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Legislation/Regulation > Congressional Testimony
Hearings before the House Insurance Committee of the Pennsylvania General Assembly. (April 22, 2004) (statement of James R. Combes, MD, senior medical advisor, HAP).
This statement introduces the Pennsylvania Patient Safety Reporting System (PA-PSRS), a statewide reporting initiative.
Rosenthal J, Booth M. Portland, ME: National Academy for State Health Policy; November 2004.
Six states have enacted legislation to support the development of state patient safety centers to address the problem of medical errors. This report examines the various models applied in these states to design, administer, and monitor the centers.
Legislation/Regulation > Legislation/Case Law
Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements.
Washington State Legislature. HB 1602 (2003).
This addition to the Washington Patient Safety Act requires hospitals to develop and implement a staffing plan for nursing services. The plan addresses personnel issues for each patient care unit, requires hospitals to maintain records regarding patients and nursing care personnel, and authorizes the Department of Health to investigate complaints of staffing plan requirement violations and to conduct audits.
Tools/Toolkit > Toolkit
This four-chapter report defines "health literacy" and provides strategies for states to address existing educational gaps. It outlines the existing activities of interested stakeholders and summarizes the findings of a survey conducted by the Council on State governments. The report ultimately offers supportive tools for state policy makers to clarify relevant issues in their own states.
Minnesota State Legislature. SF 1019 (2003).
The law requiring Minnesota hospitals to report on a defined set of serious events.
HB 1629 Section 18 Section 381.0271 Florida Statute; 2004.
Established the patient safety center in the state of Florida.
Hannon K. Article 29D Title 2 S2998 PHL7. New York State Bill S08127; 2000.
Established the patient safety center in the state of New York. The statute, popularly known as ''Lisa's Law'' requires the New York State Department of Health (DOH) to collect and disseminate physician-specific profiles through the DOH website.
Chapter 177 Section 6 of the Acts of 2001, part 1, Title II, Chapter 6A Section 16E; 2001.
Established the patient safety center in the state of Massachusetts.
Oregon State Legislature. HB 2349 (2003).
Established the patient safety center in the state of Oregon.
Web Resource > Multi-use Website
New York Department of Health, Empire State Plaza, Albany, NY 12237.
The Center's efforts for patient safety are highlighted, including New York's Patient Occurrence Reporting and Tracking System, Clinical Guideline development, and a state patient safety awards program.
Web Resource > Multi-use Website
University of Michigan Health System, 1500 E. Medical Center Dr., Ann Arbor, MI 48109. Phone: (734) 936-4000.
The University of Michigan's Patient Safety Enhancement Program (PSEP) aims to improve the quality of patient care by conducting research that focuses on methods to prevent adverse patient outcomes.
Tools/Toolkit > Multi-use Website
Portland, ME: National Academy for State Health Policy.
This online toolkit provides sample documents, policies, and Web site links related to the 27 states that have implemented adverse event reporting initiatives.
Postman D. The Seattle Times. February 21, 2006:A1.
This article reports on a compromise reached by doctors and lawyers in Washington state. The proposed bill would allow physicians to apologize for mistakes without the apology being used against them in court.
PA-PSRS Patient Saf Advis. March 2006;3:13-19.
This article addresses strategies for minimizing patient safety risks related to interactions with health care industry representatives, as well as the role they can play in promoting safety.
Evanston, IL: Office of the Governor; July 13, 2006.
This news release announces the governor's plans to improve patient safety in Illinois, including the use of e-prescribing by all providers and a Division of Patient Safety within the state public health department.
Award > Award Recipient
Rabinowitz ABK, Clarke JR, Marella W, et al. Jt Comm J Qual Patient Saf. 2006;32:676-681.
The Medication Errors Panel. Sacramento, CA: California State Senate; March 2007.
This report shares findings from an expert panel convened to study the causes of medication error in the outpatient setting and provide recommendations for reducing errors associated with prescription and over-the-counter medications.
Legislation/Regulation > New Jersey Legislation
New Jersey Legislature. A4327 (2007).
This bill amends a previous law by requiring that serious preventable adverse events be reported to the New Jersey Department of Health and Senior Services and that a list of these errors and where they occurred be publicly available.
Legislation/Regulation > Pennsylvania Legislation
General Assembly of Pennsylvania. SB968 (2007).
This bill requires that Pennsylvania hospitals and nursing homes implement an internal infection control plan and report hospital-acquired infections.
Graham J. Chicago Tribune. August 21, 2007;Metro section:1.
This article discusses a new Illinois state law that requires hospitals to screen all intensive care patients for methicillin-resistant Staphylococcus aureus (MRSA) infections and to isolate infected patients.