Pennsylvania Patient Safety Advisory
The Value of Improving Patient Safety in Pennsylvania
Fostering an environment that supports effective patient safety programs is inherent to the Authority’s mission. A select set of patient safety measures were chosen to demonstrate the results of the combined efforts of Pennsylvania healthcare facilities, statewide quality improvement entities, and the Authority to improve patient safety.
Participating in a National Project, Pennsylvania Nursing Homes Successfully Reduce CAUTIs
Pennsylvania facilities that participated in a national project achieved an encouraging reduction in catheter-associated urinary tract infection (CAUTI) through the use of process improvement tools and educational offerings in a national project. These facilities were invited to participate in a survey to assess the success of the project and the value of the process improvement tools provided.
Data Snapshot: Maternal Serious Events
A request to update data from an 2009 article led Pennsylvania Patient Safety Authority analysts to query the reporting database for maternal events. The most common maternal Serious Events reported are laceration of the birth canal, postpartum hemorrhage, and bladder laceration.
Saves, System Improvements, and Safety-II
This recurring feature highlights successes of healthcare workers in keeping patients safe; in this case, a healthcare worker noted that pads for an automated external defibrillator (AED) were incompatible with the accompanying AED.
Letter to the Editor: Postpartum Hemorrhage
Representatives of the Health Care Improvement Foundation discuss how strategies for reducing incidence of postpartum hemorrhage and other adverse events in labor and delivery units were applied in a statewide quality improvement collaboration.