Since the Institute of Medicine called for a nationwide, mandatory reporting system to provide for the collection by state governments of standardized information about adverse medical events, much state activity has focused on the development and refinement of these systems. The information collected can help identify health system weaknesses, complement other state functions, and help safeguard health-care consumers.
The National Academy for State Health Policy (NASHP) recently collected information about all state adverse event reporting systems that were authorized as of October 2007. For purposes of this research, state adverse event reporting systems were defined as those systems authorized and operated by state governments to collect reports from hospitals (and in some cases other types of facilities such as ambulatory surgical centers) about adverse events, with the intent of improving patient safety. The work was supported by the Commonwealth Fund.
This State Health Policy Survey Report provides a snap shot of the current scope and operations of state adverse event reporting systems and compares current information with information from previous NASHP work. The intent of this work is to identify trends in state policies governing those systems.