FORT WAYNE, Ind. (WANE) – Licensed medical facilities in Indiana have reported errors to the Indiana State Department of Health since 2006.
Monday, the department released the most recent data from 2012.
Former Gov. Mitch Daniels issued an executive order to implement the new system. The thought was to increase accountability by licensed care facilities. Daniels hoped to reduce the frequency of medical errors by revealing the cause and allowing healthcare professionals to develop strategic initiatives to prevent harm to patients before errors occurred.
The 2012 Medical Errors Report released by the Indiana State Department of Health showed a big increase in the number of deaths associated with contaminated drugs because of a meningitis outbreak that was linked to a compounding pharmacy.
Licensed facilities across Indiana have averaged about 100 reported errors per year since the program began.
The most reported incidents in 2012 were:
• 30 stage three or four pressure ulcers acquired after admission to the hospital
• 19 incidents of a foreign object retained in a patient after surgery
• 15 surgeries performed on the wrong body part
• 14 falls resulting in a death or serious disability
Reports of stage three or four pressure ulcers acquired after admission decreased from 41 in 2011 to 30 in 2012. Pressure ulcers, also known as bed sores, have been the most reported incident six of the seven years the report has been compiled, including in 2012, and average approximately 30 incidents a year.
“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.”
The annual report is based on the National Quality Forum’s 28 Serious Adverse Events. A total of 289 hospitals, ambulatory surgery centers, abortion clinics, and birthing centers were surveyed.
Lutheran Hospital in Fort Wayne reported one error in 2012, a case involving a foreign object left in a patient after surgery. The hospital, according to the report, performed 34,485 procedures last year. It saw 72,259 outpatients and 20,104 inpatients.
The Orthopedic Hospital at Lutheran and Parkview Huntington also reported one error. Both cases involved a surgery involving the wrong body part. The Ortho hospital performed more than 8,500 procedures last year and Parkview Huntington performed just under 4,000 procedures.
Parkview Surgery One was listed as having an error involving a foreign object being left in a person following surgery, however the Indiana State Department of Health has since issued a correction indicating that was a mistake and there was no error. The outpatient clinic, classified as an ambulatory surgery center in the reporter, performed nearly 13,000 procedures in 2012.
Of the 100 errors, 88 occurred at hospitals, according to the report. 12 incidents were reported at ambulatory surgery centers.
Each licensed clinic is given a copy of their error report in June to be examined for inaccuracies or mistakes. Hospitals must report errors to the State no later than four months after discovery.
For specific details contained in the reports, click here.
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