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

am memoranda to help them interpret what should be reported. (e.g. Facilities should not consider an event as not reportable simply because it is listed on the patient consent form as a possible occurrence.)

Since these efforts have not proven to substantially decrease reporting variability, Doering said the Authority has made standardization a goal in its 2007 Strategic Plan which can be found on page 14 in its annual report (link below).

To accomplish this goal, the Authority will do the following:

-- We will work with the Department of Health to explore both organizations' interpretations of Act 13 requirements, with the goal of providing interpretive guidance that can be used by facility Patient Safety Committees and Department of Health surveyors.

-- We are working with healthcare facilities in the Delaware Valley through the Health Care Improvement Foundation to improve reporting consistency for selected types of events.

-- We will give guidance to healthcare providers on disclosure of adverse events to patients and their families.

-- We will perform a comparative analysis of healthcare facilities that are high-and low-volume reporters in an effort to determine what organizational characteristics encourage a greater level of reporting. We will distribute our findings through the Pennsylvania Patient Safety Advisory.

-- A consumer tips sheet is available to further educate patients on the Authority and what is a Serious Event and Incident.

Also in the 2007 Annual Report is the executive summary that gives readers a breakdown of what is contained in the report in a nutshell. As mentioned, more reports were submitted in 2007 than any other previous year. An Advisory article highlighting the problem with wrong-site surgeries made national news and continues to garner interest in the healthcare community. The Authority also continued to offer educational toolkits and consumer tips sheets with e
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SOURCE Pennsylvania Patient Safety Authority
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