Today, the Oregon Patient Safety Commission (OPSC) released its 2011 Annual Summary for Hospitals. Oregon hospitals are participating in a rigorous program to report any errors that happen in a care setting, in order to root out the causes of harm and eliminate them. We call these instances of harm “adverse events” and “never events.” This report is an annual summary to demonstrate participation in the state’s voluntary adverse event reporting program.
The term “adverse event” describes harm to a patient as a result of receiving medical care, such as infections associated with the use of a catheter. The term “never event” refers to a specific list of serious events, such as surgery on the wrong patient, that should never occur in a health care setting.
To read the report, click here.