A Resolution directing the Joint State Government Commission to conduct a study of reported patient safety events and issue a report with recommendations for reducing reportable patient safety events and improving patient safety.
What changed between versions
Changed the subject of the study from 'medication errors' to 'medical errors' and 'reported patient safety events' to align with broader state definitions and laws.
Added a requirement for the study to evaluate how medical facilities measure, analyze, and track adverse events and to identify barriers to learning from reports.
Added a requirement for the study to include a review of policies adopted by other states to reduce reportable patient safety events.
Added a new resolution limiting the study to documentation already retained by the Patient Safety Authority to avoid imposing undue costs on medical facilities.
Added new advisory committee members representing the Patient Safety Authority and the Pennsylvania Ambulatory Surgery Association.
Replaced the previous requirement for a pharmacy technician representative with a representative for the Patient Safety Authority and added a patient safety officer to the committee.