Patient Safety Authority

Patient Safety Authority The Patient Safety Authority is an independent state agency of the Commonwealth of Pennsylvania charged with taking steps to prevent medical errors.
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Operating as usual

Best wishes to all for a happy and healthy holiday season!
12/25/2020

Best wishes to all for a happy and healthy holiday season!

Happy Holidays! And a heartfelt thank you to our healthcare workers who have been working around the clock during the pa...
12/24/2020

Happy Holidays! And a heartfelt thank you to our healthcare workers who have been working around the clock during the pandemic. We appreciate all you do for patients every day, and we wish you and your loved ones health, safety, and joy this season.

Cathy Casares Reynolds got polio in 1954, when she was only 2 years old. Just a few years later, a vaccine for the disea...
12/23/2020

Cathy Casares Reynolds got polio in 1954, when she was only 2 years old. Just a few years later, a vaccine for the disease had been developed and soon was being distributed in schools—too late to help her. Polio is a virus that can cause paralysis or even death, famously associated with President Franklin D. Roosevelt, but even those who survive it and recover, like Cathy, can suffer debilitating effects for the rest of their lives. Eventually she learned she had post-polio syndrome, which presents as muscle weakness and pain 40 to 50 years after contracting the disease. She hopes her story will inspire others to take the opportunity she never had: to take a vaccine to prevent a devastating disease with potentially long-term effects. “Everyone just wants to protect their kids, but there was no polio vaccine when I was a child. I wish my parents had the choice to protect me.” Read more: https://patientsafetyj.com/index.php/patientsaf/article/view/struggle-with-polio

12/22/2020
#KnockOutTheFluPA With the Philadelphia Phillies!

The Philadelphia Phillies and the Patient Safety Authority are teaming up against the flu! And there’s still time for you to join the roster by getting your flu shot. Take it from Phillies alumnus Mickey Morandini and Phanatic: Getting vaccinated is easier and more important than ever this year. Check local stores, pharmacies, and hospitals for a flu clinic near you. Play it like a winner and step up to help #KnockOutTheFluPA!

This month's newsletter highlights articles, stories, interviews, and research from the December issue of our journal, P...
12/21/2020

This month's newsletter highlights articles, stories, interviews, and research from the December issue of our journal, PATIENT SAFETY. Read about what it was like to grow up as a survivor of polio. Study the latest data from PA about wrong-site surgeries and wrong-patient errors. Learn best practices for prone positioning treatment for respiratory disorders. Read about how to overcome racial disparities in healthcare. And more!http://patientsafety.pa.gov/newsletter/Documents/What%20You%20Need%20to%20Know%20-%20December.pdf

The December issue of PATIENT SAFETY is here! Read it now at https://patientsafetyj.com/.Our feature story is an in-dept...
12/17/2020

The December issue of PATIENT SAFETY is here! Read it now at https://patientsafetyj.com/.

Our feature story is an in-depth study of variables associated with wrong-site surgeries in PA, to understand why this “never event” continues to happen. We interviewed Queen Quet, chieftess of the Gullah/Geechee Nation, about their history, life on the Sea Islands, racial disparities in healthcare, and other topics. We also have the latest studies, including an analysis of wrong-patient errors related to health information technology; a discussion on sepsis; a look at risks involved with using prone positioning as a treatment for ARDs; a patient perspective from a polio survivor—and much more!

Join the CDC Clinician Outreach and Communication Activity - COCA Call today at 2 p.m. EST for guidance on "Making Pract...
12/17/2020
CDC Clinician Outreach and Communication Activity - COCA

Join the CDC Clinician Outreach and Communication Activity - COCA Call today at 2 p.m. EST for guidance on "Making Practical Decisions for Crisis Standards of Care at the Bedside During the COVID-19 Pandemic": https://www.zoomgov.com/j/1613403966

Healthcare professionals, we invite you to join us for another COCA Call in the COVID-19 series.

