State Adverse Health Incident Reporting Systems in the United States
GLOBAL PATIENT SAFETY: LAW, POLICY AND PRACTICE 136 (John Tingle et al. eds., Forthcoming)
Western New England University School of Law Legal Studies Research Paper
Posted: 28 Oct 2018 Last revised: 31 Oct 2018
Date Written: 2018
Abstract
In the United States, the multiple overlapping adverse event reporting systems for patient safety reflect the country’s fragmented, inefficient, and inequitable health care finance and delivery system. This Chapter provides a brief description of the United States' health care environment and its impact on the frequency of adverse events. It includes an overview and the progress in state-by-state adverse event reporting systems and a discussion of the role of the Joint Commission's "Speak Up" initiative. The Author concludes that, in spite of the system's gaps and failings, the efforts of many physicians, health care institutions, regulatory bodies, and other stakeholders deserve both recognition for their roles in improving its safety and substantially more governmental and budgetary support going forward.
Keywords: medical care, medical errors, medical ethics, medical policy, preventative medicine
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