Hospitals reported only 8% of the adverse events that they were required to share with state authorities, said a July study from the Dept. of Health and Human Services’ Office of Inspector General.

Twenty-five states and the District of Columbia have adverse-event reporting systems, although the reporting requirements vary by state. Of 35 adverse events the OIG had identified previously in these states, only three were submitted to a state reporting system. The OIG found that only one Maryland hospital had internal reporting of an adverse event — excessive bleeding that prolonged a patient’s hospital stay — and did not report it when required.

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