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Ninety Percent of All Vaccine Preventable Deaths Occur in Those 65 and Older According to Highlighted Studies in the December Patient Safety Advisory
Date:12/1/2009

uries and even death. The Authority has received 154 reports of medication errors involving NMBAs. Analysis shows 37 percent were wrong-drug errors and 16 percent were wrong-dose/overdosage errors. Further analysis shows that in 47 percent of the cases the drug given should not have been an NMBA at all. The Authority has provided strategies for facilities to address these problems.
  • *Inadequate Screenings for Patients At-Risk of Choking Can Cause Patient Deaths: Pennsylvania healthcare facilities submitted 133 event reports of patients having problems swallowing or choking that were not due to anesthesia. Seventy-three of the reports (55%) showed that screenings had been done for the patient to determine whether or not they had trouble swallowing, which may mean the screenings are not adequate. The other 60 reports (45%) show patients had not received a screening at all to determine whether or not they had swallowing problems and/or were at risk for choking. The Authority discusses the problem and provides strategies for improving screening tools. Consumer tips are also available for this article to encourage families to check with healthcare providers before giving their loved ones anything to eat that may cause them to choke.
  • Monitoring Patient Safety in Hospitals Through Administration Data: The Authority, along with other healthcare organizations and agencies, are asked often whether or not patient safety has improved since the 1999 publication of the Institute of Medicine's "To Err is Human" report that stated more than 98,000 patients die each year due to preventable medical errors. This article discusses how using data known as patient safety indicators, which are based upon hospital discharge data, can provide an independent source of patient safety information.
  • Taking a Look at Safe Patient Handling and Movement Programs in Rehabilitation Settings: Handling or moving patients can be a high-risk occurrence within
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  • SOURCE Pennsylvania Patient Safety Authority
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