Surgeries on the wrong body parts and a serious injury from a fall were among the errors reported at two area hospitals, according to the latest Minnesota Department of Health Adverse Health Events report.
A surgery or other invasive procedure was performed on the wrong body part at the 86-bed Woodwinds Health Campus in Woodbury between Oct. 7, 2016 and Oct. 6, 2017, according to the report. The error did not result in a serious injury.
According to a Woodwinds spokesperson:
"Patient safety continues to be our highest priority as we strive toward our goal of zero adverse health events. While the event that occurred at Woodwinds was regrettable and unacceptable, we spoke with the patient and the patient's family about what happened and treated the patient.
"Any time an event occurs, we inform the patient and family, follow a robust process to learn exactly what happened and create solutions with the goal of preventing future incidents. In the case of wrong-site surgical procedures, we have augmented our site-verification processes, which require confirmation from multiple providers, and, in the case of some procedures, X-ray images."
There were four adverse events reported at the 50-bed Mayo Clinic Health System in Red Wing: a pressure ulcer, surgery on the wrong body part, patient burn and patient fall, according to the report. The surgical error, burn and fall resulted in serious injuries.
No adverse health events were reported at Regina Hospital in Hastings.
A total of 341 adverse health events were reported at hospitals statewide during the yearlong period, resulting in 103 serious injuries and 12 deaths. The number of adverse events increased slightly from 336 events detailed in last year's report.
"Behind each of these events is a patient and family," said Dr. Rahul Koranne, chief medical officer of the Minnesota Hospital Association, in a news release. "Minnesota's nation-leading adverse health events reporting system provides a strong framework for learning and continuous quality improvement — and our hospitals, health systems and care teams use what they learn to continually improve patient safety."
The state has collected details on more than 3,500 adverse health events in the 14 years since the reporting system was implemented. Falls, medication errors and product/device malfunctions have historically been the most common causes for serious patient injury or death.
The system is used to improve care and prevent injuries, according to the health department.
All hospitals and ambulatory surgical centers licensed by the state are required to report adverse health events under Minnesota law. The law does not cover federally licensed facilities operated by the Veteran's Administration or Indian Health Service.
The report can be viewed online at www.health.state.mn.us/patientsafety/publications.