
 top:35.0%;left:9.73%;width:49.25%;height:4.0%'><span style=3D'font-size:56=
%;
 color:white;mso-color-index:0'>patient safety a declared and serious </spa=
n></span><span
 style=3D'position:absolute;top:38.25%;left:9.73%;width:44.38%;height:4.0%'=
><span
 style=3D'font-size:56%;color:white;mso-color-index:0'>aim by establishing
 patient safety </span></span><span style=3D'position:absolute;top:41.25%;
 left:9.73%;width:45.69%;height:4.0%'><span style=3D'font-size:56%;color:wh=
ite;
 mso-color-index:0'>programs with a defined executive </span></span><span
 style=3D'position:absolute;top:44.5%;left:9.73%;width:41.01%;height:4.0%'>=
<span
 style=3D'font-size:56%;color:white;mso-color-index:0'>responsibility. Pati=
ent
 safety </span></span><span style=3D'position:absolute;top:47.75%;left:9.73=
%;
 width:41.01%;height:4.0%'><span style=3D'font-size:56%;color:white;mso-col=
or-index:
 0'>programs should: &#13;</span></span></div>
 <div class=3DB1 style=3D'mso-line-spacing:"80 20 0"'><span style=3D'positi=
on:absolute;
 top:51.74%;left:14.04%;width:42.5%;height:3.5%'><span style=3D'font-size:5=
7%;
 color:white;mso-color-index:0'><span style=3D'mso-special-format:bullet;
 position:absolute;left:-7.04%'>&#8211;</span></span><span style=3D'font-si=
ze:
 57%;color:white;mso-color-index:0'>(1) provide strong, clear, and visible =
</span></span><span
 style=3D'position:absolute;top:54.5%;left:14.04%;width:36.7%;height:3.5%'>=
<span
 style=3D'font-size:57%;color:white;mso-color-index:0'>attention to safety;
 implement </span></span><span style=3D'position:absolute;top:57.49%;left:1=
4.04%;
 width:39.51%;height:3.5%'><span style=3D'font-size:57%;color:white;mso-col=
or-index:
 0'>nonpunitive systems for reporting </span></span><span style=3D'position=
:absolute;
 top:60.25%;left:14.04%;width:37.82%;height:3.5%'><span style=3D'font-size:=
57%;
 color:white;mso-color-index:0'>and analyzing errors within their </span></=
span><span
 style=3D'position:absolute;top:63.0%;left:14.04%;width:36.7%;height:3.5%'>=
<span
 style=3D'font-size:57%;color:white;mso-color-index:0'>organizations;&#13;<=
/span></span></div>
 <div class=3DB1 style=3D'mso-line-spacing:"80 20 0"'><span style=3D'positi=
on:absolute;
 top:66.75%;left:14.04%;width:37.82%;height:3.5%'><span style=3D'font-size:=
57%;
 color:white;mso-color-index:0'><span style=3D'mso-special-format:bullet;
 position:absolute;left:-7.92%'>&#8211;</span></span><span style=3D'font-si=
ze:
 57%;color:white;mso-color-index:0'><span
 style=3D'mso-spacerun:yes'>&nbsp;</span>(2) incorporate well-understood </=
span></span><span
 style=3D'position:absolute;top:69.5%;left:14.04%;width:36.7%;height:3.5%'>=
<span
 style=3D'font-size:57%;color:white;mso-color-index:0'>safety principles, s=
uch
 as, </span></span><span style=3D'position:absolute;top:72.25%;left:14.04%;
 width:36.7%;height:3.5%'><span style=3D'font-size:57%;color:white;mso-colo=
r-index:
 0'>standardizing and simplifying </span></span><span style=3D'position:abs=
olute;
 top:75.25%;left:14.04%;width:43.44%;height:3.5%'><span style=3D'font-size:=
57%;
 color:white;mso-color-index:0'>equipment, supplies, and processes; </span>=
</span><span
 style=3D'position:absolute;top:78.0%;left:14.04%;width:36.7%;height:3.5%'>=
<span
 style=3D'font-size:57%;color:white;mso-color-index:0'>and&#13;</span></spa=
n></div>
 <div class=3DB1 style=3D'mso-line-spacing:"80 20 0"'><span style=3D'positi=
