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Start Over Subjects Pennsylvania ✖Remove constraint Subjects: Pennsylvania Languages English ✖Remove constraint Languages: English Genre Technical Report ✖Remove constraint Genre: Technical Report Dates by Range 2000 and later ✖Remove constraint Dates by Range: 2000 and later

2. Perioperative medication errors: uncovering risk from behind the drapes

Author(s):
Cierniak, Kayla, author
Gaunt, Michael J., author
Grissinger, Matthew, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2018
Subject(s):
Medication Errors -- prevention & control
Medication Errors -- statistics & numerical data
Documentation
Medical Order Entry Systems
Patient Safety
Patient Transfer
Humans
Pennsylvania
United States

3. Are you ready to respond?: reports of high harm complications after surgery and invasive procedures

Author(s):
Magee, Mary C., author
Finley, Edward, author
Liberatore, Kim, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2018
Subject(s):
Clinical Deterioration
Failure to Rescue, Health Care -- statistics & numerical data
Intraoperative Complications -- mortality
Intraoperative Complications -- prevention & control
Postoperative Complications -- mortality
Postoperative Complications -- prevention & control
Surgical Procedures, Operative -- adverse effect
Surgical Procedures, Operative -- mortality
Anatomy
Blood Loss, Surgical
Blood Transfusion
Hospital Rapid Response Team
Medical Errors -- prevention & control
Patient Safety
Resuscitation -- methods
Treatment Outcome
Humans
Pennsylvania
United States

4. From the database: deaths after ambulatory surgery

Author(s):
Liberatore, Kim, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2018
Subject(s):
Ambulatory Surgical Procedures -- mortality
Intraoperative Complications -- mortality
Postoperative Complications -- mortality
Surgical Procedures, Operative -- mortality
Age Factors
Forecasting
Mortality -- trends
Patient Safety
Sex Factors
Surgicenters
Humans
Pennsylvania
United States

5. How wet is your patient's bed?: blood, urine, and microbiological contamination of mattresses and mattress covers

Author(s):
Sivek, Amanda, author
Davis, James, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2018
Subject(s):
Bedding and Linens -- adverse effects
Beds -- adverse effects
Body Fluids
Equipment Contamination
Equipment Safety
Bedding and Linens -- microbiology
Beds -- microbiology
Cross Infection -- prevention & control
Equipment Failure
Infection Control
Maintenance
Patient Safety
Humans
Pennsylvania
United States

8. A call to lead: the case for accelerating academic health center transformation

Publication:
Atlanta, GA : Woodruff Health Sciences Center, Emory University, 2014
Subject(s):
Academic Medical Centers -- organization & administration
Health Care Reform
Hospitals, Teaching -- organization & administration
Leadership
Academic Medical Centers -- economics
Academic Medical Centers -- trends
Accountable Care Organizations
Economic Recession
Forecasting
Health Expenditures -- trends
Health Insurance Exchanges
Hospitals, Teaching -- economics
Hospitals, Teaching -- trends
Humans
Colorado
Georgia
Massachusetts
Michigan
Pennsylvania
United States
United States.

9. Latex: a lingering and lurking safety risk

Author(s):
Liberatore, Kim, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2018
Subject(s):
Latex Hypersensitivity -- prevention & control
Medical Errors -- statistics & numerical data
Latex -- adverse effects
Latex Hypersensitivity -- epidemiology
Patient Safety
Perioperative Care
Risk Management
Urinary Catheters -- adverse effects
Humans
Pennsylvania
United States

10. Data snapshot: group A streptococcus in Pennsylvania long-term care facilities

Author(s):
Adkins, JoAnn, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2018
Subject(s):
Long-Term Care
Nursing Homes
Streptococcal Infections -- epidemiology
Streptococcal Infections -- prevention & control
Streptococcus pyogenes
Disease Outbreaks -- statistics & numerical data
Mandatory Reporting
Streptococcal Infections -- transmission
Humans
Pennsylvania
United States

