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Problems in Implementation of Search Strategy for Potential Cases Based on 7-22-03 Request (continued)
•Failure to provide listing of accidental injuries
–Cases coded as accidental overdose provided, but we had failed to inquire about cases coded as accidental injury
–Many sponsors excluded all cases coded as accidental injury, without further review
–Example: One case provided only after inquiry was a child  excluded as accidental injury with an event characterized as “patient stabbed himself in the neck with a pencil while taking a test.” 
–Such cases raised a concern that cases possibly needing further review had been excluded