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Study Goal • Objectives o Capture incidence of patient harm o Assess preventability of adverse events o Estimate costs to Medicare • Congressional Mandates o Deficit Reduction Act of 2005 – “hospital-acquired conditions” o Tax Relief and Health Care Act of 2006 14 NPSF Professional Learning Series May 31, 2012
Sample for National Incidence Study October 2008 999,645 780 • Sample month • Medicare beneficiaries discharged from acute care hospitals • Sample Medicare beneficiaries 661 • Hospitals represented 15 NPSF Professional Learning Series May 31, 2012
Page 1 and 2: NPSF Professional Learning Series p
Page 3 and 4: Disclosure 3 NPSF Professional Lear
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Page 7 and 8: Committee membership GAIL L. WARDEN
Page 9 and 10: Committee process • 12 month stud
Page 11 and 12: Current state of health IT Magnitud
Page 13: US Government Study 13 NPSF Profess
Page 17 and 18: Is safety improving in the US? Land
Page 19 and 20: Adverse Events by Category Harm Cat
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Page 26 and 27: Safety as a system property • Saf
Page 28 and 29: Patient engagement tools • Health
Page 30 and 31: Recommendations: Summary Current ma
Page 32 and 33: Recommendation 1 (continued) b. The
Page 34 and 35: Information Transfer and Clear Comm
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Page 48 and 49: Recommendation 2 The Secretary of H
Page 52 and 53: The Patient Safety and Quality Impr
Page 58 and 59: Recommendation 10 HHS, in collabora
Page 60 and 61: A Definition A multi-disciplinary/m
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“When technical systems have more
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Declining D Revenue, Competition…
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What’s the Payoff? • Lesser ris
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Mature Sciences can be applied towa
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