Government Resource Adverse Events. Citation Text: Washington State Department of Health. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL August 18, 2010 Washington State Department of Health. This Web site provides never event data to promote transparency and informed consumer decision making. Available at Related news article Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Washington State Department of Health. Copy Citation Related Resources From the Same Author(s) Indiana Medical Error Reporting System. March 21, 2007 Indiana Medical Error Reporting System Final Reports. September 10, 2008 Partnership for Patients. April 13, 2011 Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements. March 6, 2005 Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections. 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Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements. March 6, 2005
New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. May 21, 2014
The National Healthcare System Action Alliance to Advance Patient Safety. November 14, 2022 - November 14, 2022
Heparin-containing medical devices and combination products: recommendations for labeling and safety testing. Draft guidance for industry and Food and Drug Administration staff. August 5, 2015
Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. January 9, 2019
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. August 1, 2012
Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. July 27, 2016
Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. March 19, 2014
Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. February 18, 2009
Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016
Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. July 29, 2015
Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. October 10, 2012
AHRQ Health Services Research Projects: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R01). March 4, 2015
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. October 30, 2019
Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. July 18, 2007
'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. November 16, 2022
Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. August 27, 2008
Building a Culture of Patient Safety: Report of the Commission on Patient Safety and Quality Assurance. August 20, 2008
National Action Alliance to Advance Patient Safety Webinar Series. September 26, 2023 - September 26, 2023
Changes in early high-risk opioid prescribing practices after policy interventions in Washington State. October 28, 2020
Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics. November 2, 2016
Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. June 2, 2021
Best Practices in Developing Proprietary Names for Human Prescription Drug Products Guidance for Industry. December 23, 2020
Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. January 13, 2021
Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. May 25, 2022
Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center in Tennessee. September 30, 2020
Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. February 10, 2021
Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. November 13, 2013
Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. September 4, 2019
Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. August 25, 2021
Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Locations Prior to the Pandemic. July 14, 2021
Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia. May 26, 2021
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri. August 2, 2023
Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. July 5, 2023
Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. January 29, 2020
Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. August 12, 2020
Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. June 2, 2021
Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. June 7, 2023
Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review. May 3, 2023
Why hospitals still make serious medical errors—and how they are trying to reduce them. March 29, 2023
Exploring nursing-sensitive events in home healthcare: a national multicenter cohort study using a trigger tool. January 25, 2023
Using community detection techniques to identify themes in COVID-19-related patient safety event reports. December 7, 2022
Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. November 16, 2022
Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital. September 14, 2022
Association between hospital acquired harm outcomes and membership in a national patient safety collaborative. August 10, 2022
Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. December 8, 2021
Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals September 1, 2021
Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect? August 25, 2021
The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. August 18, 2021
Estimating the economic cost of nurse sensitive adverse events amongst patients in medical and surgical settings. June 16, 2021
Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. June 9, 2021
Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. June 2, 2021