ADVERSE EVENTS IN HOSPITALS: OVERVIEW OF KEY ISSUES

The DHHS Office of the Inspector General has released a new report examining the key issues regarding adverse events in hospitals. SUMMARY The extensive range of entities involved in researching and addressing adverse events shows that reducing the incidence of adverse events is a high priority. Stakeholders described the current environment among hospitals and policymakers as being on the threshold of accelerated progress. They point to a large body of research as improving understanding, including recognition of the critical role of hospital systems in guarding against adverse events. Additionally, new policies, such as denying hospitals higher payment for admissions complicated by certain adverse events and public disclosure of events, strengthen hospital incentives to develop safer practices. These advancements in clinical understanding, combined with heightened controls, hold promise for reducing the incidence of adverse events in hospitals and improving the quality of care. KEY ISSUES Issue 1: Estimates of adverse event incidence vary widely Issue 2: Nonpayment policies are gaining prominence Issue 3: Hospitals rely on staff to report adverse events Issue 4: Hospitals report adverse events to oversight entities Issue 5: Public disclosure has benefits but raises concerns Issue 6: Hospitals may be slow to apply practices Issue 7: Interviews and literature reveal strategies Link to Full Report