13. Surgical fires: decreasing incidence relies on continued prevention efforts

Author(s):
Burley, Mark E., author
Arnold, Theresa V., author
Finley, Edward, author
Deutsch, Ellen S., author
Treadwell, Jonathan R., author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, June 2018
Subject(s):
Fires -- prevention & control
Fires -- statistics & numerical data
Medical Errors -- prevention & control
Medical Errors -- statistics & numerical data
Medical Errors -- trends
Surgical Procedures, Operative
Forecasting
Patient Safety
Risk Assessment
Humans
Pennsylvania
United States

14. Identifying patient harm from direct oral anticoagulants

Author(s):
Valentine, David, author
Gaunt, Michael J., author
Grissinger, Matthew, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, June 2018
Subject(s):
Administration, Oral
Anticoagulants -- administration & dosage
Anticoagulants -- adverse effects
Medication Errors -- statistics & numerical data
Adult
Aged
Aged, 80 and over
Antithrombins -- administration & dosage
Antithrombins -- adverse effects
Dabigatran -- administration & dosage
Dabigatran -- adverse effects
Forecasting
Hemorrhage -- chemically induced
Medication Errors -- prevention & control
Medication Errors -- trends
Middle Aged
Patient Safety
Rivaroxaban -- administration & dosage
Rivaroxaban -- adverse effects
Humans
Pennsylvania
United States

15. Combat norovirus infections in long-term care facilities

Author(s):
Bradley, Sharon, author
Finley, Edward, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, June 2018
Subject(s):
Caliciviridae Infections -- epidemiology
Caliciviridae Infections -- prevention & control
Disease Outbreaks -- prevention & control
Disease Outbreaks -- statistics & numerical data
Norovirus
Nursing Homes
Gastroenteritis -- etiology
Gastroenteritis -- virology
Long-Term Care
Patient Care Team
Patient Safety
Humans
Pennsylvania
United States

16. Adapting verification processes to prevent wrong radiology events

Author(s):
Field, Cynthia, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2018
Subject(s):
Diagnostic Imaging -- statistics & numerical data
Medical Errors -- statistics & numerical data
Radiology -- statistics & numerical data
Continuity of Patient Care
Medical Errors -- prevention & control
Patient Safety
Radiation Exposure -- adverse effects
Humans
Pennsylvania
United States

17. The breakup: errors when altering oral solid dosage forms

Author(s):
Ingram, Viktoriya, author
Gaunt, Michael J., author
Grissinger, Matthew, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2018
Subject(s):
Capsules -- administration & dosage
Dosage Forms
Medication Errors -- statistics & numerical data
Prescription Drugs -- administration & dosage
Tablets -- administration & dosage
Drug Prescriptions
Enteral Nutrition
Medication Errors -- prevention & control
Patient Safety
Humans
Pennsylvania
United States

19. A second breadth: hospital-acquired pneumonia in Pennsylvania, nonventilated versus ventilated patients

Author(s):
Davis, James, author
Finley, Edward, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2018
Subject(s):
Cross Infection -- epidemiology
Pneumonia -- epidemiology
Pneumonia -- etiology
Pneumonia -- mortality
Pneumonia, Ventilator-Associated -- epidemiology
Pneumonia, Ventilator-Associated -- mortality
Patient Safety
Cross Infection -- economics
Cross Infection -- mortality
Hospitals
Pneumonia -- economics
Pneumonia, Ventilator-Associated -- economics
Humans
Pennsylvania
United States

23. Snip-it safety

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2004
Subject(s):
Surgical Instruments -- adverse effects
Wounds, Penetrating -- epidemiology
Wounds, Penetrating -- etiology
Cross Infection -- prevention & control
Equipment Contamination
Infection control
Medical Errors -- prevention & control
Patient Safety
Wounds, Penetrating -- prevention & control
Humans
Pennsylvania
United States

28. Venous air emboli and automatic contrast media injectors

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2004
Subject(s):
Contrast Media
Embolism, Air -- etiology
Embolism, Air -- prevention & control
Injections, Intravenous -- adverse effects
Injections, Intra-Arterial -- adverse effects
Injections, Intravenous -- instrumentation
Injections, Intra-Arterial -- instrumentation
Equipment Safety
Medical Errors -- prevention & control
Patient Safety
Tomography, X-Ray Computed
Humans
Pennsylvania
United States

