Report Title:
Health; Iatrogenic Illnesses; Health Care Facilities, Reporting
Description:
Requires health care providers to report the type and frequency of iatrogenic illnesses contracted in a state health care facility to the department of health.
HOUSE OF REPRESENTATIVES |
H.B. NO. |
1415 |
TWENTY-SECOND LEGISLATURE, 2003 |
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STATE OF HAWAII |
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A BILL FOR AN ACT
RELATING TO PATIENT SAFETY.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:
SECTION 1. The purpose of this Act is to require the department of health to develop a system for collecting and analyzing information and issuing public reports annually detailing the type and frequency of iatrogenic illnesses that occur in Hawaii health care facilities. The department of health and health care providers will be required to use this information to understand patterns of failure within the health care system and institute appropriate measures to reduce the number of iatrogenic illnesses that occur each year.
SECTION 2. Chapter 321, Hawaii Revised Statutes, is amended by adding a new section to be appropriately designated and to read as follows:
"§321- Iatrogenic illnesses; prevention. (a) The department shall develop a system for collecting and analyzing data each year on the number of iatrogenic illnesses that occur in each health care facility that has been issued a certificate of need under chapter 323D.
(b) Each health care provider, as defined in section 327E-2, whose primary place of business is a health care facility that has been issued a certificate of need under chapter 323D, shall report all iatrogenic illnesses to the department within seventy-two hours of the occurrence of the illness in a paper or electronic format to be developed by the department through its rules.
(c) The report submitted by each health care provider shall include at a minimum:
(1) The specific unit within the facility where the iatrogenic illness was contracted;
(2) The patient's age and gender;
(3) The patient's admitting diagnosis;
(4) Each of the patient's current or discharge diagnoses; and
(5) A short narrative description of the iatrogenic illness and the outcome of the illness.
(d) The department shall issue annual public reports that disclose information about the type and frequency of iatrogenic illnesses that have occurred in health care facilities in the State, in order to enable residents to make informed decisions about the selection of their health care provider. The reports shall assist the department and health care providers in understanding patterns of failure in the health care system, in order to recommend legislative solutions and to institute appropriate measures for reducing the number of iatrogenic illnesses that occur each year.
(e) For the purposes of this section, "iatrogenic illness" means an illness over which a health care provider could exercise control and that is associated in whole or in part with medical intervention, rather than the condition for which the intervention occurred, and that results in one of the following injuries:
(1) Death;
(2) Brain or spinal damage;
(3) Permanent disfigurement;
(4) A resulting limitation of neurological, physical, or sensory function that continues after discharge from the facility;
(5) Any condition that required specialized medical attention or surgical intervention resulting from non-emergency medical intervention, other than an emergency medical condition, to which the patient has not given informed consent; or
(6) Any condition that required the transfer of the patient, within or outside the facility, to a unit providing a more acute level of care due to the iatrogenic illness, rather than the patient's condition prior to the illness."
SECTION 3. New statutory material is underscored.
SECTION 4. This Act shall take effect upon its approval.
INTRODUCED BY: |
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