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OPSC recommends that healthcare organizations disclose serious adverse event information as soon as possible after the event occurs. For organizations participating in PSRP, Oregon law states, “After a serious adverse event occurs, a participant must provide written notification in a timely manner to each patient served by the participant who is affected by the event. Notice provided under this subsection may not be construed as an admission of liability in a civil action” (ORS 442.837(4)).
When creating a disclosure policy, organizations should strongly consider the disclosure of non-serious adverse events and near misses. OPSC recommends that physicians and healthcare organizations disclose adverse events regardless of harm level or whether an error is identified. The decision to disclose events that do not fit the definition of serious adverse events should be clearly addressed in an organization’s disclosure policy.
The State of Oregon requires that reporting program participants provide written notification for serious adverse events as defined by Oregon Revised Statute ORS 442.819: An objective and definable negative consequence of patient care, or the risk thereof, that is unanticipated, usually preventable and results in, or presents a significant risk of, patient death or serious physical injury.
The Oregon Patient Safety Commission OPSC has adopted the National Coordinating Council for Medication Error Reporting and Prevention’s harm categories and algorithm for classifying serious adverse events. Harms that fall into categories ‘F’ through ‘I’ are considered serious adverse events, and harms that fall into category ‘E’ may be considered serious adverse events.
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