AUTHOR BIOGRAHIES
Matthew A Taylor, PhD, Data Science & Research, Patient Safety Authority
Matthew A. Taylor (MattTaylor@pa.gov) is a research scientist on the Data Science & Research team at the Patient Safety Authority (PSA), where he conducts research, uses data to identify patient safety concerns and trends, and develops solutions to prevent recurrence.
*Corresponding author
Elizabeth A Mattox, MSN, MS, ARNP, Veterans Affairs Puget Sound Healthcare System
Elizabeth A. Mattox (eamattox@gmail.com) is a nurse practitioner who currently specializes in pulmonary medicine. She previously worked as a patient safety manager in a large, high complexity Veterans Affairs healthcare system.
ABSTRACT
Over the past several years more than a thousand event reports of staff forgetting to remove tourniquets from patients following intravenous (IV) insertion or phlebotomy were submitted to the Pennsylvania Patient Safety Reporting System (PA-PSRS). Unfortunately, this issue persists despite being identified 20 years ago in a study with PA-PSRS data.
