Legislation Healthcare Error Reporting
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Disclosure Of Medical Errors To Patients
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Me Forgot Password? Login or Sign up for a Free Account My Topics of Interest My CME My Profile Sign Out Home Topics Issues WebM&M Cases Perspectives Primers Submit Case https://psnet.ahrq.gov/perspectives/perspective/43/advancing-patient-safety-through-state-reporting-systems CME / CEU Training Catalog Info Glossary About PSNet Help & FAQ Contact PSNet Email Updates Editorial Team Technical Expert/Advisory Panel Terms & Conditions / Copyright PSNet Privacy Policy External Link Disclaimer Perspectives on Safety Published June 2007 Advancing Patient Safety Through State Reporting Systems by Jill Rosenthal, MPH Topics Resource Type Perspectives on Safety › Perspective Approach to medication error Improving Safety Audit and Feedback Public Reporting Regulation Error Analysis Setting of Care Hospitals Target Audience Health Care Executives and Administrators Policy Makers Error Types Epidemiology of Errors and Adverse Events More Share Facebook Twitter Linkedin Email Print Perspective Seven years ago, the Institute of Medicine (IOM) called on states to create mandatory reporting systems as part of a strategy medical errors to to identify and learn about medical errors and ultimately to improve patient safety.(1) Since then, many states have responded by creating or improving reporting systems to collect information about hospital-based adverse events. These systems can provide states with an opportunity to strengthen their facility oversight functions, safeguard the public, and partner with providers to improve health care quality. As of April 2007, more than half of states (27) had passed legislation or created regulations related to hospital reporting of adverse events (26 are mandatory systems, one is voluntary).(2) The goals of state reporting systems may be twofold. First, many of these requirements are intended to hold health care facilities accountable for weaknesses in their systems. Secondly, they may strive to improve patient safety through analysis and dissemination of best practices and lessons learned, which could prevent recurrences. In this article, I will review the evolution of state error reporting systems, current trends, common criticisms, and state responses. State Reporting Systems Continue to ImproveDespite their potential, there has been significant discussion and controversy about the purpose and use
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