IU Health LaPorte Hospital had one ?reportable event? in the Indiana State Department of Health?s Medical Error Reporting System for 2011, under the category titled ?surgery performed on the wrong body part.?
No more details on the LaPorte Hospital incident were provided in the report, however the state health department did offer the following summation on that type of event: ?(Statewide) the second most reported event for 2011 was surgery performed on the wrong body part. There were 18 reports of surgery performed on the wrong body part (statewide). This number has varied very little in the last four years of reporting. Surgery on the wrong body part includes many medical results. If surgery was begun (the insertion of a needle into the skin for anesthesia, for example) and then stopped after the error was realized, that event must be reported as surgery on the wrong body part. As surgery is defined in the rule a reportable surgery on the wrong body part encompasses all stages of surgery form ? for example, numbing the wrong leg before catching the error, to completed surgery on the wrong leg.?
That single event reported by LaPorte Hospital occurred among a total of 8,997 procedures at the hospital in 2011.
Reports for each hospital and medical facility in Indiana are available at the following link:
http://www.in.gov/isdh/files/2011_MERS_Data_Tables.pdf
Franciscan St. Anthony Health in Michigan City had no ?reportable events? for 2011, according to the state health department?s summary.
Overall events at Indiana facilities
Overall for 2011, 291 facilities were required to file a report. A total of 100 events were reported from those facilities, a decrease from the 107 events reported in 2010. The average number of reportable events per year, since the system was established in 2005, has been 99.3 events, according to the state health department.
The most reported event for 2011 was stage 3 or 4 pressure ulcers (also known as bed sores). The 2nd most reported event was surgery on the wrong body part. The 3rd most reported was retention of a foreign object in a patient after surgery. The number of falls resulting in death or serious disability decreased from 17 events in 2010 to 12 events in 2011.
Here is a summation of all 100 reported events from all Indiana medical facilities, defined by category:
? Surgical: 40 events. Surgery performed on the wrong body part, 18; wrong surgical procedure performed on a patient, 4; retention of a foreign object in a patient after surgery, 17; intra-operative or post-operative death in a normal, healthy patient, 1.
? Patient protection: 2 events. Suicide or attempted suicide resulting in serious disability, 2.
? Care management: 44 events. Death or serious disability associated with medication error, 3; Stage 3 or 4 pressure ulcers acquired after admission, 41.
? Environmental: 12 events. Death or serious disability associated with a fall, 12.
? Criminal: 2 events. Sexual assault of a patient on the facility grounds, 2.
The entire 2011 report, including explanation of data and history, is available at the following link:
www.in.gov/isdh/23433.htm
This entry was posted on Monday, November 19th, 2012 at 2:01 pm and is posted under Health & Fitness. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.
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