Airway Fires during Surgery
Following safe practices can help reduce the likeliness of fires during airway surgery that involves ignition sources such as electrosurgical units.
Helping the Authority to Help You
In December 2006 and January 2007, the Pennsylvania Patient Safety Authority hosted discussion groups of Patient Safety Officers. A full report on the discussions is available.
Safety in Using Promethazine (Phenergan)
Longstanding familiarity with promethazine may mask its potential for patient harm, such as severe tissue damage, if not administered cautiously with proper patient monitoring.
An event report includes an example of an abbreviation, HCT, that caused a patient to receive an unintended intervention.
Complications of Retrobulbar Blocks
PA-PSRS has received reports of complications of retrobulbar blocks, including central nervous system spread of anesthesia, retrobulbar hemorrhages, respiratory arrest, and death, despite the declining use of this technique in favor of topical anesthetics.
Follow Up on Tass
An online educational program, "Get the Facts on Toxic Anterior Segment Syndrome," is available about the etiology of and care and treatment for TASS.