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FOR IMMEDIATE RELEASE
December 19, 2016 Contact: Pennsylvania Patient Safety Authority
Phone: (717) 346-0469
Fax: (717) 346-1090
SUBSTANTIAL, MEANINGFUL PATIENT SAFETY IMPROVEMENTS MADE BY THE
AUTHORITY, HEALTHCARE PROVIDERS, AND OTHER AGENCIES
Pennsylvania Patient Safety Authority Estimates Thousands of Lives and Millions of Dollars Saved in
Pennsylvania
Harrisburg, Pa., Dec. 19, 2016 —The Pennsylvania Patient Safety Authority estimates more
than 2,600 lives and more than $147 million dollars were saved from 2004 through 2015 in Pennsylvania
through the combined patient safety improvement efforts of Pennsylvania healthcare facilities, statewide
quality and safety improvement entities, and the Authority.
The Authority sought to measure the effectiveness of its data collection, data analysis,
information dissemination, and statewide collaborative learning to reduce healthcare-associated patient
harm in the commonwealth.
Certain patient safety measures (i.e., measures in which concentrated improvement efforts have
occurred) were chosen for analysis: falls with harm, central line-associated bloodstream infection,
catheter-associated urinary tract infection, wrong-site surgery, and high harm events.
Then, using the data reported through its Pennsylvania Patient Safety Reporting System and the
National Healthcare Safety Network, the Authority computed event trends and employed evidence-based
mortality and economic estimates to calculate the theoretical lives and dollars saved over the reporting
periods.
“Placing a value on our collective work to improve patient safety in Pennsylvania was a
challenging, but necessary task” said Ellen S. Deutsch, MD, medical director for the Authority. “Focusing
on the most robust patient safety initiatives and using the most comprehensive data sources gives the
Authority a solid estimate that strongly suggests a reduction of patient harm and improvement in patient
safety throughout the commonwealth,” added Deutsch.
In its analysis, the Authority also found that developing collaborations between facilities and other
state agencies has helped facilities improve patient safety in specific areas.
“We know that our engagement with healthcare facilities and other organizations plays a huge
role in the positive outcomes we have seen from our work,” said Regina Hoffman, executive director for
the Authority. “Are patients safer in Pennsylvania because of the collective efforts connected with the
establishment of the Medical Care Availability and Reduction of Error Act and subsequent legislation?
This question is ever present, and now we have an answer, one about which we are extremely proud.
2
However, we know there is still much to do,” said Hoffman.
By sharing the results of this analysis, the Authority hopes that the conversation about patient
safety and the effectiveness of the efforts around it can continue and hopefully result in further
improvements.
Download full article.
Additional articles in this issue of the Pennsylvania Patient Safety Advisory offer in-depth data
analysis, education, resources, guidance, and strategies about the following:
- Analysis of Reported Drug Interactions: A Recipe for Harm to Patients
Healthcare facilities can help reduce the opportunity for drug interactions reaching patients by
addressing all areas of the medication-use process and not relying solely on the effectiveness of
alerts when orders are entered into electronic health records.
- Participating in a National Project, Pennsylvania Nursing Homes Successfully Reduce
CAUTIs
Pennsylvania facilities that participated in a national project achieved an encouraging reduction in
catheter-associated urinary tract infection (CAUTI) through the use of process improvement tools
and educational offerings in a national project. These facilities were invited to participate in a
survey to assess the success of the project and the value of the process improvement tools
provided.
- Evaluating the Effect of Infection Control Practices on Reduction of CAUTIs in
Pennsylvania Long-Term Care Facilities
The survey results from the national project revealed that the tools were valuable to the majority of
respondents by improving catheter-associated urinary tract infection (CAUTI) identification,
process and outcome measurement, CAUTI case root-cause analysis, and CAUTI prevention and
control measures.
Download the complete issue of the December 2016 Patient Safety Advisory.
About the Pennsylvania Patient Safety Authority: The Authority was established under Act 13 of 2002,
the Medical Care Availability and Reduction of Error (“Mcare”) Act, as an independent state agency. The
Authority is charged with taking steps to reduce and eliminate medical errors by identifying problems and
recommending solutions that promote patient safety. For more information about the Authority, please visit
our website at www.patientsafetyauthority.org or call 717-346-0469.