Topic: Making Practical Decisions for Crisis Standards of Care at the Bedside During the COVID-19 Pandemic
Date: Thursday, December 17, 2020
Time: 2:00 - 3:00 PM EST (**Please note time differs than 12/14)

During this COCA Call, experts from Hennepin Healthcare and Bellevue Hospital will present background on the Institute of Medicine (IOM) framework, Guideline for Establishing Crisis Standards of Care for Use in Disaster Situations, and identify how Crisis Standards of Care apply to the COVID-19 pandemic. Presenters will also highlight systems-level information sharing and coalition-level coordination activities to help clinicians plan for these potential situations and make medical decisions during a pandemic.

Please visit emergency.cdc.gov/coca/calls/2020/callinfo_121720.asp for more information. Advanced registration is not required to attend COCA Calls.

'Tis the season to bundle up when you go outside, but when you get home, don't forget to wash your hands—and anything th...
12/16/2020

'Tis the season to bundle up when you go outside, but when you get home, don't forget to wash your hands—and anything that touches your face. Germs can hide anywhere, including your scarf, gloves, and mask! Share this helpful reminder and look for it on SEPTA trains this winter.

Montgomery County, PA
12/16/2020

Montgomery County, PA

Your best protection from COVID-19 will be a combination of getting a COVID-19 vaccine, wearing a mask, staying at least 6 feet away from others, avoiding crowds, and washing your hands often.

No one tool alone is going to stop the pandemic. Learn about the benefits of COVID-19 vaccination so you’ll be ready when a vaccine is recommended: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/about-vaccines/vaccine-benefits.html

It’s National Influenza Vaccination Week! This week is another reminder that there is still time to roll your #SleeveUp ...
12/11/2020

It’s National Influenza Vaccination Week! This week is another reminder that there is still time to roll your #SleeveUp and get your annual flu shot to protect yourself and your loved ones. It’s especially important for people with certain chronic conditions like asthma, heart disease, and diabetes to get vaccinated. Find a vaccination location near you: vaccinefinder.org #KnockOutTheFluPA

Pennsylvania Department of Health
12/10/2020

Pennsylvania Department of Health

🆕 Protecting Pennsylvanians: Governor Tom Wolf and Secretary of Health Dr. Rachel Levine today announced new mitigation efforts to help stop the spread of #COVID19, effective at 12:01 am on 12/12/2020 until 8 am on 1/4/2021:

▪️ Indoor dining is prohibited; outdoor dining, take-out food service and take-out alcohol sales are permitted
▪️ Indoor gatherings/events of more than 10 people are prohibited
▪️ Outdoor gatherings/events of more than 50 persons are prohibited
▪️ In-person businesses serving the public may only operate at up to 50% capacity
▪️ Indoor operations at gyms/fitness facilities are prohibited
▪️ All in-person businesses in the entertainment industry serving the public within a building/indoor are prohibited from operation
▪️ Voluntary activities sponsored/approved by school entity's governing body or administration are suspended (may be held virtually)
▪️ All sports at K-12 public schools, nonpublic schools, private schools and club, travel, recreational, intermural + intramural sports are paused

ℹ️: https://bit.ly/3nkeoTr

12/10/2020

If you haven't gotten your flu shot yet, it isn't too late! According to the CDC , flu activity peaks between December and February, but it can extend as late as May—so get vaccinated as soon as possible. Watch this video to see why it's so important to protecting the health of you, your family, and community, especially during the pandemic.

