Geisinger Health System leaders share how they helped to drive evidence-based changes in the care of patients undergoing coronary artery bypass graft surgery, a process that improved outcomes and yielded cost benefits.

Incidence of wrong-site surgery has decreased in Pennsylvania, but PA-PSRS continues to receive reports of its occurrence. PA-PSRS’s analysis suggests opportunities for wrong-site surgery prevention.

Failure to adequately identify and/or communicate patients’ MRSA statuses can perpetuate MRSA infection and transmission. Limiting the risk of MRSA transmission involves developing a comprehensive program that includes components such as active surveillance and ongoing evaluation of processes.

An interscalene block (ISB) is an effective anesthetic technique with many advantages, but it is associated with certain complications, such as seizure and arrhythmia. Implementing specific risk reduction strategies before, during, and after ISB may help patients realize the benefits of ISB without the associated complications.

Using smart pumps to their fullest potential involves not only implementing this technology but also heeding alerts at the bedside.

Not knowing if a patient has an implanted electronic device before conducting a computed tomography scan could potentially result in harm to the patient.

All healthcare workers can have an influential role in preventing patient harm, not just those staff members who are most directly involved with patient care.