Department Of Health's Annual 'Adverse Health Events' Report Sees Slight Increase
The state health department's 14th annual "adverse health events" report was released.
The report shows that the number of adverse events in Minnesota hospitals continues to rise slightly over the past four years.
"This is an opportunity for us to look at these events and work as an enterprise to look at interventions that are working or helping to prevent these," Dr. Jennifer Johnson, Lead for Clinical Quality Outcomes at Mayo Clinic Health System in Mankato said.
Of the 341 adverse events reported between Oct. 2016 and Oct. 2017 103 resulted in serious injuries and 12 led to deaths, compared to four deaths in 2016.
"This includes things like falls. This includes things like pressure ulcers, things where patients have had a piece of equipment against them. This includes things like specimens from lab that have been labeled incorrectly," Dr. Johnson said.
Nine of the events were reported at MCHS in Mankato, compared to two events at MCHS in Fairmont and two at Owatonna Hospital.
Two of these events from all three locations related in serious injury, from patient falls, while zero resulted in death.
"Whether it's officially considered serious by the state report or not, to that patient it was a serious event and we take that very seriously," she said.
According to the report, the most common adverse events remain bedsores, which accounted for 59 percent of the events.
Falls and wrong–site surgeries rose for the second straight year despite prevention efforts.
Five of the 12 deaths were associated with falls.
The reporting system continues to focus on developing a deeper understanding of why these events occur and finding ways to prevent them in the future.
--KEYC News 12