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Blue Quotes   
Little improvement in the prevention of adverse events has occurred since the publication of the Institute of Medicine's report in 2000 which found that approximately 98,000 patients die each year from Hospital Acquired Conditions (HAC).1 

The CDC estimates that there are 1.7 million hospital acquired infections each year that cause nearly 100,000 deaths,2,3 which costs our US healthcare system between 28 billion to 33 billion dollars each year.4  Each infection can produce an additional cost of hospitalization of between $32,000 and $38,656.5,6  The average cost of each healthcare acquired infection was estimated by AHRQ to be $43,000.7 

Pressure Ulcers Healthcare Associated Infections

Cost of Health Errors Online Calculator from
GE Heatlhcare - It is Sobering for Kentucky
  
Healthcare Accociated Infections and Hosptail Acquired Infections - GE Graphic Showing the Magnitude of the Probem in the USA


Graphic Illustration on
The Magnitude of Hospital Acquired Conditions.
(Click on Picture to Enlarge)
Go To Healthcare Errors Calculator

A recent White Paper from the CDC (Centers for Disease Control), SHEA (Society for Healthcare Epidemiology of America), APIC (Association for Professionals in Infection Control and Epidemiology) , ASTHO (Association of State and Territorial Epidemiologists), CSTE (The Council of State and Territorial Epidemiologists), and the PIDS (Pediatric Infectious Disease Society) stated the following:8 

“The number of people who are sickened or die and the financial impact from HAIs are unacceptable high.” 

Report an Event to the Empowered Patient Coalition &
Consumers Union Safe Patient Project

How common are adverse events.  Here is what a November 2010 OIG report has found.

"We found that about one in seven hospitalized Medicare beneficiaries (13.5 percent) experienced harm as a result of an adverse event during hospital stays."10

Physician reviewers determined that 44 percent of events were preventable, most commonly because of medical errors, substandard care, and inadequate patient monitoring.10

In 2011, a disturbing study of three major hospitals found that errors occurred in one in three patients and that 90% of these errors which not have been identified by standard tracking systems from the Agency for Healthcare Research and Quality.12 

History:  The term "Never Events" was introduced in 2001 at the National Quality Forum by Dr. Ken Kizer, in response to severe, largely preventable, hospital acquired conditions.  The NQF initially defined 27 conditions which were revised and expanded to 28 in 2006.   The term "Never Events" was also redefined as "Serious Reportable Events".  Many consumer groups including The LeapFrog Group have opposed this change in terminology.  See Leapfrog Group's Policy Statement 

To view a list of the 28 NQF Serious Reportable Conditions click on the button below.  Surprising to many consumers, they do not included hospital acquired infections.  Medicare has a separate list of hospital acquired conditions which are slated for nonpayment.  This list also contains serous reportable conditions along with several additional hospital acquired conditions. 

NQF Serious Reportable ConditionsSection References Preventing Adverse Events