Between October 2015 and October 2016 there were 336 adverse health events reported to the Minnesota Department of Health. As in previous years, falls and pressure ulcers were the most commonly reported, accounting for 60-percent. MDH spokeswoman Rachel Jokela says of the reports submitted 106 events resulted in serious injury and there were four deaths. She says this compares to 15 deaths the year before. During the last reporting period there were 26 cases of retained foreign objects left in patients. Jokela says many of the items reported were parts of tubing, drains and packing.
OVERVIEW OF REPORTED EVENTS & FINDINGS:
In the 13 years of public reporting of adverse health events, the Minnesota Department of Health has collected detailed information on more than 3,200 events. This annual report provides an overview of the most recent year of data and the identified risk points for adverse health events and the best approaches for preventing them. The report highlights the most commonly reported adverse health events and newer events where the understanding of the mechanisms through which these events happen, and what strategies can successfully prevent them, are less fully developed. Hospitals and ambulatory surgical centers that are licensed by MDH are required to report adverse health events under this law. Federally licensed facilities, such as those operated by the Veteran’s Administration or the Indian Health Service, are not covered by the law.
The Full Report can be found on the Minnesota Department of Health’s website.