Adverse Events Toolkit: Clinical Guidance for Identifying Harm

OIG has found that patient harm is common among Medicare patients in a range of inpatient health care settings. In support of Federal regulations that require that hospitals and other health care facilities identify harm, such as adverse events, and work to reduce these events, we are developing two toolkits. The Adverse Events Toolkit: Clinical Guidance for Identifying Harm is geared toward medical reviewers. It includes a compendium of guidance we developed or adopted for assessing the care associated with 29 specific conditions and injuries. For each condition, we discuss how we determined whether the condition was the result of harm and whether it could have been prevented. We also include information about the hospital trigger tool reviewers used to screen for adverse events, and suggestions for finding and recording key information.

Announced or Revised	Agency	Title	Component	Report Number(s)	Expected Issue Date (FY)
Completed	CMS, AHRQ	Adverse Events Toolkit: Clinical Guidance for Identifying Harm	Office of Evaluation and Inspections	OEI-06-21-00031	2023