2014 Guide to State Adverse Event Reporting Systems

Twenty-six states and the District of Columbia have reporting systems that collect information from hospitals and other facilities about adverse medical events resulting in patient death or serious harm. With support from Massachusetts’ Betsy Lehman Center for Patient Safety and Medical Error Reduction, NASHP surveyed officials representing each of these reporting systems, and conducted follow-up interviews with representatives in five states (Massachusetts, Maryland, New York, Oregon, and Pennsylvania).

This report, 2014 Guide to State Adverse Event Reporting Systems, analyzes the survey results to summarize the status of reporting systems across the country.

Five state patient safety case studies complement the survey report. These case studies draw from interviews to explore the roles of several stakeholder organizations as they relate to patient safety, and highlight themes, initiatives, and challenges within the states.

January 2015
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