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) Learning how to learn: compliance with patient safety alerts in the NHS. August 3, 2005 Indiana Medical Error Reporting System. March 21, 2007 Indiana Medical Error Reporting System Final Reports. September 10, 2008 Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. July 18, 2007 National Action Plan for Adverse Drug Event Prevention. September 24, 2014 Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016 Medication Management: Detailed Use Case. July 4, 2007 Adverse Events Toolkit: Medical Record Review Methodology. July 26, 2023 Adverse Events Toolkit: Clinical Guidance for Identifying Harm July 19, 2023 HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. October 30, 2019 Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. February 11, 2015 Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. July 27, 2016 Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. January 9, 2019 Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. November 24, 2010 Adverse Events in Hospitals: Methods for Identifying Events. 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Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. July 18, 2007
Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016
HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. October 30, 2019
Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. July 27, 2016
Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. January 9, 2019
Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. March 19, 2014
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. August 1, 2012
Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. February 18, 2009
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
New HHS Data Shows Major Strides Made in Patient Safety, Leading to Improved Care and Savings. May 21, 2014
Changes in early high-risk opioid prescribing practices after policy interventions in Washington State. October 28, 2020
Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. August 12, 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
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 Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center in Tennessee. September 30, 2020
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 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
Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. September 4, 2019
Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. November 13, 2013
Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. January 29, 2020
Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. June 2, 2021
Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements. March 6, 2005
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
The value from investments in health information technology at the U.S. Department of Veterans Affairs. May 5, 2010
Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system. May 12, 2021
Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care. June 27, 2018
Reduction in omission events after implementing a rapid response system: a mortality review in a department of gastrointestinal surgery. March 15, 2023
Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. January 13, 2021
Best Practices in Developing Proprietary Names for Human Prescription Drug Products Guidance for Industry. December 23, 2020
Experiences of transgender and gender nonbinary patients in the emergency department and recommendations for health care policy, education, and practice. July 21, 2021
Provider bias in prescribing opioid analgesics: a study of electronic medical records at a hospital emergency department. September 8, 2021
Crossover of the patient satisfaction surveys, adverse events and patient complaints for continuous improvement in radiotherapy department. April 20, 2022
Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. March 2, 2022
'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. November 16, 2022
The National Healthcare System Action Alliance for Patient and Workforce Safety. November 14, 2022 - November 14, 2022
Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities. September 7, 2022
AHRQ Health Services Research Projects: Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R01). March 4, 2015
Medicare and Medicaid programs; reform of requirements for long-term care facilities; proposed rule. July 29, 2015
Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors: Guidance for Industry. May 25, 2022
Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. October 10, 2012
2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report. March 20, 2024
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