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

ach Advisory for further guidance. A Failure Mode and Effects Analysis course was also offered in 2007 to educate facilities on how to examine their current processes for any potential gaps that could cause a Serious Event or Incident.

An Executive Summary of the 2007 Annual Report is attached to this press release. For the complete 2007 Annual Report, go to http://www.psa.state.pa.us, or click on the following link http://www.psa.state.pa.us/psa/lib/psa/annual_reports/annual_report_2007.pd f.

Executive Summary

The Patient Safety Authority is an independent state agency established under Act 13 of 2002, the Medical Care Availability and Reduction of Error "Mcare" Act. It is charged with taking steps to reduce and eliminate medical errors by identifying problems and recommending solutions that promote patient safety in hospitals, ambulatory surgical facilities, birthing centers and certain abortion providers. Its role is non-regulatory and non-punitive.

The Authority initiated statewide mandatory reporting in June 2004, making Pennsylvania the only state in the nation to require the reporting not only of Serious Events but also near misses. All reports are confidential and non-discoverable, and they do not include any patient or provider names.

A Successful Beginning - A Plan to Achieve

Since its inception, the Patient Safety Authority has primarily been focused on development and implementation of the Pennsylvania Patient Safety Reporting System (PA-PSRS), review and analysis of reports submitted through PA-PSRS, and the distribution of guidance primarily through the Patient Safety Advisory.

The Patient Safety Authority made tremendous strides in fulfilling its mission and in the short time of its existence, has been recognized as a leader in patie
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SOURCE Pennsylvania Patient Safety Authority
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