Subjects: Patient Safety and Pennsylvania - Digital Collections - National Library of Medicine Search Results

Start Over Subjects Patient Safety ✖ Subjects Pennsylvania ✖

1. MRI screening: what's in your pocket?

Author(s):: Field, Cynthia, author
Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2018
Subject(s):: Equipment Safety
Magnetic Fields -- adverse effects
Magnetic Resonance Imaging -- adverse effects
Medical Errors -- prevention & control
Patient Safety
Humans
Pennsylvania
United States

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

6. Safety stories: it takes a village

Author(s):: Deutsch, Ellen S., author
Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2018
Subject(s):: Patient Care Team
Medical Errors -- prevention & control
Medication Errors -- prevention & control
Patient Safety
Humans
Pennsylvania
United States

7. Why are safety stories important?

Author(s):: Deutsch, Ellen S., author
Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2018
Subject(s):: Medical Errors -- prevention & control
Medication Errors -- prevention & control
Narration
Patient Care Team
Patient Safety
Humans
Pennsylvania
United States

8. 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

9. Update on wrong-site surgery: more data provides more insight

Author(s):: Arnold, Theresa V., author
Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2018
Subject(s):: Medical Errors -- statistics & numerical data
Medical Errors -- trