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Medical Errors and Patient Safety

Transparency – Facility-Identified Information

  • •  No Provider-Identified Information in Reports

    The AHCA has responsibility for the Incident Report program. One of the requirements is that the AHCA

    ". . . publish on the agency's website, no less than quarterly, a summary and trend analysis of adverse incident reports received pursuant to this section, which shall not include information that would identify the patient, the reporting facility, or the health care practitioners involved. The agency shall publish on the agency's website an annual summary and trend analysis of all adverse incident reports and malpractice claims information provided by facilities in their annual reports, which shall not include information that would identify the patient, the reporting facility, or the practitioners involved.” [§395.0197(8), FS]

    The AHCA publishes aggregate annual, quarterly, and ‘Code 15 Reports’ on the Medical Errors Resolution And Tracking Programs website. In early 2006, the Risk Management Statistical Reports are available through 2003. It is evident that Florida has a minimum two-years interval between the reported events and issuance of the reports.

  • •  Physician Idenfication for investigated ‘adverse incident’

    Although the Florida AHCA does not identify facilities or physicians in any of its web reports, the identifies of physicians and facilities become publicly available within 10 days of an ‘adverse incident’ via the Florida DOH:

    "The department and the boards shall have the authority to advise licensees periodically, through the publication of a newsletter on the department's website, about information that the department or the board determines is of interest to the industry. The department and the boards shall maintain a website which contains copies of the newsletter; information relating to adverse incident reports without identifying the patient, practitioner, or facility in which the adverse incident occurred until 10 days after probable cause is found, at which time the name of the practitioner and facility shall become public as part of the investigative file; . . . "[ §456.081, FS]

    It is not stated how much public investigative file information regarding the physician is published in the newsletter or on the Physician Profiling website.

    Editorial comments / Questions on Role of Peer Review amid ‘Incident Reporting’

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