APPENDIX A SUMMARY OF FACILITIES REPORTING ... MERS Data Tables.pdfAppendix 1 APPENDIX A SUMMARY OF...
Transcript of APPENDIX A SUMMARY OF FACILITIES REPORTING ... MERS Data Tables.pdfAppendix 1 APPENDIX A SUMMARY OF...
Appendix 1
APPENDIX A
SUMMARY OF FACILITIES REPORTING EVENTS FOR 2018
Hospitals (53) Reported Events
Inpatient Discharges
Outpatient Visits
Procedures
I.U. Health (Indianapolis) 14 49,622 183,319 54,990 Methodist (Gary) 14 15,583 67,200 12,022 Reid (Richmond) 7 12.454 142,668 18,944 St. Joseph (Fort Wayne) 7 4,800 46,691 4,306 St. Vincent (Indianapolis) 6 40,314 241,939 48,384 Memorial (South Bend) 4 21,108 86,362 24,543 St. Joseph (Mishawaka) 4 16,131 139,383 25,180 St. Vincent (Evansville) 4 16,978 258,646 31,423 Columbus (Columbus) 3 10,574 61,483 13,974 Dupont (Fort Wayne) 3 6,534 33,187 13,951 IU North (Carmel) 3 9,537 32,909 13,123 IU West (Avon) 3 7,760 52,483 10,840 Rehabilitation (Indianapolis) 3 1,304 7,227 0 Witham (Lebanon) 3 2,819 60,687 7,308 Community East (Indianapolis) 2 15,439 200,024 39,911 Deaconess (Evansville) 2 30,690 552,128 54,862 Franciscan Health (Indianapolis) 2 21,136 363,804 23,116 IU Arnett (Lafayette) 2 11,352 56,659 22,812 IU Ball (Muncie) 2 15,192 59,661 14,411 Parkview (Fort Wayne) 2 42,510 500,873 60,317 Parkview Huntington (Huntington) 2 2,250 66,270 3,560 St. Vincent Heart (Indianapolis) 2 4,319 12,284 4,217 St. Vincent Seton (Indianapolis) 2 No Report No Report No Report Baptist Floyd (New Albany) 1 13,283 220,112 19,357 Community Howard (Kokomo) 1 4,765 55,332 7,321 Community Munster (Munster) 1 21,495 308,856 30,544 Community North (Indianapolis) 1 20,511 198,885 39,085 Community South (Indianapolis) 1 11,496 116,656 24,628 Elkhart (Elkhart) 1 11,749 85,327 15,785 Eskenazi (Indianapolis) 1 18,750 397,099 13,543 Franciscan Crown Point (Crown Point) 1 9,232 147,264 15,646 Goshen (Goshen) 1 6,663 115,158 13,197 Hendricks (Danville) 1 7,246 209,509 18,634 Henry (New Castle) 1 2,725 103,901 2,820 Highpoint (Lawrenceburg) 1 3,474 108,383 7,220 IU Bloomington (Bloomington) 1 14,098 68,068 17,601 Kosciusko (Warsaw) 1 3,193 51,238 6,140 Lafayette Regional Rehabilitation (Lafayette) 1 470 172 9 Lutheran (Fort Wayne) 1 20,520 98,638 30,464 Monroe (Bloomington) 1 1,135 17,563 1,554 Orthopaedic at Parkview North (Fort Wayne) 1 2,957 15,214 14,350 Perry (Tell City) 1 833 34,766 2,722 St. Catherine (East Chicago) 1 7,338 87,733 6,540 St. Mary’s (Hobart) 1 10,997 198,667 15,652 St. Vincent Anderson (Anderson) 1 6,469 144,011 14,366 St. Vincent Carmel (Carmel) 1 6,490 61,124 13,323 St. Vincent Clay (Brazil) 1 190 27,138 1,197 St. Vincent Kokomo (Kokomo) 1 5,808 114,501 8,473 St. Vincent Mercy (Elwood) 1 314 20,042 836 St. Vincent Randolph (Winchester) 1 667 35,970 1,260 Terre Haute Regional (Terre Haute) 1 6,731 51,592 10,109
Appendix 2
Union (Terre Haute) 1 15,272 158,962 29,327 Vibra Northwestern Indiana (Crown Point) 1 430 0 76 Total Reported Events in Hospitals 126
Ambulatory Surgery Centers (7) Reported Events
Procedures
Allied Physicians Surgery Center (South Bend) 1 24,181 Ball Outpatient surgery Center (Muncie) 1 No Report Community Surgery Center South (Indianapolis) 2 No Report Indiana Hand to Shoulder Beltway Surgery Ctr (Indianapolis) 1 3,891 Inverness Surgery Center (Fort Wayne) 1 2,364 Naab Road Surgery Center (Indianapolis) 1 8,975 Pankratz Eye Institute (Columbus) 1 2,068 Total Reported Events in Ambulatory Surgery Centers 8
Total Reported Events (All Entities) 134
Appendix 3
Appendix B
The data tables for individual hospitals found in Appendix B provide the number of inpatient discharges, the number of outpatient visits, and the number of procedures performed by each hospital. This data is provided for the purpose of comparison of how many individuals seek medical services and how many surgical procedures are performed by each hospital in relation to the number of reported events. This data is to be reported to the Indiana State Department of Health by hospitals no later than 120 days after the end of each calendar quarter. The Indiana Hospital Association is the contractor that collects the data from each hospital. They perform quality checks and report the data to the Indiana State Department of Health in a standardized format. Appendix B reflects the number of inpatient discharges, the number of outpatient visits, and the number of procedures performed by each hospital reported for the calendar year 2018 by hospitals as of July 31, 2019. In order to eliminate mistakes in the report and give facilities the opportunity to review their data for accuracy, the ISDH sends to each facility their final report for 2018. The report was sent in June 2019. Facilities were instructed to review their data for correctness and completeness. Facilities then returned a verification of data to the ISDH. In July 2019, the ISDH contacted all facilities that had not returned their verification form to request that the form be returned. The report for each facility reflects whether the data was verified by the facility.
HOSPITAL DATA Data Category Definition Total Number Reported
Inpatient
Discharges
Inpatient Discharge means the discharge of an individual who had been admitted to the hospital as an inpatient. It does not include hospice, skilled nursing facility and observation patients.
750,129
Outpatient Visit
Outpatient Visit refers to a visit to a facility for the purpose of emergency services, outpatient surgery, occupation and physical therapy/rehabilitation, cardiac diagnostic and treatment procedures, or psychiatric and social services. These classifications are based on selected billing or diagnosis codes.
10,036,157
Procedures
Procedure includes any surgical procedure coded “00.30” to “86.99” inclusive in the principal procedure field as reported by the hospital for both inpatient discharges and outpatient visits.
