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 National Action Plan to Improve Health Literacy. June 16, 2010 National Action Plan for Adverse Drug Event Prevention. September 24, 2014 Adverse Health Events in Minnesota: Annual Reports. September 30, 2023 Culture Change in the NHS: Applying the Lessons of the Francis Inquiries. March 11, 2015 Hard Truths: the Journey to Putting Patients First. 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Testing and Labeling Medical Devices for Safety in the Magnetic Resonance (MR) Environment. June 2, 2021
New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. May 21, 2014
Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements. March 6, 2005
Promoting Patient Safety Through Effective Health Information Technology Risk Management. July 23, 2014
Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016
Greater Focus on Credentialing Needed to Prevent Disqualified Providers From Delivering Patient Care. March 13, 2019
Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. July 18, 2007
Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care- a narrative review. September 5, 2018
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
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 Draft guidance for industry and Food and Drug Administration staff.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
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. August 1, 2012
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. October 30, 2019
Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. January 9, 2019
Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. February 18, 2009
Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. May 16, 2018
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. July 11, 2018
Improved Policies and Oversight Needed for Reviewing and Reporting Providers for Quality and Safety Concerns. December 6, 2017
Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm. November 22, 2017
VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure That These Data Are Complete. November 9, 2011
Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. September 5, 2012
Approaches and Challenges to Electronically Matching Patients' Records Across Providers. March 6, 2019
Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections. October 15, 2008
Drug Shortages: Certain Factors Are Strongly Associated With This Persistent Public Health Challenge. July 20, 2016
VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. September 9, 2015
Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. February 24, 2016
Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care. March 19, 2014
Drug Shortages: Public Health Threat Continues, Despite Efforts to Help Ensure Product Availability. February 19, 2014
DOD and VA Health Care: Medication Needs During Transitions May Not Be Managed for All Servicemembers. November 28, 2012
Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. May 27, 2020
COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. October 12, 2022
Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. December 9, 2020
Community Living Centers: VA Needs to Strengthen Its Approach for Addressing Resident Complaints. January 19, 2022
Health-Care-Associated Infections in Hospitals: Leadership Needed from HHS to Prioritize Prevention Practices and Improve Data on these Infections. April 30, 2008
Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emergency department. September 8, 2021
Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed. August 15, 2012
VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. January 15, 2014
Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. October 26, 2022
The National Healthcare System Action Alliance to Advance Patient Safety. November 14, 2022 - November 14, 2022
National Action Alliance to Advance Patient Safety Webinar Series. September 26, 2023 - September 26, 2023
Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center in Tennessee. September 30, 2020
Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. May 4, 2016
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