1.1 	A bill for an act
1.2 	relating to health; changing provisions for adverse health care events reporting;
1.3 	amending Minnesota Statutes 2006, section 144.7065, subdivisions 4, 5, 6.
1.4 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.5 	Section 1. Minnesota Statutes 2006, section 144.7065, subdivision 4, is amended to 
1.6 	read:
1.7 		Subd. 4.Patient protection events. Events reportable under this subdivision are:
1.8 	(1) an infant discharged to the wrong person;
1.9 	(2) patient death or serious disability associated with patient disappearance for 
1.10 	more than four hours, excluding events involving adults who have decision-making 
1.11 	capacity; and
1.12 	(3) patient suicide or attempted suicide resulting in serious disability while being 
1.13 	cared for in a facility due to patient actions after admission to the facility, excluding deaths 
1.14 	resulting from self-inflicted injuries that were the reason for admission to the facility.

1.15 	EFFECTIVE DATE. This section is effective October 7, 2007.

1.16 	Sec. 2. Minnesota Statutes 2006, section 144.7065, subdivision 5, is amended to read:
1.17 		Subd. 5.Care management events. Events reportable under this subdivision are:
1.18 	(1) patient death or serious disability associated with a medication error, including, 
1.19 	but not limited to, errors involving the wrong drug, the wrong dose, the wrong patient, the 
1.20 	wrong time, the wrong rate, the wrong preparation, or the wrong route of administration, 
1.21 	excluding reasonable differences in clinical judgment on drug selection and dose;
2.1 	(2) patient death or serious disability associated with a hemolytic reaction due to the 
2.2 	administration of ABO-incompatible ABO/HLA-incompatible blood or blood products;
2.3 	(3) maternal death or serious disability associated with labor or delivery in a low-risk 
2.4 	pregnancy while being cared for in a facility, including events that occur within 42 days 
2.5 	postdelivery and excluding deaths from pulmonary or amniotic fluid embolism, acute 
2.6 	fatty liver of pregnancy, or cardiomyopathy;
2.7 	(4) patient death or serious disability directly related to hypoglycemia, the onset of 
2.8 	which occurs while the patient is being cared for in a facility;
2.9 	(5) death or serious disability, including kernicterus, associated with failure 
2.10 	to identify and treat hyperbilirubinemia in neonates during the first 28 days of life. 
2.11 	"Hyperbilirubinemia" means bilirubin levels greater than 30 milligrams per deciliter;
2.12 	(6) stage 3 or 4 ulcers acquired after admission to a facility, excluding progression 
2.13 	from stage 2 to stage 3 if stage 2 was recognized upon admission; and
2.14 	(7) patient death or serious disability due to spinal manipulative therapy.; and
2.15 	(8) artificial insemination with the wrong donor sperm or wrong egg.

2.16 	EFFECTIVE DATE. This section is effective October 7, 2007.

2.17 	Sec. 3. Minnesota Statutes 2006, section 144.7065, subdivision 6, is amended to read:
2.18 		Subd. 6.Environmental events. Events reportable under this subdivision are:
2.19 	(1) patient death or serious disability associated with an electric shock while being 
2.20 	cared for in a facility, excluding events involving planned treatments such as electric 
2.21 	countershock;
2.22 	(2) any incident in which a line designated for oxygen or other gas to be delivered to 
2.23 	a patient contains the wrong gas or is contaminated by toxic substances;
2.24 	(3) patient death or serious disability associated with a burn incurred from any 
2.25 	source while being cared for in a facility;
2.26 	(4) patient death or serious disability associated with a fall while being cared for in 
2.27 	a facility; and
2.28 	(5) patient death or serious disability associated with the use or lack of restraints or 
2.29 	bedrails while being cared for in a facility.

2.30 	EFFECTIVE DATE. This section is effective October 7, 2007.