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1. 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

2. 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

3. 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

4. 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

5. 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

7. 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

8. Treating hyperkalemia: avoid additional harm when using insulin and dextrose

Author(s):
Lawes, Staley, author
Gaunt, Michael J., author
Grissinger, Matthew, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2017
Subject(s):
Hyperkalemia -- drug therapy
Hypoglycemia -- chemically induced
Hypoglycemia -- prevention & control
Medication Errors -- prevention & control
Glucose -- administration & dosage
Glucose -- adverse effects
Hypoglycemia -- drug therapy
Insulin -- administration & dosage
Insulin -- adverse effects
Patient safety
Humans
Pennsylvania
United States

9. Medication errors in outpatient hematology and oncology clinics

Author(s):
Banasser, Ghadeer, author
Karpow, Celeste, author
Gaunt, Michael J., author
Grissinger, Matthew, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2017
Subject(s):
Ambulatory Care Facilities -- statistics & numerical data
Hematology
Medical Oncology
Medication Errors -- statistics & numerical data
Adrenal Cortex Hormones
Antineoplastic Agents
Colony-Stimulating Factors
Risk Management
Humans
Pennsylvania
United States

10. Breakdowns in the medication reconciliation process

Author(s):
Gao, Tingting, author
Gaunt, Michael J., author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2013]
Subject(s):
Medication Errors -- prevention & control
Medication Reconciliation
Drug Prescriptions
Medical History Taking
Medication Reconciliation -- methods
Medication Therapy Management
Prescription Drugs -- administration & dosage
Process Assessment (Health Care)
Humans
Pennsylvania
United States

11. The current state of "wrong patient" insulin pen injections

Author(s):
Gaunt, Michael J., author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2015
Subject(s):
Equipment Contamination
Injections
Insulin
Medication Errors -- prevention & control
Medication Errors -- statistics & numerical data
Needles
Forecasting
Medication Errors -- trends
Patient Identification Systems
Patient safety
Self Administration -- instrumentation
Humans
Pennsylvania
United States

13. Drug shortages: shortchanging quality and safe patient care

Author(s):
Cierniak, Kayla H., author
Gaunt, Michael J., author
Grissinger, Matthew, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2019
Subject(s):
Prescription Drugs -- supply & distribution
Medication Errors -- statistics & numerical data
Forecasting
Medication Errors -- prevention & control
Medication Errors -- trends
Patient Safety
Prescription Drugs -- administration & dosage
Quality of Health Care
Risk Management
Humans
Pennsylvania
United States