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Massachusetts – Serious Reportable Events in Hospitals and Ambulatory Surgery Centers, 2019

Massachusetts 2019 Serious Reportable Events shows surgical mistakes, pressure ulcers (bedsores), or serious injury or death after a fall or medication error, and other mishaps in MA acute care hospitals, non-acute hospitals and ambulatory surgery centers. Wrong site surgery (e.g. operating on the wrong body part) occurred during 2019 at Massachusetts General Hospital (9 incidents), 23 other hospitals, and 2 ambulatory surgery centers. Of the 497 Stage 3 & 4 pressure ulcers on acute care patients in 2019, 109 occurred at Brigham & Women’s Hospital. In non-acute hospitals, more than half of the reportable events were serious injury or death after a fall. Hebrew Rehabilitation Center (both locations) and Tewksbury Hospital each reported more than 15 serious falls. Excel files only. From Health and Human Services, November 2020. No updates as of Nov. 6, 2022.

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