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Class III Obese Patients Experience Adverse Events More Frequently Than the General Adverse Event Patient Population
Date:3/4/2013

g hospitals was developed to assess their practitioners' current knowledge about the use of opioids. More than 1,700 individual practitioners completed the assessment. The lowest-scoring questions encompassed topics identifying the predictors of respiratory depression in patients receiving intravenous opioids, defining what constitutes an opioid-tolerant patient, and choosing medications that could influence the effects of an opioid with respect to a patient's ventilation. Strategies that organizations may consider to improve education and to reduce medication errors associated with opioid use are included in this article, along with an educational toolkit.
  • Healthcare Outbreaks-Risk Assessment and Mitigation Based on Pathogen, Population and Environmental Factors: The P2E Concept: In 2009, Pennsylvania experienced one of the largest and most prolonged outbreaks of invasive group A streptococcus (GAS) within a nursing facility to date. The only known reservoirs for GAS in nature are the skin and mucous membranes of the human host. Therefore, one of the highest-risk patient populations is those who have nonintact skin. This article includes a novel framework describing proactive outbreak prevention based on pathogen, population and environment (P2E) risk assessment. Pennsylvania GAS outbreak facts are used as an example, and the framework is expanded to include carbapenem-resistant Enterobacteriaceae, demonstrating the framework's applicability to a multitude of outbreak scenarios.
  • Quarterly Update: What Body Parts and Procedures Are Associated with Wrong-Site Surgery?: This wrong-site surgery update discusses the lowest number of wrong-site surgeries (6) per quarter to date since reporting to the Authority began in mid-2004. Analysis of these events is provided, as well as an overview of the Au
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SOURCE Pennsylvania Patient Safety Authority
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