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ADDRESS:

Patient Safety Authority
333 Market Street
Lobby Level
Harrisburg, PA 17120


Phone: 717-346-0469
Fax: 717-346-1090


 

Articles from the Advisory
Hospital-Acquired Pressure Ulcers Remain a Top Concern for Hospitals 
Hospital-Acquired Pressure Ulcers Remain a Top Concern for Hospitals 
Events reported to the Pennsylvania Patient Safety Authority from 2007 through 2013 suggest need for improvement in identification of pressure ulcers present on admission; accurate staging; and prevention of hospital-acquired pressure ulcers. 

 

Wrong-Site Orthopedic Operations on the Extremities: The Pennsylvania Experience 
The Authority analyzed 83 wrong-site extremity procedures reported over a nine-year period. The most common body parts involved were the hand, knee, and foot, representing 88% of all wrong-site extremity procedures within the domain of orthopedic surgery. 
Standardized Emergency Codes May Minimize “Code Confusion” 
Analysis of reported events and a hospital survey identified the use of 80 different codes. To help promote consistency and decrease confusion, organizations may consider developing a standardized system or encouraging the use of plain-language codes. 
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