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Implementation Problem
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Resolution: Unresolved
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Minor
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None
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Vendor/Epic
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increase in exclusion false negatives
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Use of Antipsychotics in Older Adults in the Inpatient Hospital Setting
There are a number of diagnosis codes that could appear in the record that have the meaning of "threat to self and others" that would not count as a valid exclusions. Since it's already rather infeasible to document this fact discretely in the record (as opposed to in a note) the fact that these are not counted magnifies the false negative rate for exclusions.
ICD-10 codes:
R45.5 Hostility
R45.6 violent behavior
R45.850 homicidal ideations
R45.851 suicidal ideations
(not an exhaustive list)