Pennsylvania Patient Safety Advisory
Pregnancy-Related Unplanned Returns to the Operating Room
Complications or untoward outcomes related to the procedures undergone by pregnant women can result in unplanned returns to the operating room. Analysis of 1,031 reports of these events identified the most common types as induced abortion and postpartum hemorrhage.
The Current State of “Wrong Patient” Insulin Pen Injections
Pennsylvania data and national reports illustrate that unsafe
practices with the use of insulin pens place patients at risk of
bloodborne pathogen transmission. Hospitals are encouraged
to collect and analyze their own wrong-patient insulin pen
events and closely examine their current insulin practices.