29. A word about air detection devices

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2004
Subject(s):
Embolism, Air -- etiology
Embolism, Air -- prevention & control
Injections, Intravenous -- adverse effects
Injections, Intravenous -- instrumentation
Injections, Intra-Arterial -- adverse effects
Injections, Intra-Arterial -- instrumentation
Contrast Media
Equipment Safety -- instrumentation
Medical Errors -- prevention & control
Patient Safety
Humans
Pennsylvania
United States

38. Topical anesthetic-induced methemoglobinemia

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2005
Subject(s):
Anesthetics, Local -- adverse effects
Benzocaine -- adverse effects
Medication Errors -- prevention & control
Methemoglobinemia -- chemically induced
Anesthetics, Local -- administration & dosage
Benzocaine -- administration & dosage
Drug Overdose
Patient Safety
Humans
Pennsylvania
United States

42. Prior authorization requirements for proprotein convertase subtilisin/kexin type 9 inhibitors across US private and public payers

Author(s):
Doshi, Jalpa A., author
Puckett, Justin T., author
Parmacek, Michael S., author
Rader, Daniel J., author
Publication:
Philadelphia, PA : Leonard Davis Institute of Health Economics, 2018
Subject(s):
Eligibility Determination
Insurance Coverage
Insurance, Health
Proprotein Convertase 9 -- antagonists & inhibitors
Serine Proteinase Inhibitors -- economics
Serine Proteinase Inhibitors -- therapeutic use
Economics, Pharmaceutical
Formularies as Topic
Hypercholesterolemia -- drug therapy
Medicaid -- economics
Medicare -- economics
Private Sector
Public Sector
Humans
Pennsylvania
United States

43. Creating better systems of care for adults with disabilities: lessons for policy and practice

Author(s):
Hostetter, Martha, author
Klein, Sarah, author
Publication:
[New York, N.Y.] : Commonwealth Fund, September 2018
Subject(s):
Disabled Persons -- rehabilitation
Health Services Accessibility
Health Services for Persons with Disabilities
Health Services Needs and Demand
Intellectual Disability -- rehabilitation
Intellectual Disability -- therapy
Mental Disorders -- rehabilitation
Mental Disorders -- therapy
Social Support
Employment
Healthcare Disparities
Long-Term Care
Managed Care Programs
Medicaid
Humans
Florida
Minnesota
New York City
Pennsylvania
Tennessee
United States

46. Point-of-care technology: glucose meter's role in patient care

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2011
Subject(s):
Blood Glucose -- analysis
Delivery of Health Care -- methods
Diagnostic Equipment -- standards
Point-of-Care Systems -- standards
Blood Glucose -- drug effects
Communication
Diagnostic Errors -- adverse effects
Diagnostic Errors -- prevention & control
Inpatients
Laboratories, Hospital
Organizational Policy
Patient safety
Physical Examination
Reagent Strips
Reference Values
Reproducibility of Results
Sensitivity and Specificity
Humans
Pennsylvania
United States

48. Quarterly update: what might be the impact of using the evidence-based best practices for preventing wrong-site surgery? : results of objective assessments of facilities' error analyses

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2011
Subject(s):
Evidence-Based Practice
Medical Errors -- prevention & control
Surgical Procedures, Operative
Systems Analysis
Mandatory Reporting
Medical Errors -- statistics & numerical data
Process Assessment (Health Care)
Humans
Pennsylvania
United States

49. Pennsylvania: on the CUSP of measuring infection prevention culture

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2012
Subject(s):
Cross Infection -- prevention & control
Organizational Culture
Safety Management -- organization & administration
Catheter-Related Infections -- prevention & control
Catheterization, Central Venous -- adverse effects
Health Care Surveys
Health Facilities
Hospital Departments -- organization & administration
Quality of Health Care
Humans
Pennsylvania
United States

