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Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events.

Washington, DC: United States Government Accounting Office; July 10, 2023.  Publication GAO-23-105722.

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August 23, 2023

Washington, DC: United States Government Accounting Office; July 10, 2023.  Publication GAO-23-105722.

Health information systems are fundamental tools for documenting adverse event trends within and across patient populations. This report highlights weaknesses in the web-based incident reporting system employed to track quality of care for American Indians and Alaska Natives. Recommendations for improvement focus on increasing leadership engagement and use of the data collected to examine instances of patient harm or near misses in the American Indians and Alaska Native patient population.

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Washington, DC: United States Government Accounting Office; July 10, 2023.  Publication GAO-23-105722.

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