The Pennsylvania Learning Exchange: Helping States Improve and Integrate Patient Safety Initiatives


States have few opportunities to learn from one another about successful strategies for reducing medical errors and work together to improve patient safety. The National Academy for State Health Policy (NASHP) proposes to convene government officials from at least 12 states to learn about several promising patient safety initiatives that Pennsylvania has undertaken, among them: the Pennsylvania Patient Safety Authority, charged with identifying safety problems and recommending solutions; the Patient Safety Reporting System, nationally recognized for its quarterly patient safety advisories; and the Health Care Cost Containment Council, the first state agency to assess the human and financial impact of hospital-acquired infections. Informed by the experience of Pennsylvania, participating officials will work together to develop "action plans" for improving patient safety in their home states. A session at NASHP's annual conference will present results from the project.

Grant Details

Grantee Organization:
Center for Health Policy Development, National Academy for State Health Policy
Principal Investigator:
Jill Rosenthal, M.P.H.
Award Amount:
Approval Date:
April 10, 2007

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