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Diane Publishing Books
Hospital Incident Reporting Systems Do Not Capture Most Patient Harm
Daniel R. Levinson (au)
Because hospitals rely on incident reporting systems to track and analyze events, improving the usefulness of these systems is critical to hospitals' efforts to improve patient safety. This report describes how hospitals use incident reporting systems and incident reports; determines the extent to which hospital incident reporting systems capture patient harm that occurs within hospitals; and determines the extent to which accreditors review incident reporting systems when assessing hospital compliance with Federal requirements to track instances of patient harm. The report concludes that hospital incident reporting systems captured only an estimated 14% of the patient harm events experienced by Medicare beneficiaries. Hospitals investigated those reported events that they considered most likely to lead to quality and safety improvements and made few policy or practice changes as a result of reported events. Hospital administrators classified the remaining events (86%) as either events that staff did not perceive as reportable (61%) or as events that staff commonly report but did not report in this case (25%). Figures. This is a print on demand report.
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