TxHSN PAE Reporting Schedule

pae logo

Health Care Safety Home        PAE Home         Reporting          Resources


 

    PAE Reporting Schedule

 


Preventable Adverse Event (PAE) Reporting Effective

January 1, 2015

for all General Hospitals and Ambulatory Surgery Centers

 

Texas Preventable Adverse Event Reporting 

3 Tier Phase-In Implementation

 

First Tier PAE Reporting Beginning 

January 1, 2015

 

  1. Surgeries or invasive procedures involving a surgery on the wrong site, wrong patient, wrong procedure.
  2. Foreign object retained after surgery.
  3. Vascular Catheter-Associated Infection.
  4. Post-operative death of an ASA Class 1 Patient.
  5. Discharge or release of a patient of any age, who is unable to make decisions, to someone other than an authorized person.
  6. Any incident in which systems designated for oxygen or other gas to be delivered to a patient contains no gas, wrong gas, or are contaminated by toxic substances.
  7. Abduction of a patient of any age.
  8. Sexual abuse or assault of a patient within or on the grounds of a health care facility.
  9. Patient death or severe harm resulting from a physical assault that occurs within or on the grounds of a health care facility.
  10. Patient death or severe harm due to a fall in a health care facility resulting in a fracture, dislocation, intracranial injury, crushing injury, burn or other injury.
  11. Patient death or severe harm associated with unsafe administration of blood or blood products.
  12. Patient death or severe harm from the irretrievable loss of an irreplaceable biological specimen.
  13. Patient death or severe harm due to failure to follow up or communicate laboratory, pathology or radiology test results.
  14. Patient death or severe harm associated with use of physical restraints or bedrails while being cared for in a health care facility.
  15. Perinatal death or severe harm (maternal or neonate) associated with labor or delivery in a low-risk pregnancy while being cared for in a health care facility.

 

 

Second Tier PAE Reporting Beginning

January 1, 2016

 

  1. Deep Vein Thrombosis (DVT) or Pulmonary Embolism (PE) after total knee replacement or after hip replacement.
  2. Iatrogenic Pneumothorax with venous catheterization.
  3. Stage III, Stage IV or Unstageable pressure ulcer acquired after admission/presentation to a health care facility.
  4. Any instance of care ordered by or provided by someone impersonating a physician, nurse, pharmacist or other licensed health care provider.
  5. Patient suicide, attempted suicide or self-harm resulting in severe harm, while being cared for in a health care facility.
  6. Patient death or severe harm associated with patient elopement.
  7. Patient death or severe harm associated with an electric shock while being cared for in a health care facility.
  8. Patient death or severe harm associated with a burn incurred from any source while being cared for in a health care facility.
  9. Patient death or severe harm associated with the introduction of a metallic object into the MRI area.

 

 

Third Tier PAE Reporting Beginning

January 1, 2017

 

  1. Surgical site infections following a spinal procedure, shoulder procedure, elbow procedure, laparoscopic gastric bypass, gastroenterostomy, laparoscopic gastric restrictive surgery or cardiac implantable electronic device.
  2. Artificial insemination with the wrong donor sperm or wrong egg.
  3. Poor glycemic control resulting in hypoglycemic coma.
  4. Poor glycemic control resulting in diabetic ketoacidosis.
  5. Poor glycemic control resulting in nonketonic hyperosmolar coma.
  6. Poor glycemic control resulting in secondary diabetes with ketoacidosis.
  7. Poor glycemic control resulting in secondary diabetes with hyperosmolarity.
  8. Patient death or severe harm resulting from contaminated drugs/devices or biologics provided by the health care facility.
  9. Patient death or severe harm associated with the use or function of a device in patient care, in which the device is used or functions other than as intended.
  10. Patient death or severe harm associated with intravascular air embolism that occurs while being cared for in a health care facility.
  11. Patient death or severe harm associated with a medication error.

 

TxHSN PAE Reporting Schedule
Reporting Quarter

Q1:

Jan 1 -

Mar 31

H1:

Jan 1 -

June 30

Q3:

 Jul 1 -

Sept 30

H2:

Jul 1 -

Dec 31

Facility data submission deadline

Within 60 days of end of reporting quarter

DSHS takes preliminary data snapshot

Jun 1

Sept 1

Dec 1 Mar 1
DSHS sends email to facilities to review data

~Jun 15

~Sept 15

~Dec 15

 

~Mar 15

Facility data corrections due

Jun 30 Sept 30  Dec 31 Mar 31
DSHS takes final data snapshot July 1 Oct 1 Jan 1 Apr 1
DSHS sends email to facility to review data summary and make comments NA Oct 15 NA April 15
Facility comment period deadline NA Oct 30 NA Apr 30
DSHS review of comments NA Nov 15 NA May 15

Public posting of data summary and approved comments

NA Dec 1 NA Jun 1
*If any dates fall on a weekend or holiday submit on the next business day.