Resources and Additional Information
- Chapter 70.56 RCW Adverse health events and incident reporting system
- List of adverse events (PDF)
- NQF Adverse Event 2011 Update (PDF)
New rules effective October 1, 2012 - Guide: Reporting an Adverse Event (PDF)
- Guide: Root Cause Analysis (RCA) Process (PDF)
- Guide: Reporting Aggregate Reviews (PDF) (RCA for multiple events)
Determining if an event is a reportable adverse event
- National Quality Forum Serious Reportable Adverse Events in Health care
- Department of Veterans Affairs National Center for Patient Safety Assessment Tool
- National Patient Safety Agency Incident Decision Tree
Root cause analysis (RCA) reporting formats
- The Joint Commission on Accreditation of Health Care Organizations
- The Department of Veterans Affairs National Center for Patient Safety
Examples of RCA aggregate review (for multiple occurrences of adverse events)
- Example: Unintended retention of surgical sponge (PDF)
- Example: Stage 3 or 4 pressure ulcer acquired after admission (PDF)
Washington State resources
- Washington State Patient Safety Coalition
- Surgical Care and Outcomes Assessment Program (SCOAP)
- Washington State Hospital Association (WSHA)
- Washington Ambulatory Surgery Center Association (WASCA)
- Washington Health Alliance
- Foundation for Health Care Quality
- Washington State Department of Health License, Permits and Certificates
Other patient safety resources
- The Joint Commission: 2012 National Patient Safety Goals
- The Department of Veterans Affairs: Ensuring Correct Surgery
- U.S. Department of Health & Human Services, Hospital Compare
- Centers for Medicare & Medicaid Services
- Institute for Health Care Improvement
- Minnesota Department of Health, Patient Safety
- New Jersey Department of Health & Senior Services, Patient Safety Initiative
- Oregon Patient Safety Commission
- Pennsylvania Patient Safety Authority
- Canadian Patient Safety Institute
For consumers
- National Quality Forum, Practices for Better Health Care
- Qualis Health: Filing a Complaint Related to Your Healthcare
- File a complaint (Department of Health)
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