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Pennsylvania Patient Safety Authority Releases March Advisory Highlighting Communication Issues That Affect Patient Safety
Date:3/27/2008

isories/v5n1march_2008/mar_2008_v" target="_new">http://www.psa.state.pa.us/psa/lib/psa/advisories/v5n1march_2008/mar_2008_v 5_n1.pdf

The Authority also released a failure mode and effects analysis (FMEA) Advisory Supplementary Review of data collected from June 2004 and October 2006 related to the alarm response while monitoring a patient for any physical changes. This review includes analysis of 277 reports, including three that resulted in patient deaths. The reports were categorized and the FMEA completed resulting in a 29-step clinical telemetry process for alarm interventions in response to a change in a patient's physiologic condition.

For more information on the FMEA Supplementary Advisory Review or previous Patient Safety Advisories, visit the Authority's website at http://www.psa.state.pa.us.


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SOURCE Pennsylvania Patient Safety Authority
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