LEFT UN­SAID

Modern Healthcare - - THE WEEK IN HEALTHCARE -

Most ad­verse events in a 2008 sam­ple weren’t caught by hos­pi­tals’ in­ci­dent reporting sys­tems, usu­ally be­cause staff didn’t per­ceive them as re­portable. Here are the rea­sons they gave:

Not caused by per­cep­ti­ble er­ror

An ex­pected out­come or side ef­fect

Caused lit­tle harm or harm was ame­lio­rated

Not on the hos­pi­tal’s manda­tory reporting list

Oc­curs fre­quently in hos­pi­tals

Symp­toms be­came ap­par­ent af­ter dis­charge

Pa­tient had his­tory of sim­i­lar events

No rea­son given

Source: HHS' in­spec­tor gen­eral's of­fice

MODERN HEALTH­CARE GRAPHIC

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