Let’s #KnockOutTheFluPA

In this op-ed, intensivist Dr. Natalia Solenkova says that many hospitals across the United States lack the resources to...
12/10/2020
Op-Ed: Rural Hospitals Struggling With COVID Care

In this op-ed, intensivist Dr. Natalia Solenkova says that many hospitals across the United States lack the resources to treat COVID-19 patients who require intensive care—a particular challenge for small, rural hospitals, which may have fewer than 10 ICU beds. “Also, ICU beds provide little value without qualified, well-trained staff. Yet nearly half of U.S. acute care hospitals do not have intensivists, doctors who are trained specifically to provide care to critically ill patients...” https://www.medpagetoday.com/infectiousdisease/covid19/89930

ICUs stretched past the breaking point

12/09/2020
Allegheny Health Network

Allegheny Health Network teamed up with Marvel to create a powerful new comic book celebrating real-life heroes: nurses. Read it for free at http://ahn.org/The-Vitals.

Our nurses are our heroes. So, we partnered with Marvel to turn the stories of our real-life nurses, like Andrew Cleary, into a comic book. Read it now at AHN.org/The-Vitals. And, tag the nurse heroes you know below.

#AHNxMarvel #nurses #HealthCareHeroes

Flu vaccination can reduce the burden of flu illnesses on our medical systems so they can focus on patients with COVID-1...
12/09/2020

Flu vaccination can reduce the burden of flu illnesses on our medical systems so they can focus on patients with COVID-19. There’s still time to get vaccinated! Make a plan to get vaccinated during National Influenza Vaccination Week. For more information, visit: https://www.cdc.gov/flu/prevent/prevention.htm #KnockOutTheFluPA

There’s still time to nominate an individual or group for an I AM Patient Safety Achievement Award! Nominations will be ...
12/08/2020

There’s still time to nominate an individual or group for an I AM Patient Safety Achievement Award! Nominations will be accepted through Dec. 30 in the categories Ambulatory Surgical Facility, Conquering COVID-19, Focus on the Patient, Improving Diagnosis, Individual Impact—Going Above and Beyond, Long-Term Care Facility, Safety Story (Near Miss or Close Call), Transparency and Safety in Healthcare, Nationwide Warriors, and Physician’s Offices. For more info and to submit an entry, visit http://patientsafety.pa.gov/NewsAndInformation/Brochures/Pages/IAPS_home.aspx.

You have questions about the #COVID19 #vaccine, and this panel of public health experts has the answers! Register now fo...
12/08/2020
Webinar Registration

You have questions about the #COVID19 #vaccine, and this panel of public health experts has the answers! Register now for the webinar "Vaccines—The Realities of Next Steps" on Wednesday, Dec. 9, at 5 p.m. ET, presented by the American Public Health Association and the National Academy of Medicine: https://covid19conversations.org/webinar-registration

The views expressed on this website and in this webinar series are those of the participants and not necessarily of the participants' organizations, the American Public Health Association, or the National Academy of Medicine.

The good news: The survival rate of COVID-19 patients is higher than it was at the beginning of the pandemic. Among othe...
12/08/2020
Data show hospitalized Covid-19 patients surviving at higher rates - STAT

The good news: The survival rate of COVID-19 patients is higher than it was at the beginning of the pandemic. Among other reasons, this may be because healthcare providers have a better understanding of how to treat it—and because there’s less strain on hospitals than in the early days. Which leads to the bad news: The current spike in cases and hospitalizations, and consequently dwindling resources, could put us right back where we started. https://www.statnews.com/2020/11/23/hospitalized-covid-19-patients-surviving-at-higher-rates-but-surge-could-roll-back-gains/

Clinicians warn that the progress with treating Covid-19 won’t withstand what happens when crushes of patients again overwhelm hospitals.

The "I AM Patient Safety" award is an annual contest that recognizes and celebrates healthcare staff for their individua...
12/04/2020

The "I AM Patient Safety" award is an annual contest that recognizes and celebrates healthcare staff for their individual or collective commitment to and influences on patient safety. It is a chance for us to celebrate the things that go right each day in healthcare to make our patients safer.

