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Health Policy Report
Patient Safety
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Volume 347:1633-1638 November 14, 2002 Number 20

Reporting of Adverse Events
Lucian L. Leape, M.D.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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When the Institute of Medicine (IOM) issued To Err Is Human,1 the recommendation to expand reporting of serious adverse events and medical errors, particularly mandatory reporting, received the most attention and sparked controversy.2 The American Medical Association and the American Hospital Association raised strong objections, claiming that mandatory reporting would increase liability and drive reporting underground.3 Clearly, the report struck a nerve.

Although the response of the American Medical Association reflected some confusion about the IOM's advice — the call for mandatory reporting was directed at hospitals, not physicians — the discussion brought to the surface the unresolved conflict between . . . [Full Text of this Article]

The Role of Reporting

Voluntary External Reporting Systems

Mandatory External Reporting Systems

Reasons for the Inadequacy of Current Reporting Systems

Improving Reporting Systems

A National Voluntary Reporting System?

Conclusions


Source Information

From the Harvard School of Public Health, Boston.


Related Letters:

Reporting of Adverse Events
Woolf A., Litovitz T., Leape L. L.
Extract | Full Text | PDF  
N Engl J Med 2003; 348:1410-1411, Apr 3, 2003. Correspondence

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