Year: 2026
Type: article
Abstract: In Pennsylvania, licensed healthcare facilities are required to report all events that cause harm or have the potential to cause harm to a patient. 1 The reports are captured in the Pennsylvania Patient Safety Reporting System (PA-PSRS) and then the Patient Safety Authority (PSA) analyzes them to identify causes or trends and share strategies to prevent harm.With over 5.8 million reports dating back to 2004, PA-PSRS is one of the largest data repositories of its kind in the world. 2 Each year, PSA publishes an analysis of the acute and ambulatory care reports submitted to PA-PSRS, and this article expands on that work by highlighting the serious events a;1 reported to PA-PSRS with the Medication Error event type in 2025. 2 Medication Error SubtypesIn 2025, 82 facilities submitted a total of 303 serious Medication Error events to PA-PSRS.The most frequently reported Medication Error subtypes during this time frame are shown in Table 1.a A serious event is defined as "an event, occurrence, or situation involving the clinical care of a patient in a medical facility that results in death or compromises patient safety and results in an unanticipated injury requiring the delivery of additional healthcare services to the patient." Analysis of Serious Medication Error Events Reported to PA-PSRS in 2025
Source: Patient Safety
DOI: 10.33940/001c.161739
Author: Myungsun Ro
Language: English
Subfield: Emergency Medical Services
Field: Health Professions
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7161966058