We invite hospitals, ambulatory surgical facilities, birthing centers, abortion facilities, long-term care facilities, and physician offices to submit nominations of individuals or teams who have made a difference in patient safety.

http://patientsafety.pa.gov/NewsAndInformation/Brochures/Pages/IAPS_home.aspx

Since the beginning of November, COVID-19 has been on the rise in rural Pennsylvania, including Bedford, Juniata, Miffli...
12/04/2020
COVID-19 continues to surge in rural Pennsylvania as the state expands testing

Since the beginning of November, COVID-19 has been on the rise in rural Pennsylvania, including Bedford, Juniata, Mifflin, Somerset, and Tioga counties. Statewide, COVID-19 cases are increasing at an alarming rate, placing higher demand on intensive care unit beds—and may exceed availability this month. In response, health officials are expanding testing to help control the spread of the virus in hard-hit communities. https://www.post-gazette.com/news/health/2020/12/01/COVID-19-surge-rural-Pennsylvania-testing-AMI-Expeditionary-Healthcare/stories/202012010153

COVID-19 continues its month-long storm of rural Pennsylvania, prompting government health officials to expand coronavirus testing in some of the hardest...

Do you have an original manuscript related to preventing harm and improving patient safety? We want to see it! We are pa...
12/03/2020

Do you have an original manuscript related to preventing harm and improving patient safety? We want to see it! We are particularly interested in articles about quality improvement projects in healthcare. We do not charge submission fees, and our editors consider every submission carefully—with a quick response time and fast turnaround from acceptance to publication. Visit https://patientsafetyj.com/ for more information and to submit your work to our award-winning journal, PATIENT SAFETY.

12/03/2020
CDC

CDC

Did you know? COVID-19 cases are rising faster in rural areas compared to urban areas. Do your part to slow the spread:

• Stay home when possible.
• Wear a mask over your mouth AND nose.
• Stay at least 6 feet apart from people who do not live in your household and avoid crowds.
• Wash your hands often with soap and water for at least 20 seconds.

Get the facts: https://bit.ly/3bGvO6p.

Rosa María Gonzalez never dreamed of becoming a certified nursing assistant, but now she can’t dream of giving it up. Th...
12/02/2020

Rosa María Gonzalez never dreamed of becoming a certified nursing assistant, but now she can’t dream of giving it up. The 66-year-old CNA refuses to retire from her job at the skilled nursing center at Friendship Village in Tempe, Arizona, where lots of others live in their retirement, even during the height of a pandemic that puts her at as much risk for COVID-19 as the residents she cares for. She has spent the last 14 years of her career there, a career she essentially stumbled into almost 30 years ago, when she thought she was applying to be a housekeeper at a convalescent home and got into the wrong line. Although her four children have been encouraging her for a while to retire, she says now isn’t the time, and no one at Friendship Village wants to see her go. Rosa’s story, from growing up in Mexico City to emigrating to the United States and finding love, a family, and a calling, is a heartwarming profile of a born caregiver. Read more athttp://patientsafety.pa.gov/newsletter/Documents/What%20You%20Need%20to%20Know%20-%20November%202020.pdf

In our four-part video series Telemetry Monitoring in Pennsylvania, national experts and healthcare clinicians and staff...
12/01/2020
Telemetry Monitoring in Pennsylvania

In our four-part video series Telemetry Monitoring in Pennsylvania, national experts and healthcare clinicians and staff share telemetry-related challenges and how they overcame them and improved patient safety by reevaluating processes, studying data, and collaborating across disciplines. Their successes and lessons learned may be useful in your own work and organization. https://www.youtube.com/playlist?list=PLwJn-tgLXAJIS5NsmypAAnXoTNJNkv0WL

In this four-part series, national experts and clinicians and staff at Pennsylvania healthcare facilities share telemetry-related challenges and how they ove...

Due to popular request from our facilities, we are extending the nomination deadline for the I AM Patient Safety Achieve...
11/30/2020

Due to popular request from our facilities, we are extending the nomination deadline for the I AM Patient Safety Achievement Awards to Wednesday, December 30, 2020!

