101. Sexual violence: actions needed to improve DOD's efforts to address the continuum of unwanted sexual behaviors : report to the Committee on Armed Services, U.S. Senate
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102. Medicaid: further action needed to expedite use of national data for program oversight : report to Congressional requesters
103. Social Security disability: additional measures and evaluation needed to enhance accuracy and consistency of hearings decisions : report to the Chairman, Subcommittee on Social Security, Committee on Ways and Means, House of Representatives
104. FDA medical device reviews: evaluation is needed to assure requests for additional information follow a least burdensome approach : report to Congressional requestors
105. Generic drugs: FDA should make public its plans to issue and revise guidance on nonbiological complex drugs : report to Congressional requesters
106. Medicaid: CMS should take additional steps to improve assessments of individuals' needs for home- and community-based services : report to Congressional requesters
107. Medicare Part B: Medicare represented at least half of the market for 22 of the 84 most expensive drugs in 2015 : report to Congressional requesters
108. Veterans affairs contracting: improvements in buying medical and surgical supplies could yield cost savings and efficiency : testimony before the Committee on Veterans' Affairs, House of Representatives
109. Prescription opioids: Medicare should expand oversight efforts to reduce the risk of harm : testimony before the Subcommittee on Oversight, Committee on Ways and Means, House of Representatives
110. VA construction: actions taken to improve Denver Medical Center and other large projects' cost estimates and schedules : testimony before the Committee on Veterans' Affairs, U.S. House of Representatives
111. Understanding the market for implantable medical devices
112. Implantable devices: regulatory framework and reform options
113. Implementing a safe patient handling and movement program in a rehabilitation setting
114. Disclosure: understanding the barriers to communicating unanticipated outcomes
115. Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania
116. Making patient-controlled analgesia safer for patients
117. Central-line-associated bloodstream infection: comprehensive, data-driven prevention
118. Fostering safety-conscious healthcare providers: a leadership initiative
119. Gap assessment of hospitals' adoption of the just culture principles
120. Colonoscopy-associated perforation: systematic review and meta-analysis of incidence and risk factors
121. Data snapshot: death rate among CUSP facilities
122. Falls rates improved in Southeastern Pennsylvania: the impact of a regional initiative to standardize falls reporting
123. Falls, a hospital-acquired condition: the Pennsylvania Patient Safety Authority's enhanced reporting program
124. Falls risk assessment: a foundational element of falls prevention programs
125. Events associated with the prescribing, dispensing, and administering of medication loading doses
126. Impact of implementation of evidence-based best practices on nursing home infections
127. The breadth of hospital-acquired pneumonia: nonventilated versus ventilated patients in Pennsylvania
128. Comments from Pennsylvania medical professional societies on the Pennsylvania Patient Safety Authority's potential recommendations to prevent wrong-site surgery and the Authority's responses
129. Analysis of the multiple risks involving the use of IV fentaNYL
130. The effects of drug shortages on unsafe injection practices
131. Distractions and their impact on patient safety
132. Healthcare outbreaks: risk assessment and mitigation based on pathogen, population, and environmental factors : the P2E concept
133. Class III obese patients: is your hospital equipped to address their needs?
134. Contracting for safety: a misused tool
135. Infection control challenges: Pennsylvania nursing homes are making a difference through implementation of best practices
136. Class III obese patients: the effect of gait and immobility on patient falls
137. Calculation of outcome rates that diagnose bedside performance: central-line-associated bloodstream infection
138. Falls prevention: Pennsylvania hospitals implementing best practices
139. Breakdowns in the medication reconciliation process
140. Data snapshot: pediatric laboratory events
141. Aligning the lines: an analysis of IV line errors
142. Improvement of Pennsylvania healthcare consumers' awareness of patient safety
143. Distractions in the operating room
144. Healthcare worker fatigue: current strategies for prevention
145. An analysis of reported adverse drug reactions
146. Falls reduction and prevention update: Pennsylvania hospitals increase implementation of best practices
147. Balancing family bonding with newborn safety
148. Improving care for patients with autism spectrum disorder in the acute care setting
149. Decision tree helps standardize reporting of falls event types
150. Assessment tools help diagnose obstructive sleep apnea
