Adverse Events in Hospitals: Methods for Identifying Events.

Adverse Events in Hospitals: Methods for Identifying Events.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; March 2010. Report No. OEI-06-08-00221.

This report examined five methods of identifying adverse events that harmed hospitalized patients. Findings note that physician and nurse reviews were highly effective in discovering problems but that incident reports were not as useful. The document provides numerous recommendations to improve screening for adverse events.

open here to see the full-text, pdf of 1.7MB and 60 pages:
http://www.oig.hhs.gov/oei/reports/oei-06-08-00221.pdf