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Maryland Hospital Patient Safety Program Annual Report: Fiscal Year 2017.

Office of Health Care Quality; Maryland Department of Health and Mental Hygiene; DHMH.

This annual report summarizes never events in Maryland hospitals over the previous year. From July 2016--June 2017, reported patient falls and pressure ulcers increased. The authors recommend several corrective actions to build on training and policy changes to guide improvement work, including improving use of hospital data to proactively manage risk and engaging hospital and departmental leaders in root cause analysis.