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Medical Errors and Patient Safety


Mississippi has no adverse event / medical error reporting program, and public advocacy for patient safety or event reporting has not become a primary focus into mid-2006. Mississippi's legislatures have not considered an adverse event reporting initiative since publication of the IOM report in 1999.

Private initiatives have not evolved into mid-2006, except for the development of the Mississippi Patient Safety Coalition (MPSC) that was instigated in April 2005 by the Quality Improvement Organization (QIO) for Mississippi, Information and Quality Healthcare.

The MPSC includes a broad spectrum of public and private stakeholders, but major initiatives or collaborations of these stakeholders have not evolved in 2006. MPSC was designed to provide a culture of patient safety among healthcare stakeholders, and its main contribution has been sharing of information on its website.

The bulk of MIssissippi's patient safety and quality improvement initiatives have developed through AHRQ grants centered at academic institutions. For example, a Patient Safety Demonstration project that includes 10 health centers throughout Mississippi and that is coordinated via the University of Mississippi Medical Center led to creation of a sentinel event reporting program [PDF].

  • •  State / Public Initiatives
    • ◊  State

      Mississippi has demonstrated limited public support and resources for patient safety issues. The Mississippi Department of Health (MDOH) has no initiatives that specifically address patient safety, and regulations affecting licensure of healthcare organizations do not address adverse event reporting and provide only passing mention of patient safety.

    • ◊  Federal Initiatives

      Most Mississippi Patient Safety and quality improvement initiatives were generated via federally-funded grants. AHRQ has awarded several patient safety grants supporting Health Information Technology Projects in Mississippi. AHRQ grants include:

      • √  Grant Number U18 HS11923: University of Mississippi Medical Center (UMMC) - 9/30/2001 through 9/29/2005

        TITLE: Addressing Preventable Medication Use Variance in Mississippi

        Description: The University of Mississippi Medical Center (UMMC) established a large-scale demonstration project to assess the effectiveness of a unique Mississippi methodology for collecting and using information to reduce medical errors and their impact. Ten sites throughout Mississippi, shared the same system for reporting of medication errors and, for several academic and administrative functions, reported to UMMC's Vice Chancellor for Health Affairs, as part of the participation in the project.

      • √  Grant Number UC1 HS15400: University of Mississippi Medical Center (UMMC) – 9/30/2004 through 8/31/2007

        TITLE: Detecting Med Errors in Rural Hospitals Using Technology

        Description: The University of Mississippi Medical Center (UMMC), Mississippi's Information and Quality Healthcare (IQH), and eight small rural hospitals throughout Mississippi implemented a voluntary system for reporting medical errors and adverse drug events using health information technology (HIT). C. Andrew Brown, M.D., M.P.H., director of UMMC's Patient Safety Center, served as the program's principal investigator. Dr. Brown's co-investigators represent an interdisciplinary team of M.D.s, Pharm.D.s, epidemiologists, nurses, biostatisticians, educators, and information technologists.

      • √  Grant Number P20 HS14996: University of Southern Mississippi (9/30/2004 through 9/28/2005) -

        TITLE: Creating Online Neonatal ICU Networks to Educate, Consult & Team

        Description:See Below

      • √  Grant Number UC1 HS16147: University of Southern Mississippi – 9/30/2005 through 9/28/2008

        TITLE: Creating Online Neonatal ICU Networks to Educate, Consult & Team

        Description: The Institute for Disability Studies (IDS) at The University of Southern Mississippi, a county acute care hospital (Forrest General Hospital), a private neonatology practice (Southern Mississippi Neonatology Group), the Hattiesburg Clinic (largest multi-specialty clinic in the state), and the Southeast Mississippi Rural Health Initiative and its 9 rural family health centers which serve medically-underserved communities created a partnership for the 3-year Implementation Phase of this neonatal project.

        The projects goals include: 1) Development of multimedia-portable Health Records from multiple sources for infants at high risk for neuro-developmental sequelae, 2) Facilitation of interagency communication and electronic sharing of medical records of NICU infants, 3) utilization of telemedicine technologies for NICUs through training and bedside consultation among medical and applicable medically-related staff; and 4) development of multimedia Web-based Decision Support System including developmental surveillance information.

      • √  Grant Number R24 HS11849: Mississippi State University – 9/30/2001 through 9/29/2006 – (see below)
      • √  Grant Number P20 HS11849: Mississippi State University – 9/30/2001 through 9/29/2006

        TITLE: Mississippi Building Research Infrastructure Capacity (MSBRIC-Phase II) project

        Description: The Mississippi Building Research Infrastructure Capacity (MSBRIC-Phase II) project addresses preventive dental care among young children of MIssissippi.

        Its three components include: 1) to build research infrastructure and collaborations among child care centers, 2) to continue a systematic research agenda for identifying best practices for the prevention of dental disease, and 3) to develop strategies to use the MSBRIC childcare centers as a research model by which results may be replicated among other high risk populations and similar sites in other underserved and/or rural areas.

      In addition, grants for CMS-supported Doctor's Office Quality Information Technology (DOQ-IT), a national initiative that promotes the adoption of electronic health record (EHR) systems and information technology in small- to medium-sized physician offices, are available via Information and Quality Healthcare, the QIO for Mississippi.

  • •  Private Initiatives
    • ◊  Mississippi Patient Safety Coalition (MPSC)

      The MPSC was started by the Quality Improvement Organization (QIO) for Mississippi, Information and Quality Healthcare in April 2005. The goal of the organization was the promotion of a culture of safety, and the organization includes stakeholders from all sectors of healthcare including the Mississippi Department of Health (MDOH), the Mississippi Hospital Association (MHA), and several professional and insurance organizations listed on the website.

    • ◊  Mississippi State Medical Association (MSMA)

      The Mississippi State Medical Association (MSMA) serves the interests of Mississippi physicians. There are no initiatives addressing Patient Safety or event reporting noted on the website through early 2006, although the MSMA is one of the supporters of the Mississippi Patient Safety Coalition.

    • ◊  Mississippi Hospital Association (MHA)

      The MHA is one of the supporters of the Mississippi Patient Safety Coalition, and it publishes the MPSC's newsletter Safety First on its website.

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