1,271,080
Appendix 4
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Adams Memorial Hospital Adams County 1100 Mercer Avenue 2018 Inpatient Discharges: 1,622 Decatur, IN 46733 2018 Outpatient Visits: 28,152 2018 Procedures: 3,153
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 5
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Dupont Hospital Allen County 2520 East Dupont Road 2018 Inpatient Discharges: 6,534 Fort Wayne, IN 46825 2018 Outpatient Visits: 33,187 2018 Procedures: 13,951
Reportable Event Number Reported Totals
SURGICAL 3 1. Surgery performed on the wrong body part 2 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 3
Appendix 6
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Lutheran Hospital Allen County 7950 West Jefferson Blvd 2018 Inpatient Discharges: 20,520 Fort Wayne, IN 46804 2018 Outpatient Visits: 98,638 2018 Procedures: 30,464
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 7
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Orthopaedic Hospital of Lutheran Health Allen County 7952 West Jefferson Blvd 2018 Inpatient Discharges: 2,393 Fort Wayne, IN 46804 2018 Outpatient Visits: 15,786 2018 Procedures: 8,864
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 8
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Orthopaedic Hospital at Parkview North Allen County 11130 Parkview Circle Drive 2018 Inpatient Discharges: 2,957 Fort Wayne, IN 46845 2018 Outpatient Visits: 15,214 2018 Procedures: 14,350
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 9
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Parkview Regional Medical Center Allen County 11109 Parkview Plaza Drive 2018 Inpatient Discharges: 42,510 Fort Wayne, IN 46845 2018 Outpatient Visits: 500,873 2018 Procedures: 60,317
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 1 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 1 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 2
Appendix 10
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Rehabilitation Hospital of Fort Wayne Allen County 7970 West Jefferson Blvd 2018 Inpatient Discharges: 662 Fort Wayne, IN 46804 2018 Outpatient Visits: 0 2018 Procedures: 6
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 11
.APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Joseph Hospital Allen County 700 Broadway 2018 Inpatient Discharges: 4,800 Fort Wayne, IN 46802 2018 Outpatient Visits: 46,691 2018 Procedures: 4,306
Reportable Event Number
Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0
3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 5 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 5 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 1 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 1 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 7
Appendix 12
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Vibra Hospital of Fort Wayne Allen County 2200 Randallia Drive, 5th Floor 2018 Inpatient Discharges: 299 Fort Wayne, IN 46805 2018 Outpatient Visits: 0 2018 Procedures: 29
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 13
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Columbus Regional Hospital Bartholomew County 2400 East 17th Street 2018 Inpatient Discharges: 10,574 Columbus, IN 47201 2018 Outpatient Visits: 61,483 2018 Procedures: 13,974
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 3 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 3 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 3
Appendix 14
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Indiana University Health Blackford Hospital Blackford County 410 Pilgrim Blvd 2018 Inpatient Discharges: 264 Hartford City, IN 47348 2018 Outpatient Visits: 7,800 2018 Procedures: 553
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 15
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Witham Hospital Boone County 2605 North Lebanon Street 2018 Inpatient Discharges: 2,819 Lebanon, IN 46052 2018 Outpatient Visits: 60,687 2018 Procedures: 7,308
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 3 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 3 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 3
Appendix 16
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Logansport Memorial Hospital Cass County 1101 Michigan Avenue 2018 Inpatient Discharges: 1,618 Logansport, IN 46947 2018 Outpatient Visits: 95,558 2018 Procedures: 5,181
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 17
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Clark Memorial Hospital Clark County 1220 Missouri Avenue 2018 Inpatient Discharges: 11,139 Jeffersonville, IN 47130 2018 Outpatient Visits: 92,263 2018 Procedures: 15,187
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 18
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Kentuckiana Medical Center Clark County 4601 Medical Plaza Way 2018 Inpatient Discharges: Not Reported Clarksville, IN 47129 2018 Outpatient Visits: Not Reported 2018 Procedures: Not Reported
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 19
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Vincent Clay Hospital Clay County 1206 East National Avenue 2018 Inpatient Discharges: 190 Brazil, IN 47834 2018 Outpatient Visits: 27,838 2018 Procedures: 1,197
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 1 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 1 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 20
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Indiana University Health Frankfort Clinton County 1300 South Jackson Street 2018 Inpatient Discharges: 370 Frankfort, IN 46041 2018 Outpatient Visits: 10,988 2018 Procedures: 984
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 21
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Daviess Community Hospital Daviess County 1314 East Walnut Street 2018 Inpatient Discharges: 2,512 Washington, IN 47501 2018 Outpatient Visits: 32,322 2018 Procedures: 4,074
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 22
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Highpoint Health Dearborn County 600 Wilson Creek Road 2018 Inpatient Discharges: 3,474 Lawrenceburg, IN 47025 2018 Outpatient Visits: 108,383 2018 Procedures: 7,220
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 1 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 1 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 23
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Decatur County Memorial Hospital Decatur County 720 North Lincoln Street 2018 Inpatient Discharges: 1,491 Greensburg, IN 47240 2018 Outpatient Visits: 56,335 2018 Procedures: 2,274
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 24
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Dekalb Memorial Hospital Dekalb County 1316 East Seventh Street 2018 Inpatient Discharges: 2,289 Auburn, IN 46706 2018 Outpatient Visits: 51,859 2018 Procedures: 4,399
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 25
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Central Indiana AMG Specialty Hospital Delaware County 2401 West University Avenue, 8th Floor 2018 Inpatient Discharges: 306 Muncie, IN 47303 2018 Outpatient Visits: 0 2018 Procedures: 38
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 26
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Indiana University Health Ball Memorial Hospital Delaware County 2401 University Avenue 2018 Inpatient Discharges: 15,192 Muncie, IN 47303 2018 Outpatient Visits: 59,661 2018 Procedures: 14,411
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 1 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 1 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 1 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 2
Appendix 27
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Memorial Hospital & Health Care Center Dubois County 800 West 9th Street 2018 Inpatient Discharges: 5,995 Jasper, IN 47546 2018 Outpatient Visits: 22,780 2018 Procedures: 16,973
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 28
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Elkhart General Hospital Elkhart County 600 East Blvd 2018 Inpatient Discharges: 11,749 Elkhart, IN 46514 2018 Outpatient Visits: 85,327 2018 Procedures: 15,785
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 1 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 1
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 29
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Goshen General Hospital Elkhart County 200 High Park Avenue 2018 Inpatient Discharges: 6,663 Goshen, IN 46526 2018 Outpatient Visits: 115,158 2018 Procedures: 13,197
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 1
Appendix 30
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Fayette Memorial Hospital Fayette County 1941 Virginia Avenue 2018 Inpatient Discharges: 1,750 Connersville, IN 47331 2018 Outpatient Visits: 37,451 2018 Procedures: 1,585
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 31
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Baptist Health Floyd Floyd County 1850 State Street 2018 Inpatient Discharges: 13,283 New Albany, IN 47150 2018 Outpatient Visits: 220,112 2018 Procedures: 19,357
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 32
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Physicians’ Medical Center Floyd County 4023 Reas Lane 2018 Inpatient Discharges: 397 New Albany, IN 47150 2018 Outpatient Visits: 12,154 2018 Procedures: 10,411
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 33
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Southern Indiana Rehabilitation Hospital Floyd County 3104 Blackiston Blvd 2018 Inpatient Discharges: 655 New Albany, IN 47150 2018 Outpatient Visits: 5,453 2018 Procedures: 35
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 34
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Woodlawn Hospital Fulton County 1400 East 9th Street 2018 Inpatient Discharges: 1,155 Rochester, IN 46975 2018 Outpatient Visits: 73,321 2018 Procedures: 5,085
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 35
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Gibson General Hospital Gibson County 1808 Sherman Drive 2018 Inpatient Discharges: 295 Princeton, IN 47670 2018 Outpatient Visits: 25,153 2018 Procedures: 1,311
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 36
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Marion General Hospital Grant County 441 North Wabash Avenue 2018 Inpatient Discharges: 5,396 Marion, IN 46952 2018 Outpatient Visits: 51,538 2018 Procedures: 8,343
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 37
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Greene County General Hospital Greene County 1185 N 1000 W 2018 Inpatient Discharges: 802 Linton, IN 47441 2018 Outpatient Visits: 45,313 2018 Procedures: 1,245
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 38
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Franciscan Health Carmel Hamilton County 12188 B North Meridian Street 2018 Inpatient Discharges: 249 Carmel, IN 46032 2018 Outpatient Visits: 3,157 2018 Procedures: 666
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 39
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Indiana Spine Hospital Hamilton County 13219 North Meridian Street 2018 Inpatient Discharges: Not Reported Carmel, IN 46032 2018 Outpatient Visits: Not Reported 2018 Procedures: Not Reported
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 40
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Indiana University Health North Hospital Hamilton County 11700 North Meridian Street 2018 Inpatient Discharges: 9,537 Carmel, IN 46032 2018 Outpatient Visits: 32,909 2018 Procedures: 13,123
Reportable Event Number Reported Totals
SURGICAL 2 1. Surgery performed on the wrong body part 2 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 1 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 1 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 3
