National Academy Press / Agency for Healthcare Research & Quality / Boston Globe / Sentinel / The Agency for Healthcare Research / 2001 Leapfrog Group / Tennessee Improving Patient Safety Coalition Group / St. Petersburg Times / /
Country
United States / /
Event
Reorganization / /
Facility
Dana Farber Cancer Institute / University of California San Francisco/Standford University / Institute of Medicine / /
Holiday
Commonwealth Day / /
IndustryTerm
news media / voluntary systems / voluntary / decision-support systems / health care services / safety systems / concerned healthcare stakeholders / law changes / /
General Assembly / University of California San Francisco/Standford University / Public Chapter / Tennessee Improving Patient Safety Coalition / Institute of Medicine / Quality Interagency Coordination Task Force / Bureau of Health Licensure and Regulation / Institute for Healthcare Improvement Breakthrough Series / Tennessee Association of Homes and Services for the Aged / Dana Farber Cancer Institute in Boston / Tennessee Hospital Association / Institute for Healthcare Improvement / Congress / Task force / Government Accounting Office / Joint Commission on Accreditation of Healthcare Organizations / Board for Licensing Health Care Facilities / Tennessee Association for Home Care / National Academy for State Health Policy / Tennessee Health Care Association / United States General Accounting Office / Health Department / Department of Health / Agency for Healthcare Research and Quality / /
Person
Betsy Lehman / Clinton / /
Position
President / health columnist / King / Health Commissioner / /
Product
Sentinel Event Policy / Abuse Prevention Wrong Site Surgery Medication / /
2002 UNUSUAL EVENT SUMMARY REPORT MAY 7, 2003