A communication from the Betsy Lehman Center for Patient Safety (see Section 15 of Chapter 12C of the General Laws) submitting its annual report for calendar year 2025

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2025 ANNUAL REPORT

Betsy Lehman Center for Patient Safety

APRIL 2026

Table of contents

The Roadmap to Health Care Safety 3

Patient harm in Massachusetts 4

• Systemwide incidence & costs of medical harm

• Facility-level reportable events

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PASSAGE PROBABILITY

1% Unlikely

Why this number

Stage base Introduced — base rate 3%, measured from MA's completed sessions
Momentum -8 14/100 from the pace of recorded action
Time since last action -19 137 days quiet

A transparent scoring model over stage, momentum, recency, sponsorship and recorded votes — not a trained predictor. Treat it as a way to rank attention, not as a forecast.