Pennsylvania Patient Safety Advisory
Oral Medications Inadvertently Given via the Intravenous Route
Errors involving intravenous administration of oral medications have been reported to the Pennsylvania Patient Safety Authority and have contributed to patient harm. Multiple error reduction strategies, such as dispensing oral medications in the most ready-to-use forms, can be used to minimize the occurrence of these events.
Strategies to Fully Implement Infection Control Practices in Pennsylvania Ambulatory Surgical Facilities
Pennsylvania ambulatory surgical facilities (ASFs) requested education on infection control practices and on the Centers for Medicare and Medicaid Services’ Infection Control Surveyor Worksheet. Review of events reported by Pennsylvania ASFs to the Authority were combined with a survey of representatives of Pennsylvania ASFs at infection control workshops to focus on targeted strategies to fully implement infection control practices in ASFs.
Quarterly Update on Wrong-Site Surgery: Work to Be Done
Facilities in the Pennsylvania Hospital Engagement Network (PA-HEN) collaboration were asked to take part in site visits by Authority analysts to evaluate compliance with the Authority’s goals and measurement standards associated with the 21 proposed recommendations to prevent wrong-site surgery. Results of these observations are presented.