patient safety authority annual report 2017

Who are the patient safety Author-ity (PSA)?

Stanton N. Smullens Daniel Glunk Eric Weitz Regina Hoffman Caitlyn Allen Eugene Myers Jackie Peck Krista Soverino Heather Stone Shawn Kepner 1 2 E ighteen years ago, the Patient Safety Author- ity (PSA) was founded with a single charge— make healthcare safer in Pennsylvania.

What is the Patient Safety Authority under the MCARE Act?

Un- der the MCARE Act, the Patient Safety Authority (PSA) determines how those funds are used to effectuate the patient safety provisions of the MCARE Act and admin- isters funds in the Patient Safety Trust Fund. Funds come primarily from assessment surcharges made by the Department of Health on certain medical facilities.

Do hospitals have to report the death of patients in restraints?

The Centers for Medicare & Medicaid Services (CMS) requires hospitals to report to DOH any death of patients in restraints or in seclusion, or in which restraints or seclusion were used within 24 hours of death (other than soft wrist restraints).

How do I file a serious event report under the Act?

Under the pro - vision, a healthcare worker who has complied with section 308(a) of the Act may file an anon- ymous report regarding a serious event. The form is available on the PSA’s website and through PA-PSRS.

What is the Pennsylvania Patient Safety Authority?

Harrisburg, Pa., May 1, 2017 — In its 2016 annual report, the Pennsylvania Patient Safety Authority recognizes the patient safety improvements made by Penns ylvania healthcare facilities, and discusses the agency’s continuing efforts associated with data collection and analysis, information dissemination, education and outreach, collaborations, and partnerships. In addition, the Authority highlights aspects of its 2017–2020 strategic plan, which includes extended out reach to patients and other sectors .

What is PA MCARE?

Established under the Medical Care Availability and Reduction of Error (MCARE) Act of 2002 the Authority, an independent state agency, collects and analyzes patient safety data reported through its Pennsylvania Patient Safety Reporting System (PA-PSRS) and then provides strategies and lessons learned to healthcare facilities to improve safety and help prevent patient harm.

When did the PA-PSRS guidelines go into effect?

The guidance was devel-oped to help provide consistent standards to acute healthcare facilities in Pennsylvania in determining whether occurrences within facilities meet the stat-utory definitions of serious events, incidents, and in-frastructure failures as defined in section 302 of the

What is the PSA 2020?

Like everyone, much of the PSA’s efforts in 2020 focused on COVID-19. Once news of the pandemic hit , the field staff, led by our team of infection pre-ventionists, began providing virtual consultations for healthcare facilities across Pennsylvania cov-ering everything from cleaning protocols to ob-taining additional personal protective equipment. Sometimes the team just provided emotional sup-port for frontline staff during their darkest hours.

What is an event that could have resulted or did result in harm to a patient?

An event, occurence, or condition that could have resulted or did result in harm to a patient and can be but is not necessarily the result of a defective sys-tem or process design, a system breakdown, equip-ment failure or human error. They can also include adverse events, no-harm events, near misses, and hazardous conditions.

What is a potential adverse event?

“potential adverse event”: An event which either did not reach the patient (“near miss”) or did reach the patient but the level of harm did not require addi-tional healthcare services. The legal definition from the MCARE Act: “an event, occurrence, or situation involving the clinical care of a patient in a medical facility which could have injured the patient but did not either cause an unanticipated injury or require the delivery of additional healthcare services to the patient. The term does not include a serious event.”

What is a PSA analyst?

The analyst is a member of the PSA with education and experience in medicine, nursing, pharmacy, product engineering, statistical analysis, and/or risk management. Analysts review events submit-ted through PA-PSRS and compose the majority of the articles included in the PSA’s quarterly, peer-re-viewed journal, Patient Safety.

What is an ASF hospital?

The Health Care Facilities Act (HCFA) defines an ambulatory surgical facility (ASF) as “a facility or portion thereof not located upon the premises of a hospital which provides specialty or multispecialty outpatient surgical treatment.

How long do you have to report a patient in restraints?

The Centers for Medicare & Medicaid Services (CMS) requires hospitals to report to DOH any death of patients in restraints or in seclusion, or in which restraints or seclusion were used within 24 hours of death (other than soft wrist restraints).