Narrow Results Clear All
- Communication Improvement 1
- Education and Training 4
- Error Reporting and Analysis 8
- Human Factors Engineering 1
- Legal and Policy Approaches 2
- Quality Improvement Strategies 6
- Specialization of Care 2
- Transparency and Accountability 1
- Device-related Complications 2
- Identification Errors 2
- Medical Complications
- Medication Safety 5
- Nonsurgical Procedural Complications 1
- Surgical Complications 8
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PHC4 Research Brief. Harrisburg, PA: Pennsylvania Health Care Cost Containment Council (PHC4); July 2005.
This report summarizes hospital-acquired infection data from Pennsylvania hospitals in 2004 and indicates that the number of such infections has likely been underreported.
PA-PSRS Patient Saf Advis. September 2006;3:1, 5-10.
This article discusses the Pennsylvania Patient Safety Reporting System (PA-PSRS) reports of skin tears and provides suggestions to help keep patients safe from this common injury.
Harrisburg, PA: Pennsylvania Health Care Cost Containment Council; November 2006.
This report includes findings on the number and rate of infections in Pennsylvania hospitals in 2005.
Legislation/Regulation > Pennsylvania Legislation
General Assembly of Pennsylvania. SB968 (2007).
This bill requires that Pennsylvania hospitals and nursing homes implement an internal infection control plan and report hospital-acquired infections.
PA-PSRS Patient Saf Advis. March 2008;5:16-18.
Drawing on data from the Patient Safety Authority reporting system, this article describes which medication classes were most frequently associated with patient falls and discusses risk assessment and fall prevention strategies.
Chasson L, compiler; Mahoney G, Sherard BD, eds. Cheyenne, WY: Wyoming Department of Health; 2008.
This report aggregates data on adverse events from July 2007 to June 2008 and analyzes the results of data collected in the 3 years since the Wyoming reporting program began.
Tools/Toolkit > Multi-use Website
Washington State Hospital Association.
This Web site provides toolkits and information to help Washington hospitals adopt standard practices for emergency code calls, surgery preparation, isolation precautions, and wristband use.
Fillo KT. Bureau of Health Care Safety and Quality, Department of Public Health. Boston, MA: Commonwealth of Massachusetts; July 2018.
This report compiles patient safety data documented by Massachusetts hospitals. The latest numbers represent a modest decrease in serious reportable events recorded in acute care hospitals, from 1012 the previous year to 922. This presentation also includes events from ambulatory surgery centers. Previous years reports are also available.
Journal Article > Study
A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims.
Simpson KR, Kortz CC, Knox E. Jt Comm J Qual Patient Saf. 2009;35:565-574.
An organization-wide quality improvement program resulted in reductions in perinatal adverse events over a 5-year period.
Trenton, NJ: New Jersey Department of Health and Senior Services; March 2012.
Special or Theme Issue
PA-PSRS Patient Saf Advis. December 2009;6(suppl 1):1-32.
Articles in this supplement draw from labor, delivery, and obstetric safety reports to provide insights for safe practice in obstetrics.
Web Resource > Government Resource
Washington State Department of Health.
This Web site provides never event data to promote transparency and informed consumer decision making.
Harrisburg, PA: Patient Safety Authority; May 2019.
This report summarizes patient safety improvement work in the state of Pennsylvania and reviews the 2018 activities of the Patient Safety Authority, including the launch of the Center of Excellence for Improving Diagnosis, outreach programs, liaison efforts, and the convening of the first patient safety conference for the state.
Tallahassee, FL: Florida Hospital Association; August 2013.