Preventable health care errors contribute to at least 44,000 deaths per year, increasing the cost of health care and limiting public trust. The Adverse Health Event Law passed in 2003 requires disclosure and examination of specific unfavorable events with corrective action plans with some aspects shared publically in order to educate consumers about health care facilities issues and improvements (MDH 2015).
Review of the Utah and Minnesota Incident reporting mandates provided various state statutes and reporting responsibilities to the state’s government and regulatory agencies. Reports of adverse events must be reported in various methods among states. For example, Utah and Minnesota require each individual facility, hospital, outpatient centers, and clinics, to report the adverse events that occur at the particular facility. Specifically, in Minnesota if the Boards that regulate physicians, nurses, podiatrist, physician assistants, and/or pharmacists are aware of an adverse event, the specific board holds the responsibility to report the events to the Minnesota Department of Health. Adverse events consist of defined elements within states in the categories of surgical, product or device, patient protection, case management, environmental, and potential criminal events, essentially providing events that produce irreversible patient harm. However, differences among these two states exist as Utah provides more specific descriptions in the case management events involving
One of the recommendations for healthcare organizations to employ in an effort to reduce the number of errors is to advocate for voluntary error reporting nationally while conducting research and developing tools for patient safety. This way, information about errors can be gathered and prevented from reoccurring at health care sites and by health care providers. Voluntary error reporting will act as a warning of potential or actual errors and suggest ways to avoid them in the future.
The purpose of this abstract is to critically review the primary data sources used in the criminological research. The two key factors that measures crime are distinguished: official crime statistics, which are based on the compile data records of offenders and offenses processed by the police, courts, and corrections agencies; and unofficial crime statistics, which are produced by people and agencies outside the criminal justice system whom can add value to the data source (Regoli, Robert M., and Hewitt, John D., 2008, p 62). This abstract will discuss the strengths, weaknesses and differences of both data sources using arrests and self-reports to calculate the prevalence of crime in the United States.
Healthcare workers are not the only ones fearful of exposing medical errors. The medical institutes themselves operate behind a wall of silence. The IOM first recommended a national medical error reporting system in 1999 and despite attempts by then President Clinton, the American Medical Association and the American Hospital Association successfully lobbied against it (Dyess, 2009). As of 2009, only 20 states have a mandatory medical error reporting system and only a fraction of estimated
In the article, Introducing incident reporting in primary care: a translation from safety science into medical practice, the authors speak of how most reported incidents were ones that caused little or no injury to the patient. They found those providing care were able to deal with these incidents more
In healthcare systems, there is a concept of fair and just culture. That concept is important to manage the risk. In any organization, errors can happen. But, the best first tool to understand the error is to report it when it happens. Reporting error in healthcare contributes to minimize the risk of recurring.
It is shocking to know that every year 98000 patients die from medical errors that can be prevented(Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds.), 2000). Medical errors are not a new issue in our healthcare system; these have been around for a long time. Hospitals have been trying to improve quality care and patients safety by implementing different strategies to prevent and reduce medical errors for past thirty years. Medical errors are the third leading cause of death after heart disease and cancer in America (Allen, 2013). In addition medical errors are costing our healthcare system an estimated $735 billion to $980 billion (Andel, Davidow, Hollander, & Moreno, 2012).
3. The Safety Reporting System of the hospital has a policy in place for adverse reactions that state it is a voluntary online reporting. According to Joint Commission Standards an adverse reaction must be directly reported to the primary physician and quality assessment team.
It is unfortunate that crime exists in our daily lives. There really is no way to stopping crime completely, no matter how many laws or punishment are present, people will continue to keep breaking rules. There are many theories of why that may be the case, for example, Caesar Lombroso and his “atavistic” theory with the Positivist School theory and how people were “born criminals”, or the Rational Choice Theory, devised by Cornish and Clarke, described that people could think rationally and how people will naturally avoid pain and seek pleasure referred to as “hedonism” (Cartwright, 2017, lecture 4). Since it is apparent that crime will continue to exist, it is not only important to understand the study of crime and the feedbacks to it,
orting System fall under the Uniform Crime Reporting Program that provides information on crime all of the United States. This includes regions, states, counties, cities, towns, tribal law enforcement, colleges and universities. In this paper we will compare and contrast the two primary crime data sources used within the United States, the Uniform Crime Report and the National Incident-Based Reporting System. Before we do this, we will discuss each source individually and how it is used in Criminological research. The purpose of this study is to determine which source is lacking in function and which provides the best accurate information.
The third leading cause of death in America may surprise you. Hospitals and healthcare organizations dedicate their branding to reflect a place of hope, comfort, and healing when ones health is compromised. Sadly, medical errors do exists in the realm of healthcare. The National Center for Biotechnology Information defines medical error as “an act of omission or commission in planning or execution that contributes to or could contribute to an unintended result.” Medical errors may include incorrect record keeping, administering incorrect medication to a patient, misdiagnosis, failing to remove all surgical instruments and performing surgery on the incorrect site. The Agency for Healthcare Research and Quality identified eight factors that contribute to the cause of medical errors. These factors include “communication problems, inadequate information flow, human problems, patient-related issues, organizational transfer of knowledge, staffing patterns, technical failures and inadequate policies and procedures.”
The Uniform Crime Report identifies Part 1 Offenses as: criminal homicide, forcible rape, robbery, aggravated assault, burglary, larceny-theft, motor vehicle theft, and arson (U.S Department of Justice, 2009). These crimes can be more simply described as the most serious offences. For this project and my analysis, I will assume that all 100% of all crimes were reported during the years in which the data was collected.
For both Utah and Minnesota, health care facilities must report adverse events for serious patient injuries. The Utah Administrative Code requires that an independent, external review to be performed on the root cause analysis that is performed by the facility to ensure the credibility and thoroughness of the processes
According to the article, the economics of health care quality and medical errors, in 2008 medical errors costs the United States $19.5 billion. It goes without saying that this a huge problem. It’s relieving to know that we are aware of several adverse detection (AE) methods such as voluntary or incident reporting, medical record review, administrative surveillance, clinical observation, and electronic health record surveillance. Voluntary reporting is the most common but unreliable way of detecting adverse events. It depends on the physician reporting and admitting that an adverse outcome as occurred. However, it has been shown to underestimate adverse events by a factor of 50 and often identifies issues other than true safety
Wrong site, wrong procedure, and wrong patient errors are avoidable safety issues. Nearly 1.9 trillion dollars are spent on medical errors each year in the United States (Catalano & Fickenscher, 2008). Between 1995 and 2007, 691 wrong-site surgeries have been reported to The Joint Commission's Sentinel Event data repository (AHC Media LLC, 2008). In 2003 in response to the outcry for better patient safety The Joint Commission
Reporting errors can strengthen the processes of care and also enhance the quality of care. To effectively avoid further errors that can cause harm to patients, improvements must be made on the incidents or events reported in reporting system. Reporting errors can help the organizations better understand what happened, identify the factors that cause the occurrence of errors or incidents, determine its frequency and predict whether it could happen again and find an intervention to prevent or to