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Patient Safety Authority Issues Annual Report for 2007
Date:4/30/2008

ty Authority board meeting held in March during 2007 National Patient Safety Week.

Colonoscopy Perforation Project

The Authority continued its study on the frequency of routine colonoscopy perforations and the risks associated with them. This study aims to answer questions about the rate at which colonoscopy-associated perforations occur, the risk factors for colonoscopy-associated perforation, and best practices for controlling modifiable risk factors. The Authority's PA-PSRS clinical director is working with a physician work group to determine the answers to these questions through data submitted to the Authority.

Health Care Improvement Foundation (HCIF) of the Delaware Valley Healthcare Council

The Authority has provided the Healthcare Improvement Foundation (HCIF) with de-identified data on wrong-site surgery and patient falls from hospitals in Southeastern Pennsylvania. The information will allow HCIF to prioritize patient safety initiatives based upon these areas that need improvement.

Consumer Tips Sheets Involve Patients

Although the primary work of the Authority is focused specifically on healthcare facilities it is obvious that patients are at the center of all patient safety activities. The Authority is committed to providing individual citizens, the consumers of healthcare, with information that can impact their healthcare and steps they can take to assure they receive quality care.

In 2007, the Patient Safety Authority developed and distributed consumer tips sheets with selected Advisory articles. These tips provide patients with more knowledge about specific healthcare topics. They include: medication errors, wrong-site surgery, color-coded wristbands, falls, MRSA, the risks for sleep apnea patients and the importance of knowing your medical history. There are many opportunities for patients and their loved ones to become involved in their healthcare, from making decisions about treatment protocols to a
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SOURCE Pennsylvania Patient Safety Authority
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