The state of Minnesota requires hospitals and surgical centers to report any adverse events to the Commissioner of Health.  The types of events that are required to be reported include surgical adverse events, product adverse events, environmental adverse events, and criminal events.  Adverse event reporting must be done electronically.  The law requires the facility to conduct an analysis to determine the root cause of the adverse event, and take corrective action.1  Minnesota also requires the Commissioner of Health to establish an adverse health care event reporting system that consists of a list of 27 adverse events that must be reported, a mandatory root cause analysis and corrective plan by the facility, and sanctions for health care facilities that fail to comply with the reporting requirements.2  In order to maintain uniformity of reporting standards with other states, the Commissioner of Health must report the list of reportable adverse events to the National Quality Forum and to other states.3  While data and information obtained by a peer review organization is generally confidential, review organizations are permitted to share information or records for incident reporting systems and for adverse health care event reporting provided that the information does not identify patients individually.4