Related Experiment Video

Updated: Jun 24, 2026

Individualized Reconstitution of Human Milk Microbiota: A Feasible Approach in Real-World Settings
04:16

Individualized Reconstitution of Human Milk Microbiota: A Feasible Approach in Real-World Settings

Published on: February 7, 2025

Expressed breast milk: safety in the hospital

Charlotte Huber1, Mary E Blanco, Monica M Davis

  • 1Pennsylvania Patient Safety Reporting System, Plymouth Meeting, PA, USA. chuber@ecri.org

The American Journal of Nursing
|March 21, 2009
PubMed

Insights

The Pennsylvania Patient Safety Reporting System (PA-PSRS) collects medical error data from healthcare facilities to improve patient safety. This column shares key findings and strategies for nurses to enhance care.

Area of Science:

  • Healthcare Quality and Safety
  • Medical Error Reporting Systems
  • Nursing Practice

Background:

  • The Pennsylvania Patient Safety Reporting System (PA-PSRS) was established in June 2004.
  • It is a confidential, statewide Internet-based system for reporting medical errors.
  • Mandated reporting applies to hospitals, outpatient-surgery facilities, birthing centers, and some abortion facilities.

Purpose of the Study:

  • To inform nurses about critical patient safety issues.
  • To present practical strategies for integrating into clinical practice.
  • To disseminate lessons learned from reported medical errors.

Main Methods:

  • Periodic column in AJN (American Journal of Nursing) featuring PA-PSRS data.
  • Analysis of medical error reports submitted to PA-PSRS.
  • Identification of trends and actionable insights from reported events.

Main Results:

  • Highlights specific medical errors and their contributing factors.
  • Provides evidence-based recommendations for error prevention.
  • Empowers nurses with knowledge to enhance patient safety.

Conclusions:

  • Continuous reporting and analysis of medical errors are crucial for improving healthcare quality.
  • Nurses play a vital role in patient safety through vigilance and implementation of best practices.
  • Accessible information sharing, like this column, supports a culture of safety in healthcare settings.

More Related Videos

Breast Milk Enhances Growth of Enteroids: An Ex Vivo Model of Cell Proliferation09:02

Breast Milk Enhances Growth of Enteroids: An Ex Vivo Model of Cell Proliferation

Published on: February 15, 2018

An Efficient Single-Person Technique for Milk Sampling from Laboratory Mice04:56

An Efficient Single-Person Technique for Milk Sampling from Laboratory Mice

Published on: March 28, 2025

Related Concept Videos

Development of Human Microbiota01:30

Development of Human Microbiota

The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from the skin...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...
SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
The Mammary Glands01:12

The Mammary Glands

The female breast is a hemispheric projection of variable size positioned anterior to the pectoralis major and serratus anterior muscles. A fascia layer composed of dense, irregular connective tissue connects it to these muscles.
Each breast features a pigmented projection known as the nipple, through which milk emerges via closely spaced openings of ducts, referred to as lactiferous ducts. Surrounding the nipple is a circular pigmented area of skin named the areola, which appears rough due to...
Drug Excretion: Pulmonary and Glandular Routes01:22

Drug Excretion: Pulmonary and Glandular Routes

Gaseous substances like general anesthetics are absorbed and excreted through the lungs via simple diffusion. This process depends on factors such as pulmonary blood flow, respiration rate, and the substance's solubility. Gaseous anesthetics like nitrous oxide with low blood solubility are excreted rapidly, while compounds like alcohol, with high blood and tissue solubility, are excreted slowly.
Drugs can also be excreted in breast milk, which is crucial for breastfeeding infants. The process...
Development of Immunocompetence01:22

Development of Immunocompetence

The initiation of cell-mediated immunity can be observed as early as the third month of fetal growth, with active antibody-mediated immunity following approximately one month later.
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...