The Indiana State Department of Health has posted a preliminary report on its Web site that lists the number of times that incidents the National Quality Forum says should never happen in healthcare happened at the states 287 hospitals, ambulatory surgery centers, abortion clinics and birthing centers.
Using the NQF's list of 27 never events, the report includes 2006 data received prior to Feb. 26. A final report isnt expected to be issued until August.
So far, the state has counted 72 never events occurring at hospitals and five occurring at ASCs. These include 23 cases of Stage 3 or 4 pressure ulcers, which represented one event per 160,000 hospital discharges. There were 21 cases of foreign objects left in patients after surgery or other invasive procedures, or one for every 81,000 procedures. Nine surgeries were reported on the wrong body part, equaling one per 189,000 surgeries.
Instead of expecting these figures to go down in the coming years, the agency warned that reported events are expected to increase as awareness of reporting requirements increases. -- by Andis Robeznieks