Few ad­verse events re­ported to states, in­spec­tor gen­eral says

Modern Healthcare - - LATE NEWS -

Twenty-six states had ad­verse-event re­port­ing sys­tems in 2008, but hos­pi­tals re­ported few ad­verse events to the state sys­tems, HHS’ in­spec­tor gen­eral’s of­fice said in a re­port. The re­port, dated July 19, at­trib­uted the low re­port­ing to hos­pi­tals’ fail­ure to iden­tify ad­verse events rather than from ne­glect in re­port­ing the events. “CMS, states, and other stake­hold­ers should be aware of this low rate of re­port­ing to state sys­tems as they con­sider strate­gies to re­duce ad­verse events in hos­pi­tals,” ac­cord­ing to HHS’ in­spec­tor gen­eral’s of­fice. A pre­vi­ous re­port re­leased by the in­spec­tor gen­eral’s of­fice found that 27% of Medi­care ben­e­fi­cia­ries hos­pi­tal­ized in Oc­to­ber 2008 ex­pe­ri­enced se­ri­ous ad­verse events, such as pro­longed hos­pi­tal­iza­tion, or tem­po­rary harm events. About 60% of ad­verse and tem­po­rary-harm events oc­curred at hos­pi­tals in the 26 states with ad­verse-event re­port­ing sys­tems in 2008. Only about 12% of the ad­verse events met state re­port­ing sys­tems’ re­quire­ments. Hos­pi­tals re­ported only 1% of the ad­verse events. “This sug­gests that the low rate of re­port­ing to state ad­verse-event re­port­ing sys­tems is due largely to hospi­tal staff not iden­ti­fy­ing in­ci­dents of harm as re­portable events,” the in­spec­tor gen­eral’s of­fice said in the re­port. Also of note, half of the events re­ported to states that year oc­curred in Penn­syl­va­nia, which re­quires re­port­ing of all events re­gard­less of sever­ity.

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