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– TEXAS –
Public and Private Policy
Medical Errors and Patient Safety

Definitions

Texas statutes use ‘occurrences’ and ‘events’ interchangeably as the reportable event for the patient safety / medical error reporting program, but the rules and regulations identify “adverse events” as . .

"an event that results in unintended harm to the patient by an act of commission or omission rather than by the underlying disease or condition of the patient." [TAC §133-2 (4)]

The longest list of “adverse event” is provided for hospitals, where a list of 9 reporting requirements includes 11 reportable events:

  • (1) a medication error resulting in a patient's unanticipated death or major permanent loss of bodily function in circumstances unrelated to the natural course of the illness or underlying condition of the patient;
  • (2) a perinatal death unrelated to a congenital condition in an infant with a birth weight greater than 2,500 grams;
  • (3) the suicide of a patient in a setting in which the patient received care 24 hours a day;
  • (4) the abduction of a newborn infant patient from the hospital or the discharge of a newborn infant patient from the hospital into the custody of an individual in circumstances in which the hospital knew, or in the exercise of ordinary care should have known, that the individual did not have legal custody of the infant;
  • (5) the sexual assault of a patient during treatment or while the patient was on the premises of the hospital or facility;
  • (6) a hemolytic transfusion reaction in a patient resulting from the administration of blood or blood products with major blood group incompatibilities;
  • (7) a surgical procedure on the wrong patient or on the wrong body part of a patient;
  • (8) a foreign object accidentally left in a patient during a procedure; and
  • (9) a patient death or serious disability associated with the use or function of a device designed for patient care that is used or functions other than as intended.

Texas Adverse Events By Reporting Institution Type

No.
Def
Name / Description
Versions
Hospital ASC Mental Hosp.
1. (1)
Medication Error
X X X
2. (2)
Infant (>2,500 gm) Perinatal Death
X
3. (3)
Successful Suicide
X X X
4. (4)
Abduction of Newborn
X
5. (4)
Newborn Discharged to Wrong Person
X
6. (5)
Sexual Assault of Patient
X X X
7. (6)
Hemolytic Transfusion Reaction
X X X
8. (7)
Wrong Patient Surgery
X X
9. (7)
Wrong body part surgery
X X
10. (8)
Unintended Retained Foreign Body
X X
11. (9)
Unintended use or function of device
X X X

Ambulatory surgical centers (ASCs) report only 7 events, and mental hospitals report only 5 events of these same events. The definitions are otherwise almost identical.

The definitions are patterned after the JCAHO reviewable sentinel events, but there are differences that make Texas definitions unique to Texas.

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