Adverse Events Toolkit: Medical Record Review Methodology.

Book/Report

Adverse Events Toolkit: Medical Record Review Methodology.

July 26, 2023

Maxwell A. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2023. Report no. OEI-06-21-00030.

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Medical record review is a primary tactic to identify health care actions that contribute to patient harm. This report discusses the review process used in the 2018 report Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm to illustrate a successful review process for use by clinicians and researchers. It is a companion toolkit to the Clinical Guidance for Identifying Harm publication.

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