50. Patients taking their own medications while in the hospital

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2012
Subject(s):
Inpatients
Medication Errors -- prevention & control
Medication Systems, Hospital -- organization & administration
Ownership
Pharmaceutical Preparations -- administration & dosage
Self Administration
Documentation
Drug-Related Side Effects and Adverse Reactions
Patient Education as Topic
Risk Assessment
Humans
Pennsylvania
United States

51. Reducing risk of air embolism associated with central venous access devices

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2012
Subject(s):
Catheterization, Central Venous -- adverse effects
Embolism, Air -- prevention & control
Risk Management -- methods
Catheterization, Central Venous -- methods
Documentation
Embolism, Air -- epidemiology
Embolism, Air -- etiology
Humans
Pennsylvania
United States

54. Quarterly update on preventing wrong-site surgery

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2012
Subject(s):
Medical Errors -- prevention & control
Medical Errors -- trends
Process Assessment (Health Care)
Surgical Procedures, Operative -- adverse effects
Systems Analysis
Disclosure
Forecasting
Informed Consent
Surgical Procedures, Operative -- statistics & numerical data
Humans
Pennsylvania
United States

57. Multifaceted differences in implementation of practices for prevention of colorectal and bariatric surgical site infections

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2012
Subject(s):
Bariatric Surgery -- adverse effects
Colorectal Surgery -- adverse effects
Postoperative Complications -- prevention & control
Surgical Wound Infection -- prevention & control
Surgical Wound Infection -- economics
Surgical Wound Infection -- epidemiology
Humans
Pennsylvania
United States

59. Quarterly update on wrong-site surgery: facilities with barriers to best practices may experience more wrong-site surgeries

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2012
Subject(s):
Benchmarking
Health Facilities -- standards
Medical Errors -- prevention & control
Medical Errors -- trends
Process Assessment (Health Care)
Surgical Procedures, Operative -- adverse effects
Evidence-Based Medicine
Forecasting
Humans
Pennsylvania
United States

60. Results of the opioid knowledge assessment from the PA Hospital Engagement Network adverse drug event collaboration

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2013
Subject(s):
Analgesics, Opioid -- therapeutic use
Community Networks
Cooperative Behavior
Health Knowledge, Attitudes, Practice
Interinstitutional Relations
Analgesics, Opioid -- adverse effects
Medication Errors -- prevention & control
Pain -- drug therapy
Humans
Pennsylvania
United States
Centers for Medicare & Medicaid Services (U.S.)

62. Results of the PA-HEN organization assessment of safe practices for a class of high-alert medications

Author(s):
Grissinger, Matthew, author
Lamis, Rebecca L., author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2013]
Subject(s):
Analgesics, Opioid -- therapeutic use
Medical Order Entry Systems
Medication Errors -- prevention & control
Patient Care Team
Patient safety
Analgesia, Patient-Controlled
Analgesics, Opioid -- adverse effects
Monitoring, Physiologic
Nursing Assessment
Pain Measurement
Practice Guidelines as Topic -- standards
Risk Assessment
Humans
Pennsylvania
United States

63. Spotlight on electronic health record errors: paper or electronic hybrid workflows

Author(s):
Sparnon, Erin, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2013]
Subject(s):
Electronic Health Records
Electronic Prescribing
Medical Errors -- prevention & control
Medical Order Entry Systems
Medical Records
Records
Workflow
Documentation -- methods
Medical Informatics
Paper
Patient safety
Humans
Pennsylvania
United States

64. Skin integrity, immobility, and pressure ulcers in class III obese patients

Author(s):
Gardner, Lea Anne, author
Pagano, Maryann, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2013]
Subject(s):
Immobilization -- adverse effects
Obesity -- complications
Pressure Ulcer -- etiology
Pressure Ulcer -- prevention & control
Skin -- pathology
Skin Care -- methods
Bariatric Medicine -- instrumentation
Communication
Hygiene
Inservice Training
Obesity, Morbid -- complications
Patient Positioning
Risk Assessment
Risk Factors
Humans
Pennsylvania
United States

