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The findings demonstrated that currently available information cannot serve as a reliable measure of health care quality in correctional settings due to sociocultural reporting constraints. Institutional and cultural deterrents to objective reporting have led to incomplete records, misclassified causes of death, and failures to maintain legally mandated death reports. There is a clear need for health benchmarking and clear definitions for reporting in correctional health care to enable valid comparisons between health care provider models. The paper draws attention to a recently established correctional health care-specific patient safety organization as a potential solution to enable correctional health care providers to better understand the drivers of health care outcomes in correctional facilities.<\/jats:p>","DOI":"10.1177\/10783458261425158","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T12:59:13Z","timestamp":1773233953000},"page":"240-246","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Limits of Correctional Health Reporting: Findings From a Nationwide Jail Mortality Survey (2019\u20132024)"],"prefix":"10.1177","volume":"32","author":[{"given":"Liz","family":"Harris","sequence":"first","affiliation":[{"name":"Sentinel Patient Safety Organization, Franklin, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William","family":"Dennis","sequence":"additional","affiliation":[{"name":"Spark Training, LLC, Franklin, Tennessee, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,5]]},"reference":[{"key":"e_1_3_3_2_1","unstructured":"Agency for Healthcare Research and Quality (AHRQ). (2016). How PSOs help health care organizations improve patient safety culture (AHRQ Pub. No. 16-0026-EF). https:\/\/www.ahrq.gov\/sites\/default\/files\/wysiwyg\/npsd\/npsd-patient-safety-culture-brief.pdf"},{"key":"e_1_3_3_3_1","unstructured":"Agency for Healthcare Research and Quality (AHRQ). (2021). Strategies to improve patient safety: Final report to congress required by the patient safety and quality improvement act of 2005 (AHRQ Pub. No. 22-0009). https:\/\/pso.ahrq.gov\/sites\/default\/files\/wysiwyg\/strategies-improve-patient-safety-final.pdf"},{"key":"e_1_3_3_4_1","unstructured":"Agency for Healthcare Research and Quality (AHRQ). (2025). 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Deaths in custody reporting act (DICRA). https:\/\/isp.idaho.gov\/pgr\/dicra\/ [Last accessed: August19 2025]."},{"key":"e_1_3_3_13_1","unstructured":"Iowa Department of Administrative Services (IDAS). (2025). Correctional medical services. (RFP No. 005-RFP-1926-2025). Iowa Department of Corrections."},{"key":"e_1_3_3_14_1","unstructured":"Kansas Governor\u2019s Grants Program. (2023). Kansas implementation plan for death in custody reporting act (DCRA) data collection infrastructure. Bureau of Justice Assistance. https:\/\/bja.ojp.gov\/doc\/dcra-plan-ks.pdf"},{"issue":"2","key":"e_1_3_3_15_1","article-title":"A cruel and unusual punishment: An overview of private healthcare in U.S. jails and prisons","volume":"4","author":"Maraganis M","year":"2022","unstructured":"Maraganis M. (2022). A cruel and unusual punishment: An overview of private healthcare in U.S. jails and prisons. 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