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Patient Safety Authority
333 Market Street
Lobby Level
Harrisburg, PA 17120


Phone: 717-346-0469
Fax: 717-346-1090


 

Articles from the Advisory
Healthcare Worker Fatigue: Current Strategies for Prevention 
Healthcare Worker Fatigue: Current Strategies for Prevention 
Although duty hour restrictions have been the focus of most fatigue risk management programs in healthcare, additional strategies are necessary to prevent adverse events related to fatigue. 

 

Distractions in the Operating Room 
Distractions can be especially dangerous during performance of complex procedures that require high levels of cognitive processing, such as those performed in the operating room; however, the occurrence and the effects of distractions may be minimized. 
Training Suggested When Changing Brands of Enteral Feeding Tubes 
There was an increase in reports of small-bore nasogastric feeding tube misplacements from January 2013 to October 2013 compared with the previous two years. Risk reduction strategies include staff education on feeding tube placement and verification 
In the Spotlight
Prevent surgical site infections 
Identify errors associated with opioids 
PSO participation delayed until 2017 
Read AHRQ's article on central venous catheters   
Prevent surgical site infections  Identify errors associated with opioids  PSO participation delayed until 2017  Read AHRQ's article on central venous catheters  
 
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