Adverse Health Events in Minnesota: Sixth Annual Public Report.

Adverse Health Events in Minnesota: Sixth Annual Public Report.
St. Paul, MN: Minnesota Department of Health; January 2010.

This publication summarizes never events reported by Minnesota hospitals between October 2008 and 2009. Findings include a 3.5% overall decrease in adverse events, a 20% decrease in falls, and the fewest deaths recorded since the Minnesota Adverse Health Care Events Reporting Act was enacted in 2003.

abrir aquí para acceder al documento AHRQ completo: [100 páginas, pdf, 1,1MB]
http://www.health.state.mn.us/patientsafety/publications/2010ahe.pdf