The number of "serious reportable events," such as deaths or injuries, at Massachusetts acute-care hospitals more than doubled in the last three years, according to data collected by the state Department of Public Health.
The total number of events soared from 366 in 2011 to 753 last year at acute-care hospitals, and from 123 to 206 over the same period at non-acute-care hospitals, the department said.
Dr. Madeleine Biondolillo, DPH's associate commissioner, said the increases can be attributed to a number of factors.
"The adoption of new national quality definitions led to an expansion of the number and types of events that need to be reported, which resulted in a marked rise in reporting in several existing categories, particularly falls and pressure ulcers," Biondolillo said in a statement. "The implementation of online reporting system reduced barriers and streamlined the facility reporting process to DPH. DPH also increased outreach to facilities to emphasize reporting as an important part of patient safety and quality improvement. DPH anticipates a continued upward trend in number of reported events in 2014 as facilities become increasingly efficient in evaluation & reporting."
At acute-care hospitals, the number of suicides or serious injuries resulting from self harm jumped from one to 22 from 2011 to 2013, while the number of serious injuries or deaths rose from six to 16 due to burns, and from five to 14 due to assaults or abuse. The number of wrong surgeries or procedures performed climbed from two to 11.
In a statement, Anuj Goel, the Massachusetts Hospital Association's vice president for legal and regulatory affairs, said: "Massachusetts hospitals are closely focused on eliminating serious reportable events (SREs) and make patient safety a top priority. Hospitals are diligent in reporting adverse events, including those that fall within the definition recently updated by the National Quality Forum (NQF) and adopted by the state Department of Public Health. The Massachusetts Hospital Association and our member hospitals have worked very closely with DPH to develop and provide guidance materials, educational sessions and best practices to ensure that hospitals are reporting events that meet these revised and expanded SRE criteria."
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