The following HTML text is provided to enhance online
readability. Many aspects of typography translate only awkwardly to HTML.
Please use the page image
as the authoritative form to ensure accuracy.
Patient Safety: Achieving a New Standard for Care
more than one factor precipitated the adverse event, and be incorporated into SNOMED CT.
The standardized report format should include the following:
A standardized minimum set of data elements.
Data necessary to calculate a risk assessment index for determining prospectively the probability of an event and its severity.
A free-text narrative of the event.
Data necessary to support use of the Eindhoven Classification Model—Medical Version for classifying root causes, including expansions for (1) recovery factors associated with near-miss events, (2) corrective actions taken to recover from adverse events, and (3) patient outcome/functional status as a result of those corrective actions.
A free-text section for lessons learned as a result of the event.
Clinical documentation of the patient context.
The taxonomy and report format should be used by the federal reporting system integration project in the areas for basic domain, event type, risk assessment, and causal analysis but should provide for more extensive support for patient safety research and analysis (Department of Health and Human Services, 2002).