Maximizing the Use of State Adverse Event Data to Improve Patient Safety

This report reviews key findings from a meeting of data collectors (state officials who administer reporting systems), analysts (state officials or consultants to them), and users (providers, purchasers, and consumers). The meeting was held to identify mechanisms to improve reporting, tools used for event report analysis and dissemination, and opportunities for improvement. This report reviews key findings from the meeting to assist states in improving their reporting systems and to encourage providers to improve the quality of the required reports so that data are credible and useful in shaping patient safety improvement interventions. It focuses on data integrity, event report analysis, and data feedback. The report also raises a number of challenges and opportunities that states encounter as they attempt to improve their databases and the usefulness of the data for improving patient safety. Contents  Introduction  Data Integrity  Event Report Analysis  Data Feedback  Challenges and Opportunities  Conclusion  Appendix A: Data summit participants  Appendix B: Profile of participating state reporting systems for hospital-based adverse events  Appendix C: Advisory group

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