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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
Falls Reduction and Prevention Update: Pennsylvania Hospitals Increase Implementation of Best Practices 
Falls Reduction and Prevention Update: Pennsylvania Hospitals Increase Implementation of Best Practices 
Collaboration participants completing an annual self-assessment survey reported an increase in full implementation for categories of falls prevention practices. Participants also conducting quarterly process measures audits achieved increased compliance. 

 

An Analysis of Reported Adverse Drug Reactions 
Continually assessing the types of ADRs being reported, reviewing mitigation strategies for the involved medications, and updating protocols as necessary are strategies to reduce the incidence and severity of these events. 
Quarterly Update on Wrong-Site Surgery: How to Do an Effective Time-Out in the Dark 
There were 10 reports of wrong-site surgery in Pennsylvania ORs during the first quarter of 2014, the third consecutive quarter with 10 reports. In addition, Authority analysts describe safety processes for performing a time-out for a laser eye procedure. 
In the Spotlight
Prevent surgical site infections 
Identify errors associated with opioids 
PSO participation delayed until 2017 
Read AHRQ's article on central venous catheters   
Prevent surgical site infections  Identify errors associated with opioids  PSO participation delayed until 2017  Read AHRQ's article on central venous catheters  
 
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