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Patient Safety Authority
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Harrisburg, PA 17120


Phone: 717-346-0469
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PA-PSRS Data Snapshot: Anoxic Encephalopathy
Pa Patient Saf Advis 2008 Mar;5(1):34-5. 
 

PA-PSRS staff identified 31 reports submitted from June 2004 to June 2007 that indicated an outcome of anoxic encephalopathy. A brief synopsis of each report can be found in the table. We saw no unusual patterns and gained no insights beyond what is already known about the importance of expertly managing the airway and monitoring patients, especially sedated patients. Not all anoxic brain injuries resulted from hypoxia; some resulted from hypoperfusion secondary to uncontrolled bleeding. According to the reports, more than half of the patients died (17 of 31). (See Table.)
 
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THE PENNSYLVANIA PATIENT SAFETY AUTHORITY AND ITS CONTRACTORS  
PSA LOGO The Pennsylvania Patient Safety Authority is an independent state agency created by Act 13 of 2002, the Medical Care Availability and Reduction of Error (“Mcare”) Act. Consistent with Act 13, ECRI Institute, as contractor for the Authority, is issuing this publication to advise medical facilities of immediate changes that can be instituted to reduce Serious Events and Incidents. For more information about the Pennsylvania Patient Safety Authority, see the Authority’s Web site at www.patientsafetyauthority.org .      
ECRI LOGO ECRI Institute, a nonprofit organization, dedicates itself to bringing the discipline of applied scientific research in healthcare to uncover the best approaches to improving patient care. As pioneers in this science for more than 40 years, ECRI Institute marries experience and independence with the objectivity of evidence-based research. More than 5,000 healthcare organizations worldwide rely on ECRI Institute’s expertise in patient safety improvement, risk and quality management, and healthcare processes, devices, procedures and drug technology.      

ISMP Logo The Institute for Safe Medication Practices (ISMP) is an independent, nonprofit organization dedicated solely to medication error prevention and safe medication use. ISMP provides recommendations for the safe use of medications to the healthcare community including healthcare professionals, government agencies, accrediting organizations, and consumers. ISMP’s efforts are built on a nonpunitive approach and systems-based solutions.      
 
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