65. Oral medications inadvertently given via the intravenous route

Author(s):
Shah-Mohammadi, Ali-Reza, author
Gaunt, Michael J., author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2013]
Subject(s):
Medication Errors -- prevention & control
Medication Errors -- statistics & numerical data
Administration, Oral
Infusions, Intravenous
Injections, Intravenous
Patient safety
Pharmaceutical Preparations -- administration & dosage
Risk Management
Syringes
Humans
Pennsylvania
United States

66. Spotlight on electronic health record errors: errors related to the use of default values

Author(s):
Sparnon, Erin, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2013]
Subject(s):
Electronic Data Processing
Electronic Health Records
Medical Errors -- prevention & control
Medical Errors -- statistics & numerical data
Medical Order Entry Systems
Medication Errors -- prevention & control
Medication Errors -- statistics & numerical data
Software
Equipment Design
Equipment Safety
Patient safety
Humans
Pennsylvania
United States

67. Strategies to fully implement infection control practices in Pennsylvania ambulatory surgical facilities

Author(s):
Bradley, Sharon, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2013]
Subject(s):
Cross Infection -- prevention & control
Infection control
Surgicenters -- standards
Ambulatory Surgical Procedures -- standards
Cross Infection -- epidemiology
Data Collection
Disinfection
Equipment Contamination
Equipment Reuse
Hand Disinfection
Injections
Inservice Training
Patient safety
Sterilization
Humans
Pennsylvania
United States
Centers for Medicare & Medicaid Services (U.S.)

70. Preoperative screening and the influence on cancellations and transfers: an ambulatory surgical facility collaboration

Author(s):
Gardner, Lea Anne, author
Bomboy, Jeff, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2014]
Subject(s):
Cooperative Behavior
Nursing Care
Patient Transfer -- statistics & numerical data
Preoperative Care -- methods
Surgicenters
Treatment Refusal -- statistics & numerical data
Appointments and Schedules
Checklist
Surgical Procedures, Operative
Time Factors
Humans
Pennsylvania
United States

72. Quarterly update on wrong-site surgery: how to do an effective time-out in the dark

Author(s):
Clarke, John R., author
Waddell, Linda, author
Wolff, Donald D., Jr., author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2014]
Subject(s):
Medical Errors -- statistics & numerical data
Medical Errors -- prevention & control
Surgical Procedures, Operative
Darkness
Forecasting
Laser Therapy
Medical Errors -- trends
Humans
Pennsylvania
United States

73. Patient-to-patient aggression in the inpatient behavioral health setting

Author(s):
Gardner, Lea Anne, author
Magee, Mary C., author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2014
Subject(s):
Aggression
Hospitals, Psychiatric
Inpatients
Risk Management
Violence -- statistics & numerical data
Adolescent
Adult
Aged
Child
Environment
Mental Health
Middle Aged
Patient safety
Patient-Centered Care
Professional-Patient Relations
Psychiatric Status Rating Scales
Risk Factors
Humans
Pennsylvania
United States

74. Results of the 2013-2014 opioid knowledge assessment: progress seen, but room for improvement

Author(s):
Gaunt, Michael J., author
Alghamdi, Dalia, author
Grissinger, Matthew, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2014
Subject(s):
Analgesics, Opioid -- therapeutic use
Analgesics, Opioid -- adverse effects
Clinical Competence -- statistics & numerical data
Health Knowledge, Attitudes, Practice
Pain Management -- standards
Personnel, Hospital -- education
Drug Tolerance
Hydromorphone -- adverse effects
Hydromorphone -- therapeutic use
Medication Errors -- prevention & control
Pain -- drug therapy
Patient safety
Morphine -- adverse effects
Morphine -- therapeutic use
Humans
Pennsylvania
United States

75. Quarterly update on wrong-site surgery: marking for regional anesthetic blocks

Author(s):
Clarke, John R., author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2014
Subject(s):
Anesthesia, Conduction -- methods
Medical Errors -- statistics & numerical data
Nerve Block
Preoperative Care -- methods
Surgical Procedures, Operative
Forecasting
Medical Errors -- trends
Patient safety
Humans
Pennsylvania
United States

