AHRQ Patient Safety Network: Indiana Medical Error Reporting System

Indiana Medical Error Reporting System Final Report for 2008.
Whitson T, Garten B, Lewis J. Indianapolis, IN: Indiana State Department of Health; August 20, 2009.

This document disseminates information about 105 never events reported to the state of Indiana in 2008. Although the same number of events was recorded in 2007, the number of pressure ulcers and retained foreign objects increased in 2008.

abrir aquí para acceder al documento AHRQ y bajar el PDF (490kb - 75 páginas):
http://www.indystar.com/assets/pdf/BG140899821.PDF

abrir aquí para acceder al documento AHRQ y bajar el APÉNDICE (3.78Mb - 301 páginas):
http://www.indystar.com/assets/pdf/BG140900821.PDF

back-up de acceso por AHRQ:
AHRQ Patient Safety Network