A Pennsylvania healthcare leader addresses the important connection between an organization’s leadership and the success of the organization’s safety program.

Wrong-site surgery that touches the patient is expected to occur once a year in the operating room of a 300-bed hospital. Considering wrong-site surgery prevention processes as a whole is an important strategy to preventing wrong-site surgery.

The Pennsylvania Patient Safety Authority releases a strategic plan of initiatives to be implemented during the next several years.

Ensuring consistent delivery of the correct mother’s expressed breast milk (EBM) to the correct infant is a challenge; mismanagement of EBM can upset family and staff about the potential risk to the infant.

This complex syndrome, associated with factors such as high doses of propofol, warrants attention to identify its mechanism, patients who are at risk, and methods of prevention.

Errors involving these patches, such as multiple patches inadvertently applied, have resulted in significant patient harm.

Cardiologists and nurses have an important role in the early detection and management of complications associated with cardiac catheterizations.

A facility identifies and implements changes in response to a near miss, then continues to look for system improvement opportunities.

Understanding the causes of in vitro hemolysis and corrective strategies to prevent it can help ensure that a quality specimen is obtained for analysis.