Hospitals Rarely Report Adverse Events, Says OIG
The OIG sent teams of experts to review medical records of 780 Medicare beneficiaries hospitalized in during the month of October, 2008.
They found that 60% of adverse and temporary events nationally occurred at hospitals in states with reporting systems. But only 12% of the events met state requirements for reporting. Additionally, hospitals reported only 1% of the events.
The report, sent to Acting Administrator for the Centers for Medicare & Medicaid Services Marilyn Tavenner, follows a series of reports on the occurrence of adverse events, hospitals' recognition of those events, and the reporting of them.
Recently, the OIG said that it found that about 27% of Medicare beneficiaries who were hospitalized in October of 2008 experienced harm from medical care. About half of those involved "prolonged hospitalization, permanent disability, life-sustaining intervention or death," while another half involved temporary harm, in which an intervention was required, but for which the harm did not last.
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Dinesh Patel (7/23/2012 at 11:25 AM)
The culture of reporting to the DPH and Board of registration in medicine got started thru legislative mandate in Mass in 1987. Mass board of registration has unique systems in place as Patient care assessement regulations Such reporting to the Board has non punitive ,confidential , firewall built in with purpose being self education for contious improvement and there by improve safety well fare and quality and reduction of errors Worth for OIG and other states to look at what is happening in MASS state. good report and thanks Dinesh Patel MD