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Journal & Resources
PATIENT SAFETY journal
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Advisory Archive
Pennsylvania Patient Safety Advisory
Advisory Archive
December 2007, Vol. 4, No. 4
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200712
Geisinger Links Quality with Reimbursement: Coronary Artery Bypass Graft Surgery
Geisinger Health System leaders share how they helped to drive evidence-based changes in the care of patients undergoing coronary artery bypass graft surgery, a process that improved outcomes and yielded cost benefits.
Insight into Preventing Wrong-Site Surgery
Incidence of wrong-site surgery has decreased in Pennsylvania, but PA-PSRS continues to receive reports of its occurrence. PA-PSRS’s analysis suggests opportunities for wrong-site surgery prevention.
Prompt Identification and Effective Communication of Status May Reduce MRSA Infections
Failure to adequately identify and/or communicate patients’ MRSA statuses can perpetuate MRSA infection and transmission. Limiting the risk of MRSA transmission involves developing a comprehensive program that includes components such as active surveillance and ongoing evaluation of processes.
Reducing Complications from Interscalene Blocks
An interscalene block (ISB) is an effective anesthetic technique with many advantages, but it is associated with certain complications, such as seizure and arrhythmia. Implementing specific risk reduction strategies before, during, and after ISB may help patients realize the benefits of ISB without the associated complications.
Smart Infusion Pump Technology: Don’t Bypass the Safety Catches
Using smart pumps to their fullest potential involves not only implementing this technology but also heeding alerts at the bedside.
CT Scans May Affect Implantable Electronic Devices
Not knowing if a patient has an implanted electronic device before conducting a computed tomography scan could potentially result in harm to the patient.
Hats Off to the Unsung Heroes
All healthcare workers can have an influential role in preventing patient harm, not just those staff members who are most directly involved with patient care.
