Pennsylvania Patient Safety Advisory
A Pennsylvania healthcare leader addresses the important connection between an organization’s leadership and the success of the organization’s safety program.
Doing the Right Things to Correct Wrong-Site Surgery
Wrong-site surgery that touches the patient is expected to occur once a year in the operating room of a 300-bed hospital. Considering wrong-site surgery prevention processes as a whole is an important strategy to preventing wrong-site surgery.
Mismanagement of Expressed Breast Milk
Ensuring consistent delivery of the correct mother’s expressed breast milk (EBM) to the correct infant is a challenge; mismanagement of EBM can upset family and staff about the potential risk to the infant.
Going Beyond the Simple Fix
A facility identifies and implements changes in response to a near miss, then continues to look for system improvement opportunities.