This is a busy time for healthcare staff, and we want everyone to have the chance to tell us about their patient safety heroes. It doesn’t take long to nominate an individual or group:

• Download our nomination packet today: http://patientsafety.pa.gov/NewsAndInformation/Brochures/Pages/IAPS_home.aspx
• All we need is 500 words or less about the person(s) or team you are nominating in a single category and their event or initiative—that’s it!
• Anyone from a Pennsylvania hospital, ambulatory surgical facility, birthing center, abortion facility, long-term care facility, or physician office is eligible.
• We also have a new category open to all 50 states: Nationwide Warriors.
• Winners will be announced in February 2021.

Thank you for everything you do for patients—now more than ever—and for helping celebrate the things that go right each day in healthcare to make patients safer.

11/27/2020
November 18, 2020 Community Meeting

In this video, Kathleen Sullivan, MD, PhD, chief of the Division of Allergy and Immunology at Children's Hospital of Philadelphia, provides a clear and engaging overview of #COVID19, practical strategies to protect against it this winter, how the two COVID-19 #vaccine frontrunners work, and how they’ll be distributed: https://youtu.be/cDS1ddNq_iw?t=80

Our one-hour meeting included important information on three topics: 1. COVID-19 (a presentation about the disease and discussion/Q&A about the city's recent...

Address

333 Market St
Harrisburg, PA
17101

Opening Hours

Monday 09:00 - 17:00
Tuesday 09:00 - 17:00
Wednesday 09:00 - 17:00
Thursday 09:00 - 17:00
Friday 09:00 - 17:00

Telephone

(717) 346-0469

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About Us

The Pennsylvania legislature established the Patient Safety Authority in 2002 to provide statewide guidance and support to protect the 47 million patients who entrust Pennsylvania healthcare facilities with their lives each year. Seventeen years later, the Authority still is the only independent state agency of its kind in the United States.

The Authority’s vision is “safe healthcare for all patients,” which it strives to achieve by collecting and analyzing patient safety information, developing solutions to patient safety issues, and sharing this information through education and collaboration.

Pennsylvania Act 13 of 2002, the Medical Care Availability and Reduction of Error (MCARE) Act, requires all state hospitals, ambulatory surgical facilities, birthing centers, and certain abortion facilities to report all incidents of harm, real or potential, to the Authority via the Pennsylvania Patient Safety Reporting System (PA-PSRS), a confidential, online system—the largest event reporting database in the United States and one of the largest in the world.

The Authority analyzes and evaluates all reports submitted to PA-PSRS and makes recommendations for changes in healthcare practices and procedures which may improve patient safety in Pennsylvania facilities. The Authority's role is nonpunitive and is distinguished from the role of other state agencies involved in licensing healthcare facilities or individual providers.


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Since you are the Patient Safety Authority for Pennsylvania: Will your department make medical malpractice a criminal offense? Will you be compiling a database of medical practitioners (doctors, nurses, physician assistants, hospitals) who have settled medical malpractice suits, how many, and the details of the cases?
Congrats to Regina Hoffman for being on Becker's list of 50 safety experts to know! "Regina Hoffman, RN. Executive Director of Pennsylvania Patient Safety Authority (Harrisburg). Ms. Hoffman became executive director of the Pennsylvania Patient Safety Authority, an independent state agency, in 2016. She is responsible for increasing event reporting through the agency's patient safety reporting system and improving safety at 1,300 healthcare institutions across Pennsylvania. During her tenure, the agency has educated more than 34,500 professionals via conferences, webinars and on-site health facility trainings. She serves as editor-in-chief of Patient Safety, the organization's open-access, peer-reviewed journal, and as the subcommittee co-chair on learning systems for the Institute for Healthcare Improvement/Agency for Healthcare Research and Quality's National Steering Committee on Patient Safety."
“The motivations behind the nursing facilities in each sector likely play a role in the quality of care and qualifications of the staff working there — especially when one considers mission driven work versus the goals of profit driven work.” Read Article Here: