To draw attention to its ongoing monitoring of the incidence of adverse events in US hospitals and the accurate reporting thereof, the HHS Office of Inspector General is highlighting a roundup of reports on the subject.
If you get a chance to read it, you’ll probably see why I decided to distill it to a bulleted list of somewhat remarkable numbers.
- In a one-month period, 27 percent of Medicare recipients experienced “care-related harm.”
- In that month, these events cost Medicare an estimated $324 million.
- Half of them were adverse events, half were “temporary” events such as allergic reactions.
- 44 percent of the adverse events were deemed “preventable.”
- “Hospital staff did not report 86 percent of events to incident reporting systems.”
- That is partly because only 12 percent of incidents of care-related harm met requirements for being reported in the state in which they occurred.
- “Many of the events not reported as required involved serious harm, including six patient deaths.”
For those looking to dig deeper and better understand the adverse events and how they’re reported, the OIG refers to a number of relevant reports. Journalists will be particularly interested in reports explaining how reporting requirements have failed, as it helps explain the limitations of currently available data sets.
- Overview of Key Issues
- Case Study of Incidence Among Medicare Beneficiaries in Two Selected Counties
- State Reporting Systems
- Public Disclosure of Information about Events
- Methods for Identifying Events
- National Incidence Among Medicare Beneficiaries
- Medicare’s Responses to Alleged Serious Events
- Hospital Incident Systems Do Not Capture Most Patient Harm
- Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems