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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
Quarterly Update on Wrong-Site Surgery: Do You Really Want to Wake the Patient Up and Start Over? 
Quarterly Update on Wrong-Site Surgery: Do You Really Want to Wake the Patient Up and Start Over? 
The Pennsylvania Patient Safety Authority analyzes reports of patients who had to be awakened from sedation or anesthesia because of the failure to reconcile information during the preoperative visits. 

 

Letter to the Editor: Preventing Air Embolism with PICC Live Removal 
No reports of air embolism occurring with PICC line removal were found in the literature, nor were any such events reported to the Authority. 
Hospital-Acquired Pressure Ulcers Remain a Top Concern for Hospitals 
Events reported to the 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. 
In the Spotlight
Assess ASF patients to identify concerns 
Factor ergonomics into infection risk 
Practice newborn safety 
See 2014 Annual Report 
Assess ASF patients; track cancellations  Factor ergonomics into infection risk  Practice newborn safety  See 2014 Annual Report 
 
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