Pennsylvania Patient Safety Advisory
Mar 21, 2019Patient Self-Harm in the Nonpsychiatric Setting
Acts of patient self-harm may challenge even the best-laid safety plans in unanticipated and potentially devastating ways. Pennsylvania healthcare facilities have reported more than 600 events describing intentional bodily harm outside of psychiatric settings, ranging from possession of means to self-harm to completion of a self-harm act.
Mar 21, 2019Incidence of Concurrent Surgery in Pennsylvania
In response to an inquiry, Patient Safety Authority analysts queried the Pennsylvania Patient Safety Reporting System database for events involving concurrent and overlapping surgery and procedures in hospitals and ambulatory surgical facilities.
Mar 21, 2019Safety Stories: Missing the Mark
This recurring feature, in this example, highlights a hazard that exists if the individual drawing up medication does not recognize that a syringe is incorrectly marked.