Appendix 41
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Riverview Hospital Hamilton County 395 Westfield Drive 2018 Inpatient Discharges: 5,403 Noblesville, IN 46060 2018 Outpatient Visits: 165,298 2018 Procedures: 7,103
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 42
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Vincent Carmel Hospital Hamilton County 13500 North Meridian Street 2018 Inpatient Discharges: 6,490 Carmel, IN 46032 2018 Outpatient Visits: 61,124 2018 Procedures: 13,323
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 43
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Vincent Fishers Hospital Hamilton County 13861 Olio Road 2018 Inpatient Discharges: 1,864 Fishers, IN 46037 2018 Outpatient Visits: 40,089 2018 Procedures: 4,097
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 44
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Vincent Heart Center of Indiana Hamilton County 10580 North Meridian Street 2018 Inpatient Discharges: 4,319 Indianapolis, IN 46290 2018 Outpatient Visits: 12,284 2018 Procedures: 4,127
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 1 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 1 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 2
Appendix 45
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Hancock Regional Hospital Hancock County 801 North State Street 2018 Inpatient Discharges: 2,983 Greenfield, IN 46140 2018 Outpatient Visits: 105,798 2018 Procedures: 11,958
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 46
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Harrison County Hospital Harrison County 1141 Hospital Drive NW 2018 Inpatient Discharges: 1,822 Corydon, IN 47112 2018 Outpatient Visits: 56,557 2018 Procedures: 1,904
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 47
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Hendricks Regional Health Hendricks County 1000 East Main Street 2018 Inpatient Discharges: 7,246 Danville, IN 46122 2018 Outpatient Visits: 209,509 2018 Procedures: 18,634
Reportable Event Number
Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 48
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
IU Health West Hospital Hendricks County 111 North Ronald Reagan Parkway 2018 Inpatient Discharges: 7,760 Avon, IN 46123 2018 Outpatient Visits: 52,483 2018 Procedures: 10,840
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 1 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 1 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 2 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 2 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 3
Appendix 49
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Vincent Neighborhood Hospital Hendricks County 9613 Easy US Highway 36 2018 Inpatient Discharges: 156 Avon, IN 46123 2018 Outpatient Visits: 15,720 2018 Procedures: 834
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 50
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Henry County Memorial Hospital Henry County 1000 North 16th Street 2018 Inpatient Discharges: 2,725 New Castle, IN 47362 2018 Outpatient Visits: 103,901 2018 Procedures: 2,820
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 51
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Community Howard Regional Health, Inc. Howard County 3500 South Lafountain Street 2018 Inpatient Discharges: 4,765 Kokomo, IN 46904 2018 Outpatient Visits: 55,332 2018 Procedures: 7,321
Reportable Event Number
Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 1 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 52
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Community Howard Specialty Hospital Howard County West Campus Specialty Hospital 2018 Inpatient Discharges: 398 829 North Dixon Road 2018 Outpatient Visits: 8,998 Kokomo, IN 46901 2018 Procedures: 15
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 53
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Vincent Kokomo Howard County 1907 West Sycamore Street 2018 Inpatient Discharges: 5,808 Kokomo, IN 46901 2018 Outpatient Visits: 114,501 2018 Procedures: 8,473
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 1 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 1 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 54
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Parkview Huntington Hospital Huntington County 2001 Stults Road 2018 Inpatient Discharges: 2,250 Huntington, IN 46750 2018 Outpatient Visits: 66,270 2018 Procedures: 3,560
Reportable Event Number
Reported Totals
SURGICAL 2 1. Surgery performed on the wrong body part 1 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 2
Appendix 55
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Schneck Medical Center Jackson County 411 West Tipton Street 2018 Inpatient Discharges: 3,130 Seymour, IN 47274 2018 Outpatient Visits: 100,618 2018 Procedures: 11,184
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 56
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Franciscan Health Rensselaer Jasper County 1104 East Grace Street 2018 Inpatient Discharges: 401 Rensselaer, IN 47978 2018 Outpatient Visits: 39,044 2018 Procedures: 2,160
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 57
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
I.U. Health Jay Hospital Jay County 500 West Votaw Street 2018 Inpatient Discharges: 1,012 Portland, IN 47371 2018 Outpatient Visits: 15,192 2018 Procedures: 1873
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 58
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
King’s Daughters’ Health Jefferson County One King’s Daughters Drive 2018 Inpatient Discharges: 3,557 Madison, IN 47250 2018 Outpatient Visits: 31,678 2018 Procedures: 7,203
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 59
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Vincent Jennings Hospital Jennings County 301 Henry Street 2018 Inpatient Discharges: 213 North Vernon, IN 47265 2018 Outpatient Visits: 30,694 2018 Procedures: 747
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 60
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Johnson Memorial Hospital Johnson County 1125 West Jefferson Street 2018 Inpatient Discharges: 2,312 Franklin, IN 46131 2018 Outpatient Visits: 106,345 2018 Procedures: 6,411
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 61
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Community Health Network Rehab Hospital Johnson County 607 So. Greenwood Springs Dr. 2018 Inpatient Discharges: Not Reported Greenwood, IN 46143 2018 Outpatient Visits: Not Reported 2018 Procedures: Not Reported
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 62
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Good Samaritan Hospital Knox County 520 South 7th Street 2018 Inpatient Discharges: 7,333 Vincennes, IN 47591 2018 Outpatient Visits: 156,531 2018 Procedures: 14,111
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 63
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Kosciusko Community Hospital Kosciusko County 2101 East Dubois Avenue 2018 Inpatient Discharges: 3,193 Warsaw, IN 46580 2018 Outpatient Visits: 51,238 2018 Procedures: 6,140
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 1 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 1 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 64
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Parkview Lagrange Hospital Lagrange County 207 North Townline Road 2018 Inpatient Discharges: 1,310 Lagrange, IN 46761 2018 Outpatient Visits: 31,274 2018 Procedures: 2,453
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 65
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Community Hospital Lake County 901 MacArthur Blvd. 2018 Inpatient Discharges: 21,495 Munster, IN 46321 2018 Outpatient Visits: 308,856 2018 Procedures: 30,544
Reportable Event Number
Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 66
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Franciscan Health Crown Point Lake County 1201 South Main Street 2018 Inpatient Discharges: 9,232 Crown Point, IN 46307 2018 Outpatient Visits: 147,264 2018 Procedures: 15,646
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 1 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 1 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 67
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Franciscan Health Dyer Lake County 24 Joliet Street 2018 Inpatient Discharges: 6,639 Dyer, IN 46311 2018 Outpatient Visits: 83,886 2018 Procedures: 9,488
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 68
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Franciscan Health Hammond Lake County 5454 Hohman Avenue 2018 Inpatient Discharges: 5,389 Hammond, IN 46320 2018 Outpatient Visits: 78,413 2018 Procedures: 7,871
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 69
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Franciscan Health Munster Lake County 701 Superior Avenue 2018 Inpatient Discharges: 2,617 Munster, IN 46321 2018 Outpatient Visits: 79,687 2018 Procedures: 10,879
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0
8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 70
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Kindred Hospital Northwest Indiana Lake County 5454 Hohman Avenue 2018 Inpatient Discharges: 415 Hammond, IN 46325 2018 Outpatient Visits: 0 2018 Procedures: 202
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 71
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Methodist Hospital Lake County 600 Grant Street 2018 Inpatient Discharges: 15,583 Gary, IN 46402 2018 Outpatient Visits: 67,200 2018 Procedures: 12,022
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 1 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 1
CARE MANAGEMENT 8 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 8 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 5 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 5 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 14
Appendix 72
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Pinnacle Hospital Lake County 9301 Connecticut 2018 Inpatient Discharges: Not Reported Crown Point, IN 46307 2018 Outpatient Visits: Not Reported 2018 Procedures: Not Reported
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 73
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Regency Hospital of Northwest Indiana Lake County 4321 Fir Street, 4th Floor 2018 Inpatient Discharges: 285 East Chicago, IN 46312 2018 Outpatient Visits: 0 2018 Procedures: 78
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 74
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Catherine Hospital Lake County 4321 Fir Street 2018 Inpatient Discharges: 7,338 East Chicago, IN 46312 2018 Outpatient Visits: 87,733 2018 Procedures: 6,540
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 1 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 75
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Mary’s Medical Center Lake County 1500 South Lake Park Avenue 2018 Inpatient Discharges: 10,997 Hobart, IN 46342 2018 Outpatient Visits: 198,667 2018 Procedures: 15,652
Reportable Event Number
Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 1 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 76
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Vibra Hospital of Northwestern Indiana Lake County 9509 Georgia Street 2018 Inpatient Discharges: 430 Crown Point, IN 46307 2018 Outpatient Visits: 0 2018 Procedures: 76
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 1 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 1 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 77