76. Omission of high-alert medications: a hidden danger

Author(s):
Grissinger, Matthew, author
Alghamdi, Dalia, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2014
Subject(s):
Drug Prescriptions
Drug Therapy -- statistics & numerical data
Medication Errors -- prevention & control
Infusion Pumps
Infusions, Intravenous
Medical Order Entry Systems
Patient safety
Pharmaceutical Preparations -- administration & dosage
Risk Management
Humans
Pennsylvania
United States

77. Standardized emergency codes may minimize "code confusion"

Author(s):
Wallace, Susan C., author
Finley, Edward, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2015
Subject(s):
Emergencies
Emergency Medical Services -- standards
Health Facilities -- standards
Hospital Communication Systems -- standards
Hospitals -- standards
Patient Safety -- standards
Terminology as Topic
Color
Confusion -- prevention & control
Voluntary Programs
Humans
Pennsylvania
United States

78. Patient flow in the ED: phase II--diagnostic evaluation through disposition decision

Author(s):
Magee, Mary C., author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2015
Subject(s):
Diagnosis
Emergency Medical Services -- statistics & numerical data
Emergency Service, Hospital -- statistics & numerical data
Medical Errors -- prevention & control
Medical Errors -- statistics & numerical data
Patient safety
Quality Assurance, Health Care
Continuity of Patient Care
Diagnostic Errors -- prevention & control
Diagnostic Errors -- statistics & numerical data
Medical Order Entry Systems
Patient Identification Systems
Humans
Pennsylvania
United States

79. Quarterly update on wrong-site surgery: do you really want to wake the patient up and start over?

Author(s):
Clarke, John R., author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2015
Subject(s):
Medical Errors -- prevention & control
Medical Errors -- statistics & numerical data
Surgical Procedures, Operative
Intraoperative Care
Perioperative Care
Preoperative Care
Humans
Pennsylvania
United States

80. Oral anticoagulants: a review of common errors and risk reduction strategies

Author(s):
Andreica, Ivyruth, author
Grissinger, Matthew, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, June 2015
Subject(s):
Anticoagulants -- adverse effects
Anticoagulants -- therapeutic use
Medication Errors -- prevention & control
Medication Therapy Management
Administration, Oral
Anticoagulants -- administration & dosage
Drug Monitoring
Drug Prescriptions -- standards
Inservice Training
International Normalized Ratio
Risk Management
Humans
Pennsylvania
United States

81. Medication errors affecting pediatric patients: unique challenges for this special population

Author(s):
Grissinger, Matthew, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2015
Subject(s):
Medication Errors -- prevention & control
Medication Errors -- statistics & numerical data
Adolescent
Child
Child, Preschool
Drug Hypersensitivity
Infant
Infant, Newborn
Patient safety
Pediatrics
Pharmaceutical Preparations -- administration & dosage
Humans
Pennsylvania
United States

82. Pregnancy-related unplanned returns to the operating room

Author(s):
Dubeck, Deborah, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2015
Subject(s):
Patient Readmission -- statistics & numerical data
Pregnancy
Pregnancy Complications
Surgical Procedures, Operative -- statistics & numerical data
Abortion, Incomplete
Abortion, Induced
Lacerations -- surgery
Patient safety
Placenta, Retained
Postpartum Hemorrhage -- surgery
Postpartum Period
Pregnant Women
Uterine Hemorrhage -- surgery
Humans
Pennsylvania
United States

84. Patient flow in the emergency department: phase III--after disposition decision through departure

Author(s):
Magee, Mary C., author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2015
Subject(s):
Emergency Medical Services
Emergency Service, Hospital
Medical Errors -- prevention & control
Medical Errors -- statistics & numerical data
Patient Transfer
Patient Admission
Patient Discharge
Patient Education as Topic
Patient Readmission
Transportation of Patients
Humans
Pennsylvania
United States

