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1. Blood transfusion events--lessons learned from a complex process

Author(s):
Dubeck, Deborah, author
Publication:
[Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, September 2016
Subject(s):
Medical Errors -- prevention & control
Medical Errors -- statistics & numerical data
Transfusion Reaction
Forecasting
Medical Errors -- trends
Medication Errors -- statistics & numerical data
Patient safety
Humans
Pennsylvania
United States

2. Data snapshot: complications linked to iatrogenic enteral feeding tube misplacements

Author(s):
Wallace Susan C., author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2017
Subject(s):
Enteral Nutrition -- adverse effects
Enteral Nutrition -- instrumentation
Intubation, Gastrointestinal -- adverse effects
Medical Errors -- statistics & numerical data
Medical Errors -- trends
Esophageal Perforation -- etiology
Iatrogenic Disease
Pneumothorax -- etiology
Humans
Pennsylvania
United States

3. 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

4. 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
Information Dissemination
Nerve Block -- adverse effects
Nerve Block -- methods
Organizational Culture
Peripheral Nerves
Safety Management
Stents -- adverse effects
Ureter
Humans
United States

5. 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

8. Quarterly update on wrong-site surgery: electronic records can help prevent harm but are not harmless

Author(s):
Clarke, John R., author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2014
Subject(s):
Electronic Health Records
Medical Errors -- prevention & control
Medical Errors -- statistics & numerical data
Surgical Procedures, Operative
Forecasting
Medical Errors -- trends
Patient safety
Humans
United States

10. 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