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Franciscan Health Michigan City Laporte County 301 West Homer Street 2018 Inpatient Discharges: 6,473 Michigan City, IN 46360 2018 Outpatient Visits: 123,584 2018 Procedures: 15,458
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 78
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Laporte Hospital Laporte County 1007 Lincolnway 2018 Inpatient Discharges: 5,178 Laporte, IN 46350 2018 Outpatient Visits: 89,253 2018 Procedures: 8,586
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 79
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Indiana University Health Bedford Hospital Lawrence County 2900 West 16th Street 2018 Inpatient Discharges: 1,089 Bedford, IN 47421 2018 Outpatient Visits: 19,596 2018 Procedures: 3,208
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 80
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Vincent Dunn Hospital Lawrence County 1600 23rd Street 2018 Inpatient Discharges: 914 Bedford, IN 47421 2018 Outpatient Visits: 26,212 2018 Procedures: 1,805
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 81
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Community Hosp. of Anderson & Madison Co Madison County 1515 North Madison Avenue 2018 Inpatient Discharges: 7,635 Anderson, IN 46011 2018 Outpatient Visits: 164,537 2018 Procedures: 16,614
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 82
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Vincent Anderson Regional Hospital Madison County 2018 Jackson Street 2018 Inpatient Discharges: 6,469 Anderson, IN 46016 2018 Outpatient Visits: 144,011 2018 Procedures: 14,366
Reportable Event Number
Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 83
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Vincent Mercy Hospital Madison County 1331 South A Street 2018 Inpatient Discharges: 314 Elwood, IN 46036 2018 Outpatient Visits: 20,042 2018 Procedures: 836
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 84
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Community Health Network Rehabilitation Hosp. Marion County 7343 Clearvista Drive 2018 Inpatient Discharges: Not Reported Indianapolis, IN 46250 2018 Outpatient Visits: Not Reported 2018 Procedures: Not Reported
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 85
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Community Hospital East Marion County 1500 North Ritter Avenue 2018 Inpatient Discharges: 15,349 Indianapolis, IN 46219 2018 Outpatient Visits: 200,024 2018 Procedures: 39,911
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 1 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 1 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 2
Appendix 86
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Community Hospital North Marion County 7150 Clearvista Drive 2018 Inpatient Discharges: 20,511 Indianapolis, IN 46256 2018 Outpatient Visits: 198,885 2018 Procedures: 39,085
Reportable Event Number
Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 1 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 87
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Community Hospital South Marion County 1402 East County Line Road South 2018 Inpatient Discharges: 11,496 Indianapolis, IN 46227 2018 Outpatient Visits: 116,656 2018 Procedures: 24,628
Reportable Event Number
Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 1 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 88
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Eskenazi Health Marion County 720 Eskenazi Avenue 2018 Inpatient Discharges: 18,750 Indianapolis, IN 46254 2018 Outpatient Visits: 397,099 2018 Procedures: 13,543
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 1 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 1 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 89
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Franciscan Health Indianapolis Marion County 8111 South Emerson Avenue 2018 Inpatient Discharges: 21,136 Indianapolis, IN 46237 2018 Outpatient Visits: 363,804 2018 Procedures: 23,116
Reportable Event Number
Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 1 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 1 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 2
Appendix 90
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Indiana University Health Marion County (Methodist, IU, Riley, Saxony Hospitals) 2018 Inpatient Discharges: 49,622 1701 North Senate Blvd. 2018 Outpatient Visits: 183,319 Indianapolis, IN 46206 2018 Procedures: 54,990
Reportable Event Number
Reported Totals
SURGICAL 7 1. Surgery performed on the wrong body part 1 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 6 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 1 9. Infant discharged to wrong person 1 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 4 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 4 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 2 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 2 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 14
Appendix 91
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Kindred Hospital Indianapolis North Marion County 8060 Knue Road 2018 Inpatient Discharges: 333 Indianapolis, IN 46250 2018 Outpatient Visits: 0 2018 Procedures: 67
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 92
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Kindred Hospital Indianapolis Marion County 1700 West 10th Street 2018 Inpatient Discharges: 359 Indianapolis, IN 46222 2018 Outpatient Visits: 0 2018 Procedures: 68
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 93
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
OrthoIndy Hospital Marion County 8400 Northwest Blvd 2018 Inpatient Discharges: 3,186 Indianapolis, IN 46278 2018 Outpatient Visits: 17,058 2018 Procedures: 18,572
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 94
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Rehabilitation Hospital of Indiana Marion County 4141 Shore Drive 2018 Inpatient Discharges: 1,304 Indianapolis, IN 46254 2018 Outpatient Visits: 7,227 2018 Procedures: 0
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 2 12. Death or serious disability associated with medication error 1 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 1 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 1 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 1 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 3
Appendix 95
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Vincent Hospital & Health Services Marion County 2001 West 86th Street 2018 Inpatient Discharges: 40,314 Indianapolis, IN 46260 2018 Outpatient Visits: 241,939 2018 Procedures: 48,384
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 3 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 3 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 1 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 1 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 1 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 1
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 6
Appendix 96
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Vincent Seton Specialty Hospital Marion County 8050 Township Line Road 2018 Inpatient Discharges: Not Reported Indianapolis, IN 46260 2018 Outpatient Visits: Not Reported 2018 Procedures: Not Reported
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 2 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 2 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 2
Appendix 97
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Community Hospital of Bremen Marshall County 1020 High Road 2018 Inpatient Discharges: 350 Bremen, IN 46506 2018 Outpatient Visits: 36,451 2018 Procedures: 1,188
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 98
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Joseph Regional Medical Center Marshall County 1915 Lake Avenue 2018 Inpatient Discharges: 2,156 Plymouth, IN 46563 2018 Outpatient Visits: 88,951 2018 Procedures: 5,178
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 99
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Dukes Memorial Hospital Miami County 275 West 12th Street 2018 Inpatient Discharges: 1,125 Peru, IN 46970 2018 Outpatient Visits: 24,743 2018 Procedures: 2,019
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 100
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Indiana University Health Bloomington Hospital Monroe County 601 West Second Street 2018 Inpatient Discharges: 14,098 Bloomington, IN 47403 2018 Outpatient Visits: 68,068 2018 Procedures: 17,601
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 101
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Monroe Hospital Monroe County 4011 S. Monroe Medical Park Blvd. 2018 Inpatient Discharges: 1,135 Bloomington, IN 47403 2018 Outpatient Visits: 17,563 2018 Procedures: 1,554
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 1 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 1 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 102
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Franciscan Health Crawfordsville Montgomery County 1710 Lafayette Road 2018 Inpatient Discharges: 1,109 Crawfordsville, IN 47933 2018 Outpatient Visits: 48,451 2018 Procedures: 3,574
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 103
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Franciscan Health Mooresville Morgan County 1201 Hadley Road 2018 Inpatient Discharges: 3,068 Mooresville, IN 46158 2018 Outpatient Visits: 101,444 2018 Procedures: 5,828
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 104
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Parkview Noble Hospital Noble County 401 Sawyer Road 2018 Inpatient Discharges: 2,056 Kendallville, IN 46755 2018 Outpatient Visits: 81,262 2018 Procedures: 4,846
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 105
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Indiana University Health Paoli Hospital Orange County 642 West Hospital Road 2018 Inpatient Discharges: 350 Paoli, IN 47454 2018 Outpatient Visits: 11,505 2018 Procedures: 1,144
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 106
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Perry County Memorial Hospital Perry County 8885 State Road 237 2018 Inpatient Discharges: 833 Tell City, IN 47586 2018 Outpatient Visits: 34,766 2018 Procedures: 2,722
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 107
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Porter Regional Hospital Porter County 85 East US Highway 6 2018 Inpatient Discharges: 12,331 Valparaiso, IN 46383 2018 Outpatient Visits: 232,325 2018 Procedures: 26,859
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 108
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Pulaski Memorial Hospital Pulaski County 616 East 13th Street 2018 Inpatient Discharges: 635 Winamac, IN 46996 2018 Outpatient Visits: 12,075 2018 Procedures: 1,588
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 109
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Putnam County Hospital Putnam County 1542 Bloomington Street 2018 Inpatient Discharges: 616 Greencastle, IN 46135 2018 Outpatient Visits: 42,084 2018 Procedures: 1,894
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 110
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Vincent Randolph Hospital Randolph County 473 Greenville Avenue 2018 Inpatient Discharges: 667 Winchester, IN 47394 2018 Outpatient Visits: 35,970 2018 Procedures: 1,260
Reportable Event Number
Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 111
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Margaret Mary Community Hospital Ripley County 321 Mitchell Avenue 2018 Inpatient Discharges: 2,099 Batesville, IN 47006 2018 Outpatient Visits: 22,904 2018 Procedures: 5,121
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 112