88. Missed respiratory therapy treatments: underlying causes and management strategies

Author(s):
Wallace, Susan, author
Gardner, Lea Anne, author
Roper, Christine, author
Publication:
[Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, March 2016
Subject(s):
Medical Errors -- prevention & control
Respiratory Therapy
Continuity of Patient Care
Medical Errors -- statistics & numerical data
Medication Errors
Patient Care Team
Patient Education as Topic
Personnel Staffing and Scheduling
Respiration Disorders -- therapy
Respiratory System Agents -- therapeutic use
Risk Management
Treatment Refusal
Humans
Pennsylvania
United States

91. Newborns pose unique identification challenges

Author(s):
Wallace, Susan C., author
Publication:
[Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, June 2016
Subject(s):
Infant, Newborn
Medical Errors -- prevention & control
Patient Identification Systems -- methods
Medical Errors -- statistics & numerical data
Medication Errors -- statistics & numerical data
Patient safety
Risk Management
Humans
Pennsylvania
United States

92. Scabies: strategies for management and control

Author(s):
Bradley, Sharon, author
Publication:
[Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, June 2016
Subject(s):
Disease Outbreaks -- prevention & control
Health Facilities
Infection control
Scabies -- epidemiology
Scabies -- prevention & control
Acaricides -- therapeutic use
Disinfection
Nursing Homes
Patient safety
Scabies -- diagnosis
Scabies -- transmission
Humans
Pennsylvania
United States

93. Prescribing errors that cause harm

Author(s):
Rider, Briana B., author
Guant, Michael J., author
Grissinger, Mathew, author
Publication:
[Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, September 2016
Subject(s):
Medication Errors -- adverse effects
Medication Errors -- prevention & control
Medication Errors -- statistics & numerical data
Medical Order Entry Systems
Patient safety
Risk Management
Humans
Pennsylvania
United States

94. Process assessment is key to prevention of certain ophthalmology events

Author(s):
Magee, Mary C., author
Publication:
[Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, September 2016
Subject(s):
Cataract Extraction -- adverse effects
Lens Implantation, Intraocular -- adverse effects
Medical Errors -- prevention & control
Medical Errors -- statistics & numerical data
Process Assessment (Health Care)
Forecasting
Medical Errors -- trends
Medication Errors -- statistics & numerical data
Patient safety
Risk Management
Humans
Massachusetts
Pennsylvania
United States

95. Participating in a national project, Pennsylvania nursing homes reduce CAUTIs

Author(s):
Adkins, JoAnn, author
Publication:
[Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, December 2016
Subject(s):
Catheter-Related Infections -- prevention & control
Nursing Homes
Urinary Tract Infections -- prevention & control
Government Programs
Patient safety
Urinary Catheterization -- adverse effects
Urinary Catheters -- adverse effects
Urinary Tract Infections -- epidemiology
Urinary Tract Infections -- etiology
Humans
Pennsylvania
United States
United States. Agency for Healthcare Research and Quality.

97. Frequent monitoring and behavioral assessment: keys to the care of the intoxicated patient

Author(s):
Magee, Mary C., author
Horine, Timothy, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, June 2017
Subject(s):
Alcoholic Intoxication -- therapy
Health Facilities
Patient safety
Safety Management
Alcoholic Intoxication -- epidemiology
Behavior Observation Techniques
Dangerous Behavior
Mental Health Services
Problem Behavior
Risk Management
Humans
Pennsylvania
United States

98. Errors originating in hospital and health-system outpatient pharmacies

Author(s):
Straka, Maximilian, author
Gaunt, Michael J., author
Grissinger, Matthew, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, June 2017
Subject(s):
Medication Errors -- prevention & control
Medication Errors -- statistics & numerical data
Pharmacies -- statistics & numerical data
Drug Prescriptions
Outpatients
Patient safety
Humans
Pennsylvania
United States

100. Retained bioburden on surgical instruments after reprocessing: are we just scraping the surface?

Author(s):
Davis, James, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, June 2017
Subject(s):
Biofilms
Decontamination
Equipment Contamination -- prevention & control
Equipment Contamination -- statistics & numerical data
Equipment Reuse
Equipment Safety
Surgical Instruments -- microbiology
Cross Infection -- prevention & control
Patient safety
Sterilization
Humans
Pennsylvania
United States