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.

October 24, 2007

Patient Safety.

September 25, 2019

Hospital-acquired Infections in Pennsylvania.

July 27, 2005

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

April 15, 2009

Hospital-acquired Infections in Pennsylvania.

December 6, 2006

Teamwork and Communication.

July 7, 2010

Center of Excellence for Improving Diagnosis.

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Learning Management System.

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ISMP Survey on High-Alert Medications in Acute Care Settings.

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ISMP Targeted Medication Safety Best Practices for Community Pharmacy.

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Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly.

June 14, 2017

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

May 31, 2023

Non-accidental Injuries in Infants Attending the Emergency Department.

May 17, 2023

2011 ISMP Medication Safety Self Assessment for Hospitals.

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The Rebecca O'Malley Report.

May 21, 2008

Saving Moms.

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Lessons from health care leaders: rethinking and reinvesting in patient safety.

April 19, 2023

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Health IT Safe Practices for Closing the Loop.

August 22, 2018

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August 7, 2019

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

Implementing Closing the Loop. Safe Practices for Diagnostic Results

February 5, 2020

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

April 10, 2023

National Prescription Drug Take Back Day.

April 16, 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

APSF Stoelting Conference.

September 6, 2023 - September 7, 2023

Cancer drug shortages are creating dire circumstances for some patients.

April 26, 2023

Pennsylvania Patient Safety Advisory.

May 10, 2006

CHPSO Annual Reports.

August 15, 2023

AHRQ Safety Program for MRSA Prevention.

February 14, 2023

Clear liquids may place patients at risk.

January 25, 2006

Systems-Based Approaches to Improve Patient Safety by Improving Healthcare Worker Safety and Well-Being (R01 Clinical Trial Optional).

December 20, 2023

Engaging Patients for Patient Safety: Advocacy Brief.

February 14, 2024

A Transformational Effort on Patient Safety.

September 13, 2023

World Patient Safety, Science & Technology Summit.

June 1, 2023 - June 2, 2023

Patient Safety in the Office-Based Practice Setting.

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Top 10 Patient Safety Concerns.

March 12, 2024

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November 13, 2019

ISMP QuarterWatch Reports.

January 28, 2009

Condition Help.

October 10, 2019

FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters.

January 26, 2023

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

May 17, 2021

Root Cause Analysis Workbook for Community/Ambulatory Pharmacy.

March 23, 2016

ISMP List of High-Alert Medications in Community/Ambulatory Healthcare.

October 1, 2021

High-Alert Medication Learning Guides for Consumers.

December 5, 2012

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ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices.

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ISMP Medication Safety Self Assessment for High-Alert Medications.

October 4, 2017

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Effective Reporting Could Improve Safe Use of Electronic Health Records.

April 1, 2020

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ISMP Medication Safety Alert!® Nurse-Advise ERR.

March 6, 2005

2017 ISMP Medication Safety Self Assessment for Community/Ambulatory Pharmacy.

March 6, 2005

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

ISMP's Guidelines for Standard Order Sets.

March 31, 2010

How to Improve Electronic Health Record Usability and Patient Safety.

October 5, 2016

ISMP Guidelines for Safe Electronic Communication of Medication Information.

February 6, 2019

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

May 4, 2022

ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults.

June 7, 2017

Master of Science in Healthcare Quality and Safety.

July 16, 2014

Targeted Medication Safety Best Practices for Hospitals.

February 22, 2024

Guidelines for Adult IV Push Medications.

February 11, 2015

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

August 24, 2022

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

August 12, 2020

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

August 8, 2007

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

May 11, 2017

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February 14, 2024

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

November 16, 2022

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September 7, 2022

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

April 26, 2017

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May 3, 2023

Ways to Improve Electronic Health Record Safety.

September 19, 2018

Journal of Patient Safety.

May 11, 2005

Communication for Nurses: How to Prevent Harmful Events and Promote Patient Safety.

May 12, 2010

Obstetric Issues.

January 13, 2010

Drug labeling and packaging — looking beyond what meets the eye.

October 10, 2007

Measuring the Success of the Regional Medication Safety Program for Hospitals.

March 6, 2005

Diagnostic Safety and Quality Webinar Series: Overview and Implications for Hospitals.

November 28, 2023 - November 28, 2023

Patient safety in the operating room.

September 21, 2023

Prevention of perioperative medication errors.

March 17, 2023

World Patient Safety Day.

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January 26, 2023 - January 26, 2023

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June 28, 2023

A national safety board made transportation safer and could do the same for health care, advocates say.

June 7, 2023

NHS staff cried in safety interviews, says watchdog.

March 8, 2023

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HANYS' Report on Report Cards.

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