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


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


 
Results 1-9 of 9.
Results by Relevance

RelevanceTitle and DescriptionCategory

62%Multiple Messages, Multiple Tasks
After an event is determined to be the result of ineffective communication, salient points include the chance for misunderstanding.
Publication Date: 3/1/2005
Advisory

60%Who Administers Propofol in Your Organization?
This potentially deadly sedative should only be administered by persons capable of recognizing and treating any untoward effects.
Publication Date: 3/1/2006
Advisory

59%Neuromuscular Blocking Agents: Reducing Associated Wrong-Drug Errors
Neuromuscular blocking agents render patients unable to move or breathe and are considered high-alert drugs because misuse can lead to catastrophic injuries or death.
Publication Date: 12/1/2009
Advisory

59%From the Mouths of Babes: Healthcare Supplies and Environment Pose Dangers to Children
Event reports suggest that supplies common to the healthcare environment can pose the same risk to young children as small food items and toys.
Publication Date: 12/1/2005
Advisory

59%Drug Labeling and Packaging—Looking Beyond What Meets the Eye
The design of medication packaging and labeling can contribute to errors such as incorrect drug dispensing. Factors such as readability and other can affect the potential for an error to occur.
Publication Date: 9/1/2007
Advisory

58%Airway Fires during Surgery
Following safe practices can help reduce the likeliness of fires during airway surgery that involves ignition sources such as electrosurgical units.
Publication Date: 3/31/2007
Advisory

58%Anesthesia Awareness
Anesthesia awareness has historically been under-recognized and under-treated; however, estimates indicate that approximately 100 cases occur daily in the United States.
Publication Date: 9/1/2005
Advisory

57%Malignant Hyperthermia: Is Your Facility Prepared to Treat This Rare Condition?
While occurrence of malignant hyperthermia is rare, the need for rapid response requires planning and advance preparation.
Publication Date: 9/1/2008
Advisory

57%Prevention of Inadvertent Perioperative Hypothermia
Hypothermia may occur in any patient and may result in serious complications affecting the cardiovascular system, coagulation, and wound infection and healing.
Publication Date: 6/1/2008
Advisory
 
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