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Adverse Event Reporting

The Maryland Patient Safety Center (MPSC) offers healthcare organizations the opportunity to participate in a regional patient safety adverse event and near miss reporting system.

MPSC partners with healthcare providers in Maryland to collect and analyze data on adverse events and near misses. The data are used to explore patterns and trends related to patient safety. The Center’s educational and safety culture collaborative programs provide an avenue for disseminating and deploying lessons learned, best practices, and other improvement information.

In addition, MPSC has been listed as a Patient Safety Organization (PSO) for three years effective December 10, 2008.  The listing is carried out by the Agency for Healthcare Research and Quality (AHRQ) under provisions of the Patient Safety and Quality Improvement Act of 2005.  Federal PSO listing builds on MPSC’s efforts to encourage clinicians and healthcare organizations to voluntarily report and share information on patient safety events without fear of legal discovery.

MPSC’s efforts to analyze voluntarily reported adverse events and educate providers complements the Maryland Office of Health Care Quality’s (OHCQ’s) mandatory reporting of adverse events by hospitals. OHCQ publishes an annual report on serious adverse events as well as Clinical Alerts.

For more information please contact MPSC.