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Rush Memorial Hospital Rush County 1300 North Main Street 2018 Inpatient Discharges: 428 Rushville, IN 46173 2018 Outpatient Visits: 30,274 2018 Procedures: 1,131
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 113
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
A Rosie Place St. Joseph County 53131 Quince Road 2018 Inpatient Discharges: Not Reported South Bend, IN 46628 2018 Outpatient Visits: Not Reported 2018 Procedures: Not Reported
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 114
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Kindred Hospital of Northern Indiana St. Joseph County 215 W. 4th Street, Suite 200 2018 Inpatient Discharges: 138 Mishawaka, IN 46544 2018 Outpatient Visits: 0 2018 Procedures: 59
Closed: August, 2018 Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 115
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Memorial Hospital of South Bend St. Joseph County 615 North Michigan Street 2018 Inpatient Discharges: 21,108 South Bend, IN 46601 2018 Outpatient Visits: 86,362 2018 Procedures: 24,543
Reportable Event Number
Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 1 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 1 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 1 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 1 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 1 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 1 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 1
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 4
Appendix 116
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Joseph Regional Medical Center St. Joseph County 5215 Holy Cross Parkway 2018 Inpatient Discharges: 16,131 Mishawaka, IN 46545 2018 Outpatient Visits: 139,383
2018 Procedures: 25,180
Reportable Event Number Reported Totals
SURGICAL 2 1. Surgery performed on the wrong body part 1 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 2 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 2 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 4
Appendix 117
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Unity Medical and Surgical Hospital St. Joseph County 4455 Edison Lakes Parkway 2018 Inpatient Discharges: 469 Mishawaka, IN 46545 2018 Outpatient Visits: 7,451
2018 Procedures: 3,134
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 118
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Scott County Memorial Hospital Scott County 1451 North Gardner 2018 Inpatient Discharges: 845 Scottsburg, IN 47170 2018 Outpatient Visits: 33,732 2018 Procedures: 692
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 119
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Major Hospital Shelby County 2451 Intelliplex Drive 2018 Inpatient Discharges: 3,090 Shelbyville, IN 46176 2018 Outpatient Visits: 119,785 2018 Procedures: 6,602
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 120
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Starke Hospital Starke County 102 East Culver Road 2018 Inpatient Discharges: 479 Knox, IN 46534 2018 Outpatient Visits: 24,906 2018 Procedures: 1,156
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 121
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Cameron Memorial Community Hospital Steuben County 416 East Maumee Street 2018 Inpatient Discharges: 1,641 Angola, IN 46703 2018 Outpatient Visits: 75,980 2018 Procedures: 4,984
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 122
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Sullivan County Community Hospital Sullivan County 2200 North Section Street 2018 Inpatient Discharges: 720 Sullivan, IN 47882 2018 Outpatient Visits: 40,907 2018 Procedures: 1,580
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 123
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Franciscan Health Lafayette Tippecanoe County 1701 South Creasy Lane 2018 Inpatient Discharges: 11,869 Lafayette, IN 47905 2018 Outpatient Visits: 138,606 2018 Procedures: 16,794
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 124
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Indiana University Health Arnett Hospital Tippecanoe County 5165 McCarty Lane 2018 Inpatient Discharges: 11,352 Lafayette, IN 47905 2018 Outpatient Visits: 56,659 2018 Procedures: 22,812
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 1 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 1 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 1 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 1 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 2
Appendix 125
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Lafayette Regional Rehabilitation Hospital Tippecanoe County 950 Park East Blvd. 2018 Inpatient Discharges: 470 Lafayette, IN 47905 2018 Outpatient Visits: 172 2018 Procedures: 9
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 1 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 1 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 126
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Indiana University Health Tipton Hospital Tipton County 1000 South Main Street 2018 Inpatient Discharges: 701 Tipton, IN 46072 2018 Outpatient Visits: 8,519 2018 Procedures: 1,846
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 127
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Deaconess Hospital (Cross Pointe & Gateway) Vanderburgh County 600 Mary Street 2018 Inpatient Discharges: 30,690 Evansville, IN 47747 2018 Outpatient Visits: 552,128 2018 Procedures: 54,862
Reportable Event Number Reported Totals
SURGICAL 2 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 2 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 2
Appendix 128
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Encompass Health Deaconess Rehab Hospital Vanderburgh County 4100 Covert Avenue 2018 Inpatient Discharges: 2,206 Evansville, IN 47714 2018 Outpatient Visits: 0 2018 Procedures: 55
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 129
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Select Specialty Hospital - Evansville Vanderburgh County 400 SE 4th Street 2018 Inpatient Discharges: 601 Evansville, IN 47713 2018 Outpatient Visits: 0 2018 Procedures: 108
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 130
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Vincent Evansville Vanderburgh County 3700 Washington Avenue 2018 Inpatient Discharges: 16,978 Evansville, IN 47750 2018 Outpatient Visits: 258,646 2018 Procedures: 31,423
Reportable Event Number
Reported Totals
SURGICAL 3 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 2 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 1 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 1 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 4
Appendix 131
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Union Hospital – Clinton Vermillion County 801 South Main Street 2018 Inpatient Discharges: 666 Clinton, IN 47842 2018 Outpatient Visits: 19,056 2018 Procedures: 666
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 132
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Terre Haute Regional Hospital Vigo County 3901 South Seventh Street 2018 Inpatient Discharges: 6,731 Terre Haute, IN 47802 2018 Outpatient Visits: 51,592 2018 Procedures: 10,109
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 1 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 1 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 133
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Union Hospital Vigo County 1606 North Seventh Street 2018 Inpatient Discharges: 15,272 Terre Haute, IN 47804 2018 Outpatient Visits: 158,962 2018 Procedures: 29,327
Reportable Event Number
Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 134
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Parkview Wabash Hospital Wabash County 710 North East Street 2018 Inpatient Discharges: 1,014 Wabash, IN 46992 2018 Outpatient Visits: 48,090 2018 Procedures: 1,747
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 135
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Vincent Williamsport Hospital Warren County 412 North Monroe Street 2018 Inpatient Discharges: 509 Williamsport, IN 47993 2018 Outpatient Visits: 28,251 2018 Procedures: 1,078
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 136
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Vincent Warrick Hospital Warrick County 1116 Millis Avenue 2018 Inpatient Discharges: 371 Boonville, IN 47601 2018 Outpatient Visits: 20,971 2018 Procedures: 642
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 137
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Women’s Hospital Warrick County 4199 Gateway Blvd. 2018 Inpatient Discharges: 6,353 Newburgh, IN 47630 2018 Outpatient Visits: 38.906 2018 Procedures: 7,496
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 138
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
St. Vincent Salem Hospital Washington County 911 North Shelby Street 2018 Inpatient Discharges: 68 Salem, IN 47167 2018 Outpatient Visits: 23,832 2018 Procedures: 1,634
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 139
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Reid Health Wayne County 1100 Reid Parkway 2018 Inpatient Discharges: 12,454 Richmond, IN 47374 2018 Outpatient Visits: 142,668 2018 Procedures: 18,944
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 1 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 6 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 6 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 7
Appendix 140
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Bluffton Regional Medical Center Wells County 303 South Main Street 2018 Inpatient Discharges: 1,559 Bluffton, IN 46714 2018 Outpatient Visits: 30,201 2018 Procedures: 3,179
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 141
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
IU Health White Memorial Hospital White County 720 South Sixth Street 2018 Inpatient Discharges: 553 Monticello, IN 47960 2018 Outpatient Visits: 14,759 2018 Procedures: 1,657
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 142
APPENDIX B HOSPITAL REPORTABLE EVENTS FOR 2018
Parkview Whitley Hospital Whitley County 1260 E. State Road 205 2018 Inpatient Discharges: 2,272 Columbia City, IN 46725 2018 Outpatient Visits: 97,796 2018 Procedures: 3,313
Reportable Event Number
Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 143
Appendix C
As a way of providing some comparative figures for ambulatory surgery centers and the reported events, the reports for individual ambulatory surgery centers found in Appendix C provide the number of procedures performed by each ambulatory surgery center. This data is provided for the purpose of comparison of how many procedures are performed by each ambulatory surgery center in relation to the number of events reported. This data is required to be reported to the Indiana State Department of Health. Appendix C reflects the surgical procedures performed as reported by ambulatory surgery centers for the calendar year 2018. In order to eliminate mistakes in the report and give facilities the opportunity to review their data for accuracy, the ISDH sent to each facility their final report for 2018. The report was sent in June 2019. Facilities were instructed to review their data for correctness and completeness. Facilities then returned a verification of data to the ISDH. In July 2019, the ISDH contacted all facilities that had not returned their verification form to request that the form be returned. The report for each facility reflects whether the data was verified by the facility.
AMBULATORY SURGERY CENTER DATA Data Category Definition Total Number Reported
Procedures
Procedure includes any procedure reported by the ambulatory surgery center on the ASC
Utilization Report.
