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Clarke added that some key points to promote the safe use of x-rays in pregnant women include:

Along with the Advisory article and prevention advice, the Authority also provides additional resources for helping facilities raise awareness that include a pocket guide discussing radiation doses of common x-ray procedures and the effects according to the pregnancy stage and a patient record to track cumulative radiation exposure. A consumer tip sheet for patients is also available to further educate them about procedures involving radiation and to help them communicate more effectively with their healthcare provider.

For more information on x-rays and the possible effects to a pregnant patient, go to the article "Diagnostic Ionizing Radiation and Pregnancy: Is There a Concern?" of the 2008 March Patient Safety Advisory at http://www.psa.state.pa.us.

The Authority's quarterly 2008 March Advisory contains more 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:

-- Medication Assessment to Prevent Falls: A medication assessment is often not done when assessing a patient's fall risk. As a result, patients who are at risk for falls may receive medications that increase this risk. In 2006, the Authority received reports of 33,882 drug-associated falls through PA-PSRS. While 70 percent (23,806) of the falls did not result in patient harm, 17 deaths were reported associated with the falls. Risk reduction strategies include recognizing the problem and involving pharmacy staff in developing medication assessment and reassessment strategies for patients at risk for falls. Additional fall prevention tips for patients can be f
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