on:absolute;
 top:81.5%;left:14.04%;width:41.19%;height:3.5%'><span style=3D'font-size:5=
7%;
 color:white;mso-color-index:0'><span style=3D'mso-special-format:bullet;
 position:absolute;left:-7.27%'>&#8211;</span></span><span style=3D'font-si=
ze:
 57%;color:white;mso-color-index:0'><span
 style=3D'mso-spacerun:yes'>&nbsp;</span>(3) establish interdisciplinary te=
am </span></span><span
 style=3D'position:absolute;top:84.5%;left:14.04%;width:36.7%;height:3.5%'>=
<span
 style=3D'font-size:57%;color:white;mso-color-index:0'>training programs, s=
uch as
 </span></span><span style=3D'position:absolute;top:87.25%;left:14.04%;
 width:41.19%;height:3.5%'><span style=3D'font-size:57%;color:white;mso-col=
or-index:
 0'>simulation, that incorporate proven </span></span><span style=3D'positi=
on:
 absolute;top:90.25%;left:14.04%;width:37.07%;height:3.5%'><span
 style=3D'font-size:57%;color:white;mso-color-index:0'>methods of team
 management.</span></span></div>
 </div>
 <div v:shape=3D"_x0000_s48132" class=3DO>
 <div style=3D'position:absolute;top:51.24%;left:52.99%;width:49.25%;height=
:3.5%'><span
 style=3D'font-size:89%;color:white;mso-color-index:0'><p:onmouseclick
  hyperlinktype=3D"url" href=3D"http://www.ahrq.gov/consumer/20tips.htm"/><a
 href=3D"http://www.ahrq.gov/consumer/20tips.htm" target=3D"_parent"
 onclick=3D"window.event.cancelBubble=3Dtrue;">http://www.ahrq.gov/consumer=
/20tips.htm</a></span><span
 style=3D'font-size:89%;color:white;mso-color-index:0;display:none'>&#13;</=
span></div>
 <div style=3D'position:absolute;top:54.75%;left:52.99%;width:41.01%;height=
:4.0%'><span
 style=3D'color:white;mso-color-index:0;mso-special-format:lastCR;display:n=
one'>&#13;</span></div>
 </div>
 <div v:shape=3D"_x0000_s48133" class=3DO>
 <div style=3D'text-align:center;position:absolute;top:41.0%;left:61.04%;
 width:28.83%;height:4.0%'><span style=3D'color:yellow'><b>20 Tips to Help&=
#13;</b></span></div>
 <div style=3D'text-align:center;position:absolute;top:45.0%;left:58.05%;
 width:34.45%;height:4.0%'><span style=3D'color:yellow'><b><span
 style=3D'mso-spacerun:yes'>&nbsp;</span>Prevent Medical Errors</b></span> =
</div>
 </div>
 <div v:shape=3D"_x0000_s48134" class=3DO>
 <div style=3D'position:absolute;top:73.0%;left:53.55%;width:51.31%;height:=
3.5%'><span
 style=3D'font-size:89%;color:white;mso-color-index:0'><p:onmouseclick
  hyperlinktype=3D"url" href=3D"http://www.ahrq.gov/consumer/20tipkid.htm"/=
><a
 href=3D"http://www.ahrq.gov/consumer/20tipkid.htm" target=3D"_parent"
 onclick=3D"window.event.cancelBubble=3Dtrue;">http://www.ahrq.gov/consumer=
/20tipkid.htm</a></span><span
 style=3D'font-size:89%;color:white;mso-color-index:0;display:none'>&#13;</=
span></div>
 <div style=3D'position:absolute;top:76.75%;left:53.55%;width:42.88%;height=
:4.0%'><span
 style=3D'color:white;mso-color-index:0;mso-special-format:lastCR;display:n=
one'>&#13;</span></div>
 </div>
 <div v:shape=3D"_x0000_s48135" class=3DO>
 <div style=3D'text-align:center;position:absolute;top:61.0%;left:59.92%;
 width:33.7%;height:4.0%'><span style=3D'color:yellow'><b>Prevent Medical E=
rrors
 &#13;</b></span></div>
 <div style=3D'text-align:center;position:absolute;top:65.0%;left:62.73%;
 width:28.08%;height:4.0%'><span style=3D'color:yellow'><b>in Children </b>=
</span></div>
 </div>
</p:slide></div>

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