517,098
Appendix 144
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
CLI Surgery Center Allen County 7747 West Jefferson Blvd., Suite B 2018 Procedures: Not Reported Fort Wayne, IN 46804
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 145
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Inverness Surgery Center Allen County 8004 Carnegie Blvd. 2018 Procedures: 2,364 Fort Wayne, IN 46804
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 1 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 146
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Parkview Surgery One Allen County 11420 Parkview Circle 2018 Procedures: Not Reported Fort Wayne, IN 46845
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 147
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Retina Institute of Indiana Surgery Center LLC Allen County 11192 Diebold Road 2018 Procedures: Not Reported Fort Wayne, IN 46845
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 148
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Southwest Surgical Suites Allen County 7920 West Jefferson Blvd, Suite 210 2018 Procedures: 3,157 Fort Wayne, IN 46804
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 149
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Surgery Center of Ophthalmology Consultants Allen County 7232 Engle Road 2018 Procedures: 2,264 Fort Wayne, IN 46804
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 150
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 The Eye Surgical Center of Fort Wayne LLC Allen County 321 East Wayne Street 2018 Procedures: 2,620 Fort Wayne, IN 46802
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 151
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 The Surgery Center Allen County 7900 West Jefferson Blvd, Ste. 102 2018 Procedures: 10,503 Fort Wayne, IN 46804
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 152
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Columbus Pain Institute Bartholomew County 2400 North Park, Suite 20 2018 Procedures: 4,120 Columbus, IN 47203
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 153
• APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Columbus Specialty Surgery Center Bartholomew County 2425 North Park Drive, Suite 20 2018 Procedures: 7,797 Columbus, IN 47203
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 154
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Pankratz Eye Institute LLC Bartholomew County 3135 Middle Road 2018 Procedures: 2,068 Columbus, IN 47203
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 1 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 155
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Advanced Regional Surgery Center Clark County 360 Missouri Ave 19A, Suite 102 2018 Procedures: 4,756 Jeffersonville, IN 47130
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 156
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Metro Specialty Surgery Center Clark County 200 Missouri Ave., Bldg 18 2018 Procedures: 8,366 Jeffersonville, IN 47130
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 157
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Vision Surgical Center at Springhill Inc Clark County 302 West 14th Street, Suite 100 B 2018 Procedures: 6,867 Jeffersonville, IN 47130
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 158
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 American Health Network Delaware County 3631 North Morrison Road, Suite 106 2018 Procedures: Not Reported Muncie, IN 47304
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 159
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Ball Outpatient Surgery Center Delaware County 2401 W. University Ave., Suite 200 OMP 2018 Procedures: Not Reported Muncie, IN 47303
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 1 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 160
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Central Indiana Orthopedic Surgery Center Delaware County 3600 West Bethel Avenue 2018 Procedures: 2,779 Muncie, IN 47304
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 161
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Muncie Cataract and Laser Eye Center LLC Delaware County 3300 West Purdue Avenue 2018 Procedures: Not Reported Muncie, IN 47304
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 162
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Muncie Eye Specialists Surgery Center Delaware County 200 North Tillotson Avenue 2018 Procedures: Not Reported Muncie, IN 47304
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 163
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Saint Charles Surgical Pavilion Dubois County 1900 Saint Charles Street 2018 Procedures: 2,638 Jasper, IN 47546
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 164
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Elkhart Day Surgery, LLC Elkhart County 2746 Old US Highway 20 West 2018 Procedures: 1,994 Elkhart, IN 46514
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 165
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Goshen Health Surgery Center Elkhart County 1605 Winsted Drive 2018 Procedures: 1,933 Goshen, IN 46526
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 166
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Ascendant Outpatient Surgery Center Elkhart County 2310 California Road, Suite B 2018 Procedures: Not Reported Elkhart, IN 46514
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 167
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Riverpointe Surgery Center Elkhart County 500 Arcade Avenue, Suite 100 2018 Procedures: 7,175 Elkhart, IN 46514
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 168
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Kleinert Kutz Surgery Center, LLC Floyd County 3605 Northgate Court. Suite 101 2018 Procedures: 5,382 New Albany, IN 47150
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 169
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Novamed Eye Surgery Ctr of New Albany, LLC Floyd County 520 West First Street 2018 Procedures: Not Reported New Albany, IN 47150
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 170
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Surgical Center of New Albany Floyd County 2201 Green Valley Road 2018 Procedures: 2,998 New Albany, IN 47150
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 171
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Marion Eye Specialists Surgery Center Grant County 711 Gardner Drive 2018 Procedures: 1,882 Marion, IN 46952
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 172
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Beltway Surgery Centers LLC Hamilton County 151 Pennsylvania Parkway 2018 Procedures: 24,240 Indianapolis, IN 46280
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 1 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 173
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Carmel Ambulatory Surgery Center Hamilton County 13421 Old Meridian Street 2018 Procedures: 6,150 Carmel, IN 46032
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 174
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Carmel Specialty Surgery Center Hamilton County 11590 N. Meridian Street, Suite 130 2018 Procedures: 6,627 Carmel, IN 46032
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 175
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Community Surgery Center Hamilton Hamilton County 9700 East 146th Street 2018 Procedures: Not Reported Noblesville, IN 46060
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 176
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Digestive Health Center Hamilton County 1120 AAA Way 2018 Procedures: Not Reported Carmel, IN 46032
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 177
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Endoscopy Center LLC Hamilton County 13421 Old Meridian Street, Suite 150 2018 Procedures: 3,379 Carmel, IN 46032
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0
10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 178
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Meridian Plastic Surgery Center Hamilton County 170 West 106th Street 2018 Procedures: 3,450 Indianapolis, IN 46290
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0
13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 179
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Multi-Specialty Surgery Center Hamilton County 10601 N. Meridian St., Suite 100 2018 Procedures: 3,166 Indianapolis, IN 46290
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 180
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
North Meridian Surgery Center Hamilton County 13225 North Meridian Street 2018 Procedures: 13,700 Carmel, IN 46032
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 181
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Saxony Surgery Center Hamilton County 13100 E. 136th St., Suite 1100 2018 Procedures: Not Reported Fishers, IN 46037
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 182
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
The Surgery Center of Carmel Hamilton County 12188 North Meridian Street, Bldg. A, Suite 150 2018 Procedures: Not Reported Carmel, IN 46032
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 183
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Hancock Surgery Center Hancock County One Memorial Square, Suite 1000 2018 Procedures: 4,404 Greenfield, IN 46140
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 184
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Indiana Endoscopy Centers Hendricks County 1115 North Ronald Reagan Parkway, Ste. 347 2018 Procedures: Not Reported Avon, IN 46123
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 185
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
CLI Surgery Center Howard County 1601 West Lincoln Road 2018 Procedures: Not Reported Kokomo, IN 46904
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 186
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Community Surgery Center - Howard Howard County 3503 South Reed Road 2018 Procedures: 7,526 Kokomo, IN 46902
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 187
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Ambulatory Surgery Center at Indiana Eye Clinic Johnson County 30 North Emerson Avenue 2018 Procedures: 3,895 Greenwood, IN 46143
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 188
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Center for Southside Surgery Johnson County 533 East County Line Road 2018 Procedures: 2,209 Greenwood, IN 46143
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 189
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Indiana Skin Cancer Amb. Surgery Ctr. LLC Johnson County 701 East County Line Road, Suite 208 2018 Procedures: 3,439 Greenwood, IN 46143
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 190
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 South Central Surgery Center LLC Johnson County 5002 East State Road 44 2018 Procedures: Not Reported Franklin, IN 46131
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 191
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Clearview Eye Surgery Center Knox County 2020 Clearview Drive 2018 Procedures: Not Reported Vincennes, IN 47591
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 192
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Grossnickle Eye Center Inc Kosciusko County 2251 Dubois Drive 2018 Procedures: 5,533 Warsaw, IN 46580
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 193
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 APAC Surgery Center II Lake County 11460 So. Broadway 2018 Procedures: 2,143 Crown Point, IN 46307
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 194
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Broadwest Specialty Surgical Center Lake County 315 West 89th Street 2018 Procedures: 3,448 Merrillville, IN 46410
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 195
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