###

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pr_December_19_2016_final

  • 1. Like the Authority on Facebook Follow the Authority on Twitter Subscribe to the Authority on YouTube FOR IMMEDIATE RELEASE December 19, 2016 Contact: Pennsylvania Patient Safety Authority Phone: (717) 346-0469 Fax: (717) 346-1090 SUBSTANTIAL, MEANINGFUL PATIENT SAFETY IMPROVEMENTS MADE BY THE AUTHORITY, HEALTHCARE PROVIDERS, AND OTHER AGENCIES Pennsylvania Patient Safety Authority Estimates Thousands of Lives and Millions of Dollars Saved in Pennsylvania Harrisburg, Pa., Dec. 19, 2016 —The Pennsylvania Patient Safety Authority estimates more than 2,600 lives and more than $147 million dollars were saved from 2004 through 2015 in Pennsylvania through the combined patient safety improvement efforts of Pennsylvania healthcare facilities, statewide quality and safety improvement entities, and the Authority. The Authority sought to measure the effectiveness of its data collection, data analysis, information dissemination, and statewide collaborative learning to reduce healthcare-associated patient harm in the commonwealth. Certain patient safety measures (i.e., measures in which concentrated improvement efforts have occurred) were chosen for analysis: falls with harm, central line-associated bloodstream infection, catheter-associated urinary tract infection, wrong-site surgery, and high harm events. Then, using the data reported through its Pennsylvania Patient Safety Reporting System and the National Healthcare Safety Network, the Authority computed event trends and employed evidence-based mortality and economic estimates to calculate the theoretical lives and dollars saved over the reporting periods. “Placing a value on our collective work to improve patient safety in Pennsylvania was a challenging, but necessary task” said Ellen S. Deutsch, MD, medical director for the Authority. “Focusing on the most robust patient safety initiatives and using the most comprehensive data sources gives the Authority a solid estimate that strongly suggests a reduction of patient harm and improvement in patient safety throughout the commonwealth,” added Deutsch. In its analysis, the Authority also found that developing collaborations between facilities and other state agencies has helped facilities improve patient safety in specific areas. “We know that our engagement with healthcare facilities and other organizations plays a huge role in the positive outcomes we have seen from our work,” said Regina Hoffman, executive director for the Authority. “Are patients safer in Pennsylvania because of the collective efforts connected with the establishment of the Medical Care Availability and Reduction of Error Act and subsequent legislation? This question is ever present, and now we have an answer, one about which we are extremely proud.
  • 2. 2 However, we know there is still much to do,” said Hoffman. By sharing the results of this analysis, the Authority hopes that the conversation about patient safety and the effectiveness of the efforts around it can continue and hopefully result in further improvements. Download full article. Additional articles in this issue of the Pennsylvania Patient Safety Advisory offer in-depth data analysis, education, resources, guidance, and strategies about the following: - Analysis of Reported Drug Interactions: A Recipe for Harm to Patients Healthcare facilities can help reduce the opportunity for drug interactions reaching patients by addressing all areas of the medication-use process and not relying solely on the effectiveness of alerts when orders are entered into electronic health records. - Participating in a National Project, Pennsylvania Nursing Homes Successfully Reduce CAUTIs Pennsylvania facilities that participated in a national project achieved an encouraging reduction in catheter-associated urinary tract infection (CAUTI) through the use of process improvement tools and educational offerings in a national project. These facilities were invited to participate in a survey to assess the success of the project and the value of the process improvement tools provided. - Evaluating the Effect of Infection Control Practices on Reduction of CAUTIs in Pennsylvania Long-Term Care Facilities The survey results from the national project revealed that the tools were valuable to the majority of respondents by improving catheter-associated urinary tract infection (CAUTI) identification, process and outcome measurement, CAUTI case root-cause analysis, and CAUTI prevention and control measures. Download the complete issue of the December 2016 Patient Safety Advisory. About the Pennsylvania Patient Safety Authority: The Authority was established under Act 13 of 2002, the Medical Care Availability and Reduction of Error (“Mcare”) Act, as an independent state agency. The Authority is charged with taking steps to reduce and eliminate medical errors by identifying problems and recommending solutions that promote patient safety. For more information about the Authority, please visit our website at www.patientsafetyauthority.org or call 717-346-0469. ###