Advisories & Events
Training & Events
Training & Events
2018
23
Aug
2018
Webinar
Retained Surgical Items Webinar Series: Best Practices for the Prevention of RSI: Everything You Need to Know but May Have Been Afraid to Ask: Webinar Series #1: Soft Goods and Instruments
Date/Time:
August 23, 2018 - 12:00 PM to 1:00 PM
Duration:
1 hour
Location:
Webinar
Speakers:
Dr. Verna C. Gibbs, M.D., Director, NoThing Left Behind®

Description:
Couldn’t figure out the how and why of that retained sponge case? What’s the definition of when it’s retained “after surgery”? What are the hospital staff practice failures such that the most common finding for a retained sponge is when the counts have been called “correct”? The vagina is the second most common site for a retained sponge, usually occurring after a normal birth -- how can medical staff engage and perform a methodical wound exam in every case? Learn the distinctions among the three different situations of therapeutic packing, orifice packing, and wound packing; and gain clarity on safe preventive practices. What about all those instruments? Can policies outline alternative safe practices instead of counting them all? This first webinar will cover this information, and provide clarity and guidance to help listeners repair, redesign or build a stronger surgical safety program to prevent Retained Surgical Items (RSI).
 

24
Aug
2018
Education
Getting to the "Root" of the Problem: Conducting an RCA
Date/Time:
August 24, 2018 - 9:00 AM to 2:00 PM
Duration:
5 hours
Speakers:
Susan Wallace, MPH, CPHRM, CPPS, Patient Safety Liaison and Christopher Mamrol, BSN, RN, CPPS, Patient Safety Liaison with the Pennsylvania Patient Safety Authority

Description:
The Patient Safety Authority (PSA) would like to invite you to attend a program on Root Cause Analysis (RCA). This program is open to Hospitals and Ambulatory Surgical Facilities (ASFs).

30
Aug
2018
Webinar
Statewide Webinar: Statewide Webinar: Reliable Performance of Correct-Site Nerve Blocks
Date/Time:
August 30, 2018 - 2:00 PM to 2:45 PM
Duration:
45 minutes
Location:
Webinar
Speakers:
Dr. Joshua Atkins, MD, PhD, Dr. Donald E. Martin, MD and Robert Yonash, RN, CPPS

Description:
Wrong-site nerve blocks comprise nearly 26% of all wrong-site procedures reported in Pennsylvania since 2004. To address the frequency of these events, the Pennsylvania Society of Anesthesiologists and the Pennsylvania Patient Safety Authority joined forces to review the literature and evaluate current prevention practices used by Pennsylvania healthcare facilities. With the assistance of a multidisciplinary task force, 21 principles emerged reflecting clinical, environmental and cultural practices to prevent wrong-site nerves blocks. 

06
Sep
2018
Education
NE - Proactive Ligature Risk Assessment Program
Date/Time:
September 6, 2018 - 9:30 AM to 2:00 PM
Duration:
4.50 hours
Speakers:
Jeff Bomboy, BS, RN, CPPS, Melanie A. Motts, M.Ed, BSN, RN, CPPS and Megan Shetterly, RN, MS,CPPS, Senior Patient Safety Liaisons with the Pennsylvania Patient Safety Authority

Description:
In recognition of Suicide Prevention Awareness month and as a part of our Keys to Ligature Risk Assessment project, The Pennsylvania Patient Safety Authority would like to invite you to attend our Proactive Ligature Risk Assessment program.
 
Join us for an interactive discussion of the hazards of ligature points as well as an overview of the general proactive risk assessment process.

07
Sep
2018
Education
NW/SW - PSO Networking Session for Hospitals in the Northwest/Southwest Regions of PA - Identifying Patient Harm from Direct Oral Anticoagulants
Date/Time:
September 7, 2018 - 10:00 AM to 1:00 PM
Duration:
3 hours
Speakers:
Rick Kundravi, BS, CPPS, Patient Safety Liaison, Pennsylvania Patient Safety Authority and Robert Yonash, RN, CPPS, Patient Safety Liaison, Pennsylvania Patient Safety Authority with Guest Speaker: Michael Gaunt, PharmD

Description:
The Patient Safety Authority is offering Patient Safety Officers a networking session for Hospitals in the Northwest and Southwest Regions. The education program topic will focus on Identifying Patient Harm from Direct Oral Anticoagulants.

07
Sep
2018
Education
NW/SW - PSO Networking Session for Ambulatory Surgical Facilities (ASFs) in the Northwest/Southwest Regions of PA - Identifying Patient Harm from Direct Oral Anticoagulants
Date/Time:
September 7, 2018 - 12:00 PM to 3:00 PM
Duration:
3 hours
Speakers:
Rick Kundravi, BS, CPPS, Patient Safety Liaison, Pennsylvania Patient Safety Authority and Robert Yonash, RN, CPPS, Patient Safety Liaison, Pennsylvania Patient Safety Authority with Guest Speaker: Michael Gaunt, PharmD

Description:
The Patient Safety Authority is offering Patient Safety Officers a networking session for ASFs in the Northwest and Southwest Regions. The education program topic will focus on Identifying Patient Harm from Direct Oral Anticoagulants.

20
Sep
2018
Webinar
Retained Surgical Items Webinar Series: Best Practices for the Prevention of RSI: Everything You Need to Know but May Have Been Afraid to Ask: Webinar Series #2: Suture Needles, SMI, Devices and UDFs; The Surgical Junkyard in Our Patients
Date/Time:
September 20, 2018 - 12:00 PM to 1:00 PM
Duration:
1 hour
Location:
Webinar
Speakers:
Dr. Verna C. Gibbs, M.D., Director, NoThing Left Behind®

Description:
Small Miscellaneous Items (SMIs) and Unretrieved Device Fragments (UDFs) are the most commonly retained surgical items. Needles are the most frequently miscounted items yet retention is uncommonly reported. Guidewires are the most commonly retained Devices. What’s going on here? In light of the frequency with which these events occur and the spectrum of places these events occur in, OR and hospital personnel need to look at preventive strategies and harm mitigation efforts. Is the risk of retention really less than the risk of retrieval? If indeed retention does occur then understanding disclosure and reporting responsibilities are necessary.

21
Sep
2018
Education
SC - Proactive Ligature Risk Assessment Program
Date/Time:
September 21, 2018 - 10:00 AM to 3:00 PM
Duration:
4.50 hours
Speakers:
Susan Wallace, MPH, CPHRM, CPPS and Christopher Mamrol, BSN, RN, CPPS, Patient Safety Liaisons with the Pennsylvania Patient Safety Authority

Description:
In recognition of Suicide Prevention Awareness month and as a part of our Keys to Ligature Risk Assessment project, The Pennsylvania Patient Safety Authority would like to invite you to attend our Proactive Ligature Risk Assessment program.
 
Join us for an interactive discussion of the hazards of ligature points as well as an overview of the general proactive risk assessment process.

25
Sep
2018
Education
NW/SW - Proactive Ligature Risk Assessment Program
Date/Time:
September 25, 2018 - 9:00 AM to 1:30 PM
Duration:
4.50 hours
Speakers:
Rick Kundravi, BS, CPPS, Senior Patient Safety Liaison and Robert Yonash, RN, CPPS, Senior Patient Safety Liaison with the Pennsylvania Patient Safety Authority

Description:
In recognition of Suicide Prevention Awareness month and as a part of our Keys to Ligature Risk Assessment project, The Pennsylvania Patient Safety Authority would like to invite you to attend our Proactive Ligature Risk Assessment program.
 
Join us for an interactive discussion of the hazards of ligature points as well as an overview of the general proactive risk assessment process.

26
Sep
2018
Education
DVN/DVS - Proactive Ligature Risk Assessment Program
Date/Time:
September 26, 2018 - 9:30 AM to 2:00 PM
Duration:
4.50 hours
Speakers:
Melanie A. Motts, M.Ed, BSN, RN, CPPS, Senior Patient Safety Liaison, Chris Mamrol, BSN, RN, and Cathy Reynolds, RN, BSN, MJ, DL, Patient Safety Liaisons with the Pennsylvania Patient Safety Authority

Description:
 
 

In recognition of Suicide Prevention Awareness month and as a part of our Keys to Ligature Risk Assessment project, The Pennsylvania Patient Safety Authority would like to invite you to attend our Proactive Ligature Risk Assessment program.
 
Join us for an interactive discussion of the hazards of ligature points as well as an overview of the general proactive risk assessment process.

©2018 Pennsylvania Patient Safety Authority