Health Information Management

News: NQF releases update on reportable events list

CDI Strategies, June 23, 2011

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In 2002 the National Quality Forum (NQF) created its report Serious Reportable Events in Healthcare. The report identified 27 adverse events that should never occur in hospitals. In 2006, the NQF added one item to the list.

Now, the agency has ratified an updated list of 29 events in its Serious Reportable Events in Healthcare–2011 Update: A Consensus Report. The list is open to appeal though Tuesday, July 12 via e-mail at appeals@qualityforum.org.
 
Of the 29 events, 25 remain from the original list with four additions, three of which occur under the care management domain. They are:
  • Death or serious injury of a neonate associated with labor or delivery in a low-risk pregnancy
  • Patient death or serious injury resulting from the irretrievable loss of an irreplaceable biological specimen
  • Patient death or serious injury resulting from failure to follow up or communicate laboratory, pathology, or radiology test results
The fourth item is “death or serious injury of a patient or staff associated with the introduction of a metallic object into the MRI area.”
 
"The updated list of Serious Reportable Events provides an essential accountability framework for ensuring our progress in improving patient safety,” said Gregg Meyer, MD, MSc, co-chair of the Serious Reportable Events in Healthcare Steering Committee, in a release.



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