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
| use_of_adverse_data.pdf | 425.7 KB |

For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 























































































































































