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Medical error data shows pressure ulcer rates declined in 2012
e-Reports, Oct. 21, 2013
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Health care facilities in the state reported fewer incidents of pressure ulcers, which is great news, according to the recently released 2012 Indiana Medical Errors Report.

Medical ErrorsThe annual survey is based on data received by the Indiana State Department of Health (ISDH). A total of 289 hospitals, ambulatory surgery centers, abortion clinics and birthing centers were surveyed.

The report provides information to help increase awareness of patient safety among health care providers and improve patient care and health outcomes.

“Medical errors are serious and preventable,” said State Health Commissioner William VanNess II, M.D. “I hope this report serves as a call to action to health care providers around the state to be even more vigilant in their attention to detail when caring for patients.”

Of 100 incidents that were reported, 88 events occurred at hospitals and 12 events happened at ambulatory surgery centers. Abortion clinics and birthing centers have not reported for the past seven years because of their limited services.

Pressure ulcers, or bed sores, have been the most reported incident six of the seven years the data have been collected.

Surgery on the wrong body part was another top reported event. Of 15 incidents, 13 occurred in hospitals and two in ambulatory surgery centers. The reporting rule includes all stages of surgery from, for example, numbing the wrong leg before catching the error to complete surgery on the wrong leg.

Additionally, there was a significant increase in incidents of death or serious disability associated with contaminated drugs. This was due primarily to a meningitis outbreak last year linked to contaminated steroid injections produced at the New England Compounding Center. The ISDH reported 11 deaths associated with the incident.

In 2006, Indiana became the second state to adopt the National Quality Forum’s reporting standards. ISDH officials caution that the report is not a comprehensive study of medical errors but is intended to provide a broad overview of health care issues.

Find the report at in.gov.

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