Pennsylvania Patient Safety Advisory
Responding to Adverse Events
While the action of reporting an adverse event involves only staff and administrators at a particular facility, the process of disclosure engages the patient and his family as well.
Bioburden on Surgical Instruments
Reports of soiled instruments contaminating surgical fields emphasize the importance of performing quality control on each step of equipment preparation: cleaning, disinfecting, and sterilizing.
Electrosurgery Safety Issues
More than half of electrosurgery unit- (ESU-) related burns and fires are attributable to inadvertent ESU activation, which is easily prevented.
Hold on to These Orders
Reports demonstrate that how we communicate orders to hold a medication can result in medication errors.