Maryland Health - General Section 19-139

      (a)      The Commission, in consultation with the Department of Health and Mental Hygiene, shall study the feasibility of developing a system for reducing the incidences of preventable adverse medical events in the State including but not limited to a system of reporting such incidences.

      (b)      In conducting the study the Commission shall review:

            (1)      Federal reports and recommendations for identification of medical errors including the most recent report of the Institute of Medicine of the National Academy of Sciences;

            (2)      Recommendations of national accrediting and quality assurance organizations including the Joint Commission on the Accreditation of Health Care Organizations;

            (3)      Recommendations of the National Quality Forum;

            (4)      Programs in other states designed to reduce adverse medical events; and

            (5)      Best practices of hospitals and other health care facilities.