CBC, LLC Lake County 5355 Commerce Blvd. 2018 Procedures: 493 Crown Point, IN 46307
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 196
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Center for Minimally Invasive Surgery Lake County 9200 Calumet Avenue, Suite S200 2018 Procedures: 5,245 Munster, IN 46321
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 197
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Great Lakes Surgical Suites LLC Lake County 9200 Calumet Avenue, Suite N-500 2018 Procedures: Not Reported Munster, IN 46321
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 198
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Hammond Community Ambulatory Care Center Lake County 2143 Calumet Ave. 2018 Procedures: 188 Hammond, IN 46394
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 199
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Interventional Pain Management LLC Lake County 201 Main Street 2018 Procedures: Not Reported Hobart, IN 46342
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 200
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Interventional Pain Management LLC Lake County 1924 45th Street 2018 Procedures: Not Reported Munster, IN 46321
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 201
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Lakeside Surgery Center Lake County 810 West Chicago Avenue 2018 Procedures: Not Reported East Chicago, IN 46312
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 202
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Merrillville Plaza Surgery Center LLC Lake County 255 East 90th Drive, Suite W2 2018 Procedures: Not Reported Merrillville, IN 46410
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 203
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Munster Specialty Surgery Center Lake County 9200 Calumet Avenue, S-100 2018 Procedures: 1,717 Munster, IN 46321
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 204
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Northwest Regional Surgery Center, LLC Lake County 8900 Broadway, Suite 100W 2018 Procedures: 2,059 Merrillville, IN 46410
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 205
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Serenity Surgical, LLC Lake County 8840 Calumet Ave, Suite 104 2018 Procedures: 1,899 Munster, IN 46321
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 206
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Williams Eye Surgery Center Lake County 6836 Hohman Avenue 2018 Procedures: 2,879 Hammond, IN 46324
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 207
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Williams Eye Surgery Center-Merrillville Lake County 8514 Broadway 2018 Procedures: Not Reported Merrillville, IN 46410
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 208
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Interventional Pain Management LLC Laporte County 208 Legacy Plaza West 2018 Procedures: Not Reported Laporte, IN 46350
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 209
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Laporte Medical Group Surgical Center LLC Laporte County 900 I Street, Suite 1 2018 Procedures: 1,932 Laporte, IN 46350
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0
19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 210
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Community Digestive Center Madison County 1601 Medical Arts Blvd, Suite 300 2018 Procedures: 4,959 Anderson, IN 46011
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 211
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Capitol Street Surgery Center Marion County 2007 Capitol Avenue 2018 Procedures: 1,662 Indianapolis, IN 46202
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 212
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Center for Special Surgery Marion County 8805 North Meridian Street 2018 Procedures: 5,968 Indianapolis, IN 46260
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 213
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Central Indiana Surgery Center Marion County 9002 North Meridian Street, Lower Level 2018 Procedures: 4,385 Indianapolis, IN 46260
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 214
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Community Surgery Center East Marion County 5445 East 16th Street 2018 Procedures: Not Reported Indianapolis, IN 46218
Reportable Event Number Reported Totals
SURGICAL 0
1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 215
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Community Surgery Center North Marion County 8040 Clearvista Parkway, Suite 150 2018 Procedures: Not Reported Indianapolis, IN 46256
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20 Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 216
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Community Surgery Center Northwest Marion County 8651 Township Line Road 2018 Procedures: Not Reported Indianapolis, IN 46260
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 217
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Community Surgery Center South Marion County 1550 East County Line Road, Suite 100 2018 Procedures: Not Reported Indianapolis, IN 46227
Reportable Event Number Reported Totals
SURGICAL 2 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 2 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 2
Appendix 218
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Eagle Highlands Surgery Center Marion County 6850 Parkdale Place 2018 Procedures: 7,575 Indianapolis, IN 46254
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 219
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
East Washington Surgery Center Marion County 9660 East Washington Street, Suite 200 2018 Procedures: 1,771 Indianapolis, IN 46229
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 220
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Endoscopy Center at St. Francis LLC Marion County 8051 South Emerson, Suite 150 2018 Procedures: Not Reported Indianapolis, IN 46237
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 221
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Franciscan Surgery Center Marion County 5255 East Stop 11 Road, Suite 100 2018 Procedures: 16,712 Indianapolis, IN 46237
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 222
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Glen Lehman Endoscopy Suite Marion County 550 N. University Blvd., Suite 4100 2018 Procedures: 11,723 Indianapolis, IN 46202
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0
15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 223
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Indiana Endoscopy Centers Marion County 1801 North Senate Blvd., Suite 710 2018 Procedures: Not Reported Indianapolis, IN 46202
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 224
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Indiana Hand to Shoulder Beltway Surgery Center Marion County 8501 Harcourt Road 2018 Procedures: 3,891 Indianapolis, IN 46260
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 225
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Indiana Kidney Institute Marion County 1420 No. Senate Ave., Suite A 2018 Procedures: 865 Indianapolis, IN 46202
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 226
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Indianapolis Endoscopy Center Marion County 8315 East 56th Street, Suite 100 2018 Procedures: 13,330 Indianapolis, IN 46216
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 227
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Meridian South Surgery Center Marion County 8830 South Meridian Street, Suite 250 2018 Procedures: 2,601 Indianapolis, IN 46217
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 228
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Midwest Specialty Surgery Center Marion County 6920 Gatwick Drive, Suite 100 2018 Procedures: 1,250 Indianapolis, IN 46241
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 229
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Naab Road Surgery Center Marion County 8260 Naab Road, Suite 100 2018 Procedures: 8,975 Indianapolis, IN 46260
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 1 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 230
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Northside Gastroenterology Endoscopy Center Marion County 8424 Naab Road, Suite 3G 2018 Procedures: Not Reported Indianapolis, IN 46260
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 231
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
ROC Surgery LLC Marion County 705 Riley Hospital Drive, Suite 0201 2018 Procedures: 6,537 Indianapolis, IN 46202
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 232
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Senate Street Surgery Center LLC Marion County 1801 North Senate Boulevard 2018 Procedures: 4,957 Indianapolis, IN 46290
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 233
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
South Emerson Surgery Center Marion County 8141 South Emerson Avenue, Suite C 2018 Procedures: 812 Indianapolis, IN 46237
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 234
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Surgery Center of Eye Specialists of Indiana Marion County 1901 North Meridian Street 2018 Procedures: 3,050 Indianapolis, IN 46202
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 235
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Surgery Center of Eye Specialists of Indiana PC Marion County 1950 West 86th Street 2018 Procedures: 9,168 Indianapolis, IN 46260
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 236
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Surgery Center Plus Marion County 7430 N. Shadeland Ave, Suite 100 2018 Procedures: Not Reported Indianapolis, IN 46250
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 237
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Surgical Care Center, Inc. Marion County 9202 N. Meridian St, Suite 150 2018 Procedures: 6,961 Indianapolis, IN 46260
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 238
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Bloomington Endoscopy Center Monroe County 550 Landmark Avenue 2018 Procedures: 6,158 Bloomington, IN 47403
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 239
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Bloomington Surgery Center Monroe County 1011 West Second Street 2018 Procedures: 5,293 Bloomington, IN 47403
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 240
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Indiana Specialty Surgery Center Monroe County 1380 West Arch Haven Ave. 2018 Procedures: 7,361 Bloomington, IN 47403
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 241
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Southern Indiana Surgery Center LLC Monroe County 2800 Rex Grossman Blvd 2018 Procedures: 8,860 Bloomington, IN 47403
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 242
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Surgicare LLC Monroe County 2907 McIntire Drive, Suite C 2018 Procedures: 3,212 Bloomington, IN 47403
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 243
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Mooresville Endoscopy Center LLC Morgan County 1215 Hadley Rd., Suite 101 2018 Procedures: 1,949 Mooresville, IN 46158
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 244
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
St. Francis Mooresville Surgery Center LLC Morgan County 1215 Hadley Rd., Suite 100 2018 Procedures: Not Reported Mooresville, IN 46158
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 245
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Interventional Pain Management LLC Porter County 2205 Roosevelt Road 2018 Procedures: 27,005 Valparaiso, IN 46383
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 246
APPENDIX C AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018
Lakeshore Surgicare Porter County 3111 Village Pointe 2018 Procedures: Not Reported Chesterton, IN 46304
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 247
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Riverview Surgery Center Spencer County 1276 North Plaza Drive 2018 Procedures: 9,734 Rockport, IN 47635
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 248
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Allied Physicians Surgery Center St. Joseph County 53990 Carmichael Drive, Suite 100 2018 Procedures: 24,181 South Bend, IN 46635
Reportable Event Number Reported Totals
SURGICAL 1 1. Surgery performed on the wrong body part 1 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 1
Appendix 249
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Beacon Specialty Surgery Center St. Joseph County 100 Navarre Place, Suite 4405 2018 Procedures: Not Reported South Bend, IN 46601
Closed December 2018
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 250
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Michiana Endoscopy Center St. Joseph County 53830 Generations Drive, Suite A 2018 Procedures: 10,395 South Bend, IN 46635
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 251
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Michiana Surgery Center St. Joseph County 3212 Hickory Road, Suite A 2018 Procedures: Not Reported Mishawaka, IN 46545
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 252
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Nephrology Physicians, LLC St. Joseph County 250 East Day Road, Suite 300 2018 Procedures: 289 Mishawaka, IN 46545
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 253
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 South Bend Clinic & Surgicenter St. Joseph County 211 North Eddy Street 2018 Procedures: 9,879 South Bend, IN 46617
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 254
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 South Bend Specialty Surgery Center, LLC St. Joseph County 335 Florence Avenue, Suite 1B 2018 Procedures: Not Reported Granger, IN 46530
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 255
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 The Centre LLC St. Joseph County 611 E Douglas Rd., Suite 108 A 2018 Procedures: 537 Mishawaka, IN 46545
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 256
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Sullivan Surgicenter LLC Sullivan County 320 North Section Street 2018 Procedures: Not Reported Sullivan, IN 47882
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 257
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Advanced Surgery Center Tippecanoe County 1400 Teal Road, Suite 7 2018 Procedures: Not Reported Lafayette, IN 47905
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 258
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 LPC Surgery Center, LLC Tippecanoe County 770 Park East Blvd, Suite A 2018 Procedures: Not Reported Lafayette, IN 47905
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 259
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Sagamore Surgical Services, Inc Tippecanoe County 2320 Concord Road, Suite B 2018 Procedures: Not Reported Lafayette, IN 47909
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 260
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Unity Surgical Center Tippecanoe County 1411 South Creasy Lane, Suite 200 2018 Procedures: 14,637 Lafayette, IN 47905
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 261
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Advanced Ambulatory Surgery Center Vanderburgh County 1101 Professional Blvd, Suite 104 2018 Procedures: 5,114 Evansville, IN 47714
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 262
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Ambulatory Surgery Center for Pain Relief Vanderburgh County 2330 Lynch Road, Suite 100 2018 Procedures: Not Reported Evansville, IN 47711
Closed May, 2018
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 263
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Evansville Surgery Center Associates LLC Vanderburgh County 520 Mary Street, Suite 240 2018 Procedures: Not Reported Evansville, IN 47710
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 264
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Eyecare Consultants Surgery Center Vanderburgh County 101 NW First Street, Suite 104 2018 Procedures: Not Reported Evansville, IN 47708
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 265
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Eye Care Surgery Center of Evansville LLC Vanderburgh County 6540 Logan Drive, Suite 3 2018 Procedures: 821 Evansville, IN 47715
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 266
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Gastrointestinal Endoscopy Center Vanderburgh County 801 St. Mary’s Drive, Suite 110W 2018 Procedures: 11,690 Evansville, IN 47714
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0
8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 267
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Valley Surgery Center Vanderburgh County 220 East Virginia Street 2018 Procedures: Not Reported Evansville, IN 47711
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 268
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Terre Haute Heart Center Outpatient Cath Lab Vigo County 455 E. Hospital Lane 2018 Procedures: Not Reported Terre Haute, IN 47802
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0
9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 269
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Terre Haute Surgical Center LLC Vigo County 227 East McCallister Drive 2018 Procedures: Not Reported Terre Haute, IN 47802
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 270
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Evansville Surgery Center Associates LLC Warrick County 4133 Gateway Blvd, Suite 100 2018 Procedures: Not Reported Newburgh, IN 47630
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 271
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Evansville Surgery Ctr. for Orthopedics-Gateway Warrick County 4011 Gateway Blvd, Suite 200 2018 Procedures: 5,420 Newburgh, IN 47630
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 272
APPENDIX C
AMBULATORY SURGERY CENTER REPORTABLE EVENTS FOR 2018 Whitewater Surgery Center Wayne County 1900 Chester Blvd 2018 Procedures: 6,027 Richmond, IN 47374
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25 Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 273
APPENDIX D In order to eliminate mistakes in the report and give facilities the opportunity to review their data for accuracy, the ISDH sent to each facility their final report for 2018. The report was sent in June 2019. Facilities were instructed to review their data for correctness and completeness. Facilities then returned a verification of data to the ISDH. In July 2019, the ISDH contacted all facilities that had not returned their verification form to request that the form be returned. The report for each facility reflects whether the data was verified by the facility.
Appendix 274
APPENDIX D ABORTION CLINICS REPORTABLE EVENTS FOR 2018
Planned Parenthood of Indiana and Kentucky Lake County 8645 Connecticut Street Merrillville, IN 46410
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 275
APPENDIX D ABORTION CLINICS REPORTABLE EVENTS FOR 2018
Clinic For Women Marion County 3607 West 16th Street, Suite 2B Indianapolis, IN 46222
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 276
APPENDIX D ABORTION CLINICS REPORTABLE EVENTS FOR 2018
Planned Parenthood of Indiana and Kentucky Marion County 8590 Georgetown Road Indianapolis, IN 46268
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 277
APPENDIX D ABORTION CLINICS REPORTABLE EVENTS FOR 2018
Women’s Medical Group Marion County 1201 North Arlington Avenue Indianapolis, IN 46219
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 278
APPENDIX D ABORTION CLINICS REPORTABLE EVENTS FOR 2018
Planned Parenthood of Indiana and Kentucky Monroe County 421 South College Avenue Bloomington, IN 47403
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 279
APPENDIX D ABORTION CLINICS REPORTABLE EVENTS FOR 2018
Planned Parenthood of Indiana and Kentucky Tippecanoe County 964 Mezzanine Drive Lafayette, IN 47905
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - NOT VERIFIED BY FACILITY 0
Appendix 280
APPENDIX E
In order to eliminate mistakes in the report and give facilities the opportunity to review their data for accuracy, the ISDH sent to each facility their final report for 2018. The report was sent in June 2019. Facilities were instructed to review their data for correctness and completeness. Facilities then returned a verification of data to the ISDH. In July 2019, the ISDH contacted all facilities that had not returned their verification form to request that the form be returned. The report for each facility reflects whether the data was verified by the facility. .
Appendix 281
APPENDIX E BIRTHING CENTERS REPORTABLE EVENTS FOR 2018
Auburn Birthing Center Dekalb County 1915 Wesley Road Auburn, IN 46706
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 282
APPENDIX E BIRTHING CENTERS REPORTABLE EVENTS FOR 2018
Blessed Beginnings Care Center, Inc. Elkhart County 2521 East Market Street Elkhart, IN 46550
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 283
APPENDIX E BIRTHING CENTERS REPORTABLE EVENTS FOR 2018
Goshen Birth Center, Inc. Elkhart County 1155 Lighthouse Lane Goshen, IN 46526
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 284
APPENDIX E BIRTHING CENTERS REPORTABLE EVENTS FOR 2018
New Eden Care Center Lagrange County 7980 W 100 S Topeka, IN 46571
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0
Appendix 285
APPENDIX E BIRTHING CENTERS REPORTABLE EVENTS FOR 2018
Sacred Roots Birth Center Marion County 6620 Parkdale Place, Suite K Indianapolis, IN 46254
Reportable Event Number Reported Totals
SURGICAL 0 1. Surgery performed on the wrong body part 0 2. Surgery performed on the wrong patient 0 3. Wrong surgical procedure performed on a patient 0 4. Retention of a foreign object in a patient after surgery 0 5. Intra-operative or post-operative death in a normal, healthy patient 0
PRODUCTS OR DEVICES 0 6. Death or serious disability associated with contaminated drugs, devices, or biologics 0 7. Death or serious disability associated with misuse or malfunction of device 0 8. Death or serious disability associated with intravascular air embolism 0
PATIENT PROTECTION 0 9. Infant discharged to wrong person 0 10. Death or serious disability associated with patient elopement 0 11. Suicide or attempted suicide resulting in serious disability 0
CARE MANAGEMENT 0 12. Death or serious disability associated with medication error 0 13. Death or serious disability associated with hemolytic reaction 0 14. Maternal death or serious disability associated with low risk pregnancy labor or delivery 0 15. Death or serious disability associated with hypoglycemia 0 16. Death or serious disability (kernicterus) associated with hyperbilirubinemia in neonates 0 17. Stage 3 or 4 pressure ulcers acquired after admission 0 18. Death or serious disability due to joint movement therapy 0 19. Artificial insemination with the wrong donor sperm or wrong egg 0
ENVIRONMENTAL 0 20. Death or serious disability associated with electric shock 0 21. Wrong gas / contamination in patient gas line 0 22. Death or serious disability associated with a burn 0 23. Death or serious disability associated with a fall 0 24. Death or serious disability associated with restraints or bedrails 0
CRIMINAL 0 25. Care ordered by someone impersonating a health care provider 0 26. Abduction of patient of any age 0 27. Sexual assault of a patient on the facility grounds 0 28. Death / injury of patient or staff from physical assault occurring on facility grounds 0
TOTAL NUMBER OF REPORTED EVENTS - VERIFIED BY FACILITY 0