Masthead- June 2023

About Patient Safety

As the journal of the Patient Safety Authority, committed to the vision of “safe healthcare for all patients,” Patient Safety (ISSN 2689-0143) is fully open access and highlights original research, advanced analytics, and hot topics in healthcare.

The mission of this publication is to inform and advise clinicians, administrators, and patients on preventing harm and improving safety, by providing evidence-based, original research; editorials addressing current and sometimes controversial topics; and analyses from one of the world’s largest adverse event reporting databases.

We invite you to submit manuscripts that align with our mission. We’re particularly looking for well-written original research articles, reviews, commentaries, case studies, data analyses, quality improvement studies, or other manuscripts that will advance patient safety.

All articles are published under the Creative Commons Attribution – Noncommercial license, unless otherwise noted. The current issue is available at

The patient is central to everything we do. Patient Safety complies with the Patients Included™ journal charter, which requires at least two patient members on the editorial board; regular publication of editorials, reviews, or research articles authored by patients; and peer review by patients.

This publication is disseminated quarterly by email at no cost to the subscriber. To subscribe, go to

Articles accepted for publication do not necessarily reflect practices or opinions endorsed by the Patient Safety Authority.

Production Staff

Regina M. Hoffman, MBA, RN, Editor-in-Chief

Caitlyn Allen, MPH, Managing Editor

Eugene Myers, BA, Associate Editor

Jackie Peck, BS, Layout Editor

Shawn Kepner, MS, Data Editor

Krista Soverino, BA, Graphics

Editorial Board

Joshua Atkins, MD, PhD, Hospital of the University of Pennsylvania

Russell Baxley, MHA, Beaufort Memorial Hospital

Michael A. Bruno, MD, Penn State Milton S. Hershey Medical Center

Daniel Cantillon, MD, Cleveland Clinic

Michael R. Cohen, ScD (hon.), DPS (hon.), RPh, Institute for Safe Medication Practices

Daniel D. Degnan, PharmD, Purdue University School of Pharmacy

Barbara Fain, JD, MPP, Betsy Lehman Center for Patient Safety

Kelly Gleason, PhD, RN, Johns Hopkins School of Nursing

Julia A. Haller, MD, Wills Eye Hospital

Jennifer Hamm, BS, Fred Hamm, Inc.

Martin J. Hatlie, JD, MedStar Institute for Quality and Safety

Ann Hendrich, PhD, RN, Building Age-Friendly Health Systems, John A. Hartford Foundation; formerly Ascension Healthcare

Mark Jarrett, MD, MBA, MS, Northwell Health

Matthew Keris, Esq., Marshall Dennehey Warner Coleman & Goggin

Stephen Lawless, MD, MBA, Nemours Children’s Health System

Michael Leonard, MD, Safe & Reliable Healthcare LLC

James McClurken, MD, Doylestown Health, Lewis Katz School of Medicine at Temple University

Patrick J. McDonnell, PharmD, Temple University School of Pharmacy

Dwight McKay, BSL, Lancaster Rehabilitation Hospital

Ferdinando L. Mirarchi, DO, UPMC Hamot

Dona Molyneaux, PhD, RN, Frances M. Maquire School of Nursing and Health Professions, Jefferson Health; Gwynedd Mercy University

Rustin B. Morse, MD, Nationwide Children’s Hospital

Brigitta Mueller, MD, MHCM, MSJ, ECRI

Adam Novak, MA, Michigan Health & Hospital Association

Barbara Pelletreau, MPH, RN, Dignity Health

Julia C. Prentice, PhD, Betsy Lehman Center for Patient Safety

Mitesh Rao, MD, MHS, Stanford School of Medicine

Cheryl Richardson, DrPH, RN, Penn State Milton S. Hershey Med. Center

Lisa Rodebaugh, BS, Mercy Ministries

Jeffrey Stone, PhD, Penn State University

Jennifer Taylor, PhD, Drexel University

Carlos Urrea, MD, Hillrom

Linda Waddell, MSN, RN, Wolff Center at UPMC (retired)

Eric Weitz, Esq., The Weitz Firm LLC

Margaret Wojnar, MD, MEd, Penn State College of Medicine

Zane R. Wolf, PhD, RN, La Salle University

Ronald Wyatt, MD, MHA, MCIC Vermont


A special thanks to our reviewers

Daniel Degnan, PharmD, MS, Purdue University School of Pharmacy

Eileen Fruchtl, MSN, Cedar Crest College

Pamela N. Garabedian, MS, Mass General Brigham

Kelly Gleason, PhD, RN, Johns Hopkins School of Nursing

Matthew Grissinger, RPH, Institute for Safe Medication Practices

Michael Leonard, MD, Safe & Reliable Healthcare

William Marella, MMI, MBA, HealthShare Exchange

Darla S. Marks, MSN, RN-BC, Penn State Milton S. Hershey Med. Center

Michael McShea, Johns Hopkins University - Applied Physics Lab

Cheryl Richardson, DrPH, RN, Penn State Milton S. Hershey Med. Center

Patient Safety Authority
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Harrisburg, PA 17101

Together we save lives.