Objective and Editorial Information
The Pennsylvania Patient Safety Advisory provides timely original scientific evidence and reviews of scientific evidence that can be used by healthcare systems and providers to improve healthcare delivery systems and educate providers about safe healthcare practices. The emphasis is on problems reported to the Pennsylvania Patient Safety Authority, especially those associated with a high combination of frequency, severity, and possibility of solution; novel problems and solutions; and problems in which urgent communication of information could have a significant impact on patient outcomes.
For complete editorial information (e.g., copyright, subscription, consideration of submitted manuscripts) see "About the Pennsylvania Patient Safety Advisory."
Patient Safety Authority
Board of Directors
Stanton Smullens, MD, FACS, Chair
John Bulger, DO, MBA
Daniel Glunk, MD
Arleen G. Kessler, PharmD, MBA, RPh
Kathleen Law, MS, BSN, RN
Mary Ellen Mannix, MRPE
Veronica Richards, Esq.
Linda Waddell, RN, MSN, CJCP, CPPS
Eric H. Weitz, Esq.
Denelle Weller, RN
Staff
Regina M. Hoffman, MBA, BSN, RN, CPPS, Executive Director
Michelle Bell, BSN, RN, FISMP, CPPS, Director of Outreach and Education
Rebecca Jones, MBA, BSN, RN, CPHRM, CPPS, Director of Innovation and Strategic Partnerships
Howard Newstadt, JD, MBA, Senior Director of Finance & Business Operations/CIO
JoAnn Adkins, BSN, RN, CIC, Senior Infection Preventionist
Jeffrey Bomboy, BS, RN, CPPS, Senior Patient Safety Liaison
Kelly R. Gipson, BSN, RN, CPPS, Project Manager
Lynette Hathaway, MSN, RN, CIC, Infection Prevention Analyst
Richard Kundravi, BS, CPPS, Patient Safety Liaison
Christopher Mamrol, BSN, RN, CPPS, Patient Safety Liaison
Melanie A. Motts, MEd, BSN, RN, CPPS, Patient Safety Liaison
Eugene Myers, BA, Associate Editor
Catherine M. Reynolds, DL, MJ, BSN, RN, Patient Safety Liaison
Terri Lee Roberts, BSN, RN, CIC, FAPIC, Senior Infection Preventionist
Megan Shetterly, MS, RN, CPPS, Senior Patient Safety Liaison
Caitlyn Sidrane, MPH, Manager, Communications and Publications
Katie Vivian, BSN, RN, CIC, Infection Prevention Analyst
Susan C. Wallace, MPH, CPHRM, Patient Safety Liaison
Robert Yonash, RN, CPPS, Patient Safety Liaison
Karen McKinnon-Lipsett, Administrative Specialist
Shelly M. Mixell, Executive Assistant
Teresa Plesce, Office Manager
Alex Ulsh, IT Systems Administrator & Deputy CISO
Contact Information
333 Market Street, Lobby Level
Harrisburg, PA 17101
Telephone: 717-346-0469
Fax: 717-346-1090
Website: http://patientsafety.pa.gov
E-mail: patientsafetyauthority@pa.gov
Pennsylvania Patient Safety Advisory
Ellen S. Deutsch, MD, MS, FACS, FAAP, CPPS, Editor
John R. Clarke, MD, Editor Emeritus
William M. Marella, MBA, MMI, Program Director
Analysts
Cynthia Field, BSN, RN, NE-BC, CPHQ
Edward Finley, BS
Michael J. Gaunt, PharmD
Matthew Grissinger, RPh, FISMP, FASCP
Kim Liberatore, MSN, RN, CPHQ
Mary C. Magee, MSN, RN, CPHQ, CPPS
Christina Michalek, BSc Pharm, RPh, FASHP
Advisors
Michael Cohen, ScD, MS, RPh, President, ISMP
Ronni Solomon, JD, Executive Vice President and General Counsel, ECRI Institute
Allen Vaida, PharmD, Executive Vice President, ISMP
Production Staff
Jesse Munn, MBA, Managing Editor
Julia Barndt, MA
Eloise DeHaan, ELS
Susan Lafferty
Dawn Thomas
Tara Kolb, BFA, Manager, Media Services
Benjamin Pauldine, MS
Contact Information
Mailing address: PO Box 706
Plymouth Meeting, PA 19462-0706
Telephone: 866-316-1070
Fax: 610-567-1114
E-mail: support_papsrs@pa.gov
Editorial Advisory Board
Joshua Atkins, MD, PhD, University of Pennsylvania Perelman School of Medicine
Mary Blanco, MSN, RN, CPHQ, Quorum Health Corporation
Lawrence M. Borland, MD, Children's Hospital of Pittsburgh of UPMC
Dorothy Borton, BSN, RN, CIC, FAPIC, Einstein Healthcare Network
Mark E. Bruley, BS, CCE, ECRI Institute (retired)
Vincent Cowell, MD, Temple University
David D. Eibling, MD, VA Pittsburgh Healthcare System
Grace L. Good, MA, RN, Children's Hospital of Philadelphia
Caprice C. Greenberg, MD, MPH, University of Wisconsin School of Medicine and Public Health
Janet Johnston, JD, MSN, RN
Sandra Kane-Gill, PharmD, MSc, FCCM, FCCP, University of Pittsburgh School of Pharmacy
Harold S. Kaplan, MD, Mount Sinai School of Medicine
Michael L. Kay, MD, Wills Eye Hospital, Thomas Jefferson University Hospital, Pennsylvania Hospital
Michael Leonard, MD, Kaiser Permanente, Institute for Healthcare Improvement
Mary Lou Manning, PhD, CRNP, CIC, FAAN, Thomas Jefferson University, College of Nursing
James B. McClurken, MD, FACC, FCCP, FACS, Temple University
Patrick J. McDonnell, PharmD, FASHP Temple University School of Pharmacy
Dwight McKay
Dona Molyneaux, PhD, RN, Gwynedd-Mercy College
Gina Moore, BSN, RN, CPHQ, Christiana Care Health Services
Steve D. Osborn, Vice President, Saint Vincent Health Center
Ann Paris, JD, BSN, RN, FASHRM, CPHRM, LSSBB, The Guthrie Clinic
Shawna J. Perry, MD, FACEP, University of Florida College of Medicine-Jacksonville
Eric Shelov, MD, Children's Hospital of Philadelphia, University of Pennsylvania
Dean Sittig, PhD, University of Texas
Amy B. Smith, PhD, Lehigh Valley Health Network
Nielufar Varjavand, MD, Drexel University
Linda Waddell, MSN, RN, CPPS, CJCP, Donald D. Wolff, Jr., Center for Quality Improvement and Innovation at UPMC
Harold C. Wiesenfeld, MD, University of Pittsburgh
Margaret Wojnar, MD, MEd, Penn State Health Dept. of Medicine
Zane R. Wolf, PhD, RN, FAAN, LaSalle University School of Nursing and Health Sciences
Acknowledgments
These individuals reviewed articles for Vol. 15, No. 4:
Dorothy Borton, BSN, RN, CIC, FAPIC, Einstein Medical Center
Scott Burke, RT (R) (MRI), MRSO, UPMC Mercy
John Clarke, MD
Susan Collini, CASC, RT, RDMS, RDCS, The Renaissance Center for Plastic Surgery
David Eibling, MD, University of Pittsburgh
Elizabeth Elliott, MD, Children's Hospital of Philadelphia
Peter Farano, MD, Jefferson Northeast
Caprice Greenberg, MS, MOH, FACS, University of Wisconsin School of Medicine and Public Health
Francis Hildwine, BS, NRP, Nemours/Al DuPont Hospital for Children
Jason Launders, MSc, Health Devices, ECRI Institute
Ronald S. Litman, DO, The Children's Hospital of Philadelphia
Sonya Malekzadeh, MD, Georgetown University Medical Center
Timothy J. Mosher, MD, Penn State Hershey Medical Center, Penn State College of Medicine
Erin Sparnon, MEng, Health Devices, ECRI Institute
Elizabeth Wade, PharmD, BCPS, Concord Hospital
Harold Wiesenfeld, MD, University of Pittsburgh and UPMC
