Patient Safety Authority Annual Reports.

Book/Report

Patient Safety Authority Annual Reports.

May 1, 2023

Pennsylvania Patient Safety Authority. Harrisburg, PA: Patient Safety Authority; April 2023.

This report summarizes patient safety improvement work in the state of Pennsylvania. It reviews the 2022 activities of the Patient Safety Authority that reflected a strategic emphasis on reporting compliance and data quality. Additional sections cover educational, publication, and learning management system efforts.

2022 report - Free full text (PDF)

Report archive

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Escape Room.

December 9, 2020

A Conversation with Patient Safety Officers.

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Patient Safety.

September 25, 2019

Hospital-acquired Infections in Pennsylvania.

July 27, 2005

Hospital-acquired Infections in Pennsylvania.

December 6, 2006

Safe intrahospital transport of the non-ICU patient using standardized handoff communication.

April 15, 2009

Teamwork and Communication.

July 7, 2010

Learning Management System.

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The Rebecca O'Malley Report.

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Clinical Investigation Booking Systems Failures: Written Communications in Community Languages.

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Non-accidental Injuries in Infants Attending the Emergency Department.

May 17, 2023

Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization.

March 10, 2021

Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care.

February 17, 2021

Health IT Safe Practices for Closing the Loop.

August 22, 2018

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August 7, 2019

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February 5, 2020

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March 23, 2016

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April 19, 2023

National Prescription Drug Take Back Day.

April 16, 2023

Retained surgical sponge (gossypiboma) and other retained surgical items: prevention and management.

April 10, 2023

Addressing Medical Gaslighting to Improve Maternal Health—Together.

March 29, 2023

VA pauses $16B Oracle Cerner EHR deployments indefinitely to address error-ridden early rollout.

May 3, 2023

The high cost of retained surgical items.

April 26, 2023

ISMP's List of Confused Drug Names.

July 26, 2023

Laura Levis' death outside ER has changed hospital signage, lighting in Mass.

May 10, 2023

Doctors must stop tuning out Black women. It happened to me, as a pregnant OB-GYN.

April 26, 2023

Cancer drug shortages are creating dire circumstances for some patients.

April 26, 2023

APSF Stoelting Conference.

September 6, 2023 - September 7, 2023

Pennsylvania Patient Safety Advisory.

May 10, 2006

AHRQ Safety Program for MRSA Prevention.

February 14, 2023

CHPSO Annual Reports.

August 15, 2023

Clear liquids may place patients at risk.

January 25, 2006

A Transformational Effort on Patient Safety.

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Patient Safety in the Office-Based Practice Setting.

November 15, 2017

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World Patient Safety, Science & Technology Summit.

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September 25, 2019

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December 5, 2018

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August 22, 2018

Effective Reporting Could Improve Safe Use of Electronic Health Records.

April 1, 2020

ISMP Medication Safety Self Assessment for High-Alert Medications.

October 4, 2017

ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings.

May 17, 2021

Improving Patient Care Through Safe Health IT.

January 17, 2018

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February 2, 2022

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Guidance for the Safe Use of Automated Dispensing Cabinets.

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January 26, 2023

Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems.

August 12, 2020

ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings.

August 24, 2022

ISMP Guidelines for Safe Electronic Communication of Medication Information.

February 6, 2019

How to Improve Electronic Health Record Usability and Patient Safety.

October 5, 2016

ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults.

June 7, 2017

Master of Science in Healthcare Quality and Safety.

July 16, 2014

ISMP Guidelines for Sterile Compounding and the Safe Use of Sterile Compounding Technology.

May 4, 2022

Critical Care Safety: Essentials for ICU Patient Care and Technology.

August 8, 2007

Guidelines for Adult IV Push Medications.

February 11, 2015

ISMP's Guidelines for Standard Order Sets.

March 31, 2010

2017 ISMP Medication Safety Self Assessment® for Antithrombotic Therapy in Hospitals.

May 11, 2017

Deep Dive: Racial and Ethnic Disparities in Health and Healthcare.

November 16, 2022

Addressing the Loss of Trust in Safety Culture.

September 7, 2022

Access to Clinical Information at the Bedside.

March 1, 2023

Harm Caused by Delays in Transferring Patients to the Right Place of Care.

September 6, 2023

Care Delivery within Community Mental Health Teams.

April 5, 2023

Impact of Medical Errors and Malpractice on Health Economics, Quality, and Patient Safety.

April 26, 2017

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September 19, 2018

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May 11, 2005

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May 3, 2023

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May 12, 2010

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March 6, 2005

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October 10, 2007

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January 27, 2016

Lost surgical specimens, lost opportunities.

October 12, 2005

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February 8, 2017

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August 26, 2015

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Patient Safety in Emergency Medicine.

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March 8, 2023

Examples of Medical Device Misconnections.

March 8, 2023

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February 15, 2023

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February 15, 2023

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August 23, 2023

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August 2, 2023

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