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Health Care Provider Advisory Committee

Clifford G. Rapp, Vice President, Risk Management
First Professionals Insurance Company
1000 Riverside Avenue, Suite 800 Jax 32204
P. O. Box 44033
Jacksonville, Florida  32231-4033

The Health Care Provider Advisory Committee includes representatives of hospitals, ambulatory surgical centers, physicians, nurses and pharmacists licensed in Florida, as well as a representative of the Veterans Integrated Service Network 8, VA Patient Safety Center. The duties of this advisory committee include the promotion of a culture of patient safety that reduces errors.

One of the key initiatives of the Health Care Provider Advisory Committee is the establishment of a "near-miss" patient safety reporting system. Near-miss is defined as any potentially harmful event that could have had an adverse result; but, through chance or intervention, harm was prevented. The purpose of the near-miss reporting system is to: identify potential systemic problems that could lead to adverse incidents, enable the publication of system-wide alerts of potential harm and facilitate the development of both facility-specific and statewide options to avoid adverse incidents and improve patient safety.

The reporting system will include "near misses" submitted by hospitals, birthing centers, ambulatory surgical centers and other providers. It will be voluntary, anonymous and independent of mandatory reporting systems used for regulatory purposes. Reports of near-miss data will be published on a regular basis, and special alerts will be published as needed regarding newly identified, significant risks. Aggregated data will be made available publicly, and the Florida Patient Safety Corporation will report the performance and results of the near-miss project in its annual report.

By understanding errors—even the ones that do not cause adverse outcomes—the Health Care Provider Advisory Committee will aid the Florida Patient Safety Corporation in improving patient safety in Florida, decreasing the number of bad outcomes, decreasing the number of malpractice claims and helping educate others through newsletters, publications, lectures, etc.

Near-Miss Implementation Project Schedule