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Pennsylvania Hospital Data Shows Increased Likelihood of Medication Errors When In-House Pharmacy is Closed
Date:3/1/2012

mprovement. Strategies to close the gaps are discussed in this article.
  • Colonoscopy-Associated Perforation: Systematic Review and Meta-Analysis of Incidence and Risk Factors: In this article, using meta-analysis and a qualitative literature review, analysts systematically assessed the incidence of and risk factors for colonoscopy-associated perforation. Analysts included English-language full-length reports published between 1/1/1990 and 6/16/2010 that assessed patients undergoing colonoscopy and were identified in searches of 12 electronic databases, bibliographies and gray literature. The results of this research and suggestions for further study in this area are discussed. 
  • Ambulatory Surgical Facility Survey Report: The Authority developed and administered a statewide needs assessment survey to inform an ambulatory surgical facility collaboration that will address same-day cancellations and transfers. The survey examined presurgical screening and assessment processes and cancellation and transfer information. The results provide insights into how the history and physical information is gathered, who the primary contact person is for preoperative screening and instructions, the reasons and rates for same-day cancellations and transfers and the number of facilities that have implemented an electronic health record.
  • Quarterly Update on Preventing Wrong-Site Surgery: This quarterly update discusses five issues: the direction of the Patient Safety Authority project to prevent wrong-site surgery; estimates of the incidence of wrong-site anesthetic blocks and ureteral stent insertions; informative near-miss reports; preventing misinformation from the surgeon's office; and the relationship between wrong-site surgery and the operating room (OR) culture of safety. Two additional educational toolkits designed for surgeons' offices to help prevent wrong-site surgery are also discussed.
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    SOURCE Pennsylvania Patient Safety Authority
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