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- Communication Improvement 2
- Education and Training 4
- Legal and Policy Approaches 1
- Quality Improvement Strategies
- Specialization of Care 1
- Device-related Complications 1
- Discontinuities, Gaps, and Hand-Off Problems 1
- Medical Complications 4
- Medication Safety 4
- Nonsurgical Procedural Complications 1
- Surgical Complications 1
Search results for "State Governments and Agencies"
Web Resource > Multi-use Website
Michigan Pharmacists Association.
Shah-Mohammadi AR, Gaunt MJ. PA-PSRS Patient Saf Advis. September 2013;10:85-91.
Analyzing data submitted to the Pennsylvania Patient Safety Reporting System, this piece identifies incidents in which liquid oral medications were administered intravenously and recommends prevention strategies.
Tallahassee, FL: Florida Hospital Association; August 2013.
PA-PSRS Patient Saf Advis. 2010;7:123-134.
This report examines how optimizing patient flow from emergency department arrival to diagnosis can enhance quality and safety.
Tools/Toolkit > Toolkit
Elkridge, MD: Maryland Patient Safety Center.
PA-PSRS Patient Saf Advis. March 2010;7:9-17.
This article analyzed 2685 event reports involving insulin and found that the most common error types were drug omission, wrong-dose, and wrong-drug errors.
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.
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.
Harrisburg, PA: Patient Safety Authority and Pennsylvania Patient Safety Reporting System; 2007.
This report compiles a series of interviews with patient safety officers on their role, the support needed to fulfill that role, and strategies for measuring improvement.
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.