NPSD Chartbooks
The Network of Patient Safety Databases (NPSD) Chartbooks provide an overview of the patient safety data captured in the NPSD through the AHRQ Common Formats for Event Reporting (CFER) and highlight patterns and trends in the data. The Chartbooks represent the results of analyses designed to characterize the nature of patient safety events in hospital settings and represent initial attempts to collect this type of comprehensive data on a national scale. They examine data for topics that cut across the multiple modules in the AHRQ Common Formats for Event Reporting for Hospitals (CFER-H, versions 1.1 and 1.2), including generic safety concerns and adverse events. Recent Chartbooks have taken a closer look at pressure injuries, medication and other substances, and falls.
Network of Patient Safety Databases Chartbook, 2025
A single topic-specific Chartbook focusing on pressure injury events is presented for 2025. The 2025 Network of Patient Safety Databases Chartbook: Analysis of Reported Pressure Injury Events (NPSD Pressure Injury Chartbook) reflects data from the 93,807 pressure injury reports submitted using CFER-H Versions 1.2 and 2.0 through December 31, 2024.
Download the 2025 NPSD Pressure Injury Chartbook (PDF, 979 KB)
Network of Patient Safety Databases Chartbook, 2024
A single topic-specific Chartbook focusing on medication and other substance events is presented for 2024. The 2024 Network of Patient Safety Databases Report: Medication and Other Substance Events (NPSD Medication or Other Substance Chartbook) reflects data from the 486,543 medication or other substance reports submitted through December 31, 2023.
Download the 2024 NPSD Medication Chartbook (PDF, 4 MB)
Network of Patient Safety Databases Chartbooks, 2023
Two Chartbooks are presented for 2023. One Chartbook is topic-specific and focuses on in-hospital falls. The second Chartbook focuses on Generic Patient Safety Concerns, which introduces an examination of trends over time and new data: near miss prevention actions, contributing factors to events, and location of events to provide readers an enhanced analysis of the circumstances surrounding patient safety events.
The 2023 NPSD Falls Chartbook reflects data from the 243,449 falls submitted through December 31, 2022.
Download the 2023 NPSD Falls Chartbook (PDF, 5 MB)
The 2023 NPSD Chartbook reflects data from the 2,617,691 reports submitted through December 31, 2022, including 59,565 reports submitted during calendar year 2022.
Download the 2023 NPSD Chartbook (PDF, 5.5 MB)
Network of Patient Safety Databases Chartbook, 2022
Reflects data from the 2,558,126 reports submitted through December 31, 2021, including 481,300 reports submitted during calendar year 2021. It also introduces a new Falls Supplement.
Download the 2022 NPSD Chartbook (PDF, 6 MB)
Network of Patient Safety Databases Chartbook, 2021
Reflects data from the 2,077,008 reports submitted through December 31, 2020, including 318,773 reports submitted during calendar year 2020.
Download the 2021 NPSD Chartbook (PDF, 4 MB)
Network of Patient Safety Databases Chartbook, 2020
Reflects data from the 1,758,235 reports submitted through December 31, 2019, including data from an additional 619,111 reports not included in the prior NPSD Chartbook.
Download the 2020 NPSD Chartbook (PDF, 4 MB)
Network of Patient Safety Databases Chartbook, 2019
Reflects data from the 1,139,124 reports submitted from July 26, 2012 through March 31, 2018.
Download the 2019 NPSD Chartbook (PDF, 4 MB)
