Pennsylvania Patient Safety Authority Releases Decembe...(go to Understanding Living Wills and DN...),Health

The Authority's quarterly 2008 December Advisory contains other articles developed from data submitted through real events that have occurred in Pennsylvania's healthcare facilities. The articles also provide advice and prevention strategies for facilities to implement within their own institutions. Highlights include:

• Pressure Ulcers: Reports Show More Information and Education Necessary: Reports of pressure ulcers in Pennsylvania show that nearly 13 percent in 2007 were categorized as the worst kind, stage III or IV. This article highlights the lack of information provided in reports to prevent the progression of a pressure ulcer as well as the financial burden to treat them. It also provides facilities with the latest information found to reduce stage III and IV pressure ulcers.

• Medication Errors with Bar Code Technology: While bar coding systems used for medications can help improve patient safety and reduce medication errors, reports in PA-PSRS show that some errors occur because healthcare providers fail to use the technology appropriately. This article discusses the process behind the errors and gives guidance to address the problems associated with bar-code medication administration (BCMA) systems.

• Dangers associated with Tubular Dressing Retainers: Tubular dressing retainers are often used to apply and hold dressings, creams and other devices in place when treating an injury. However, if used incorrectly, these devices can cause patients harm. This article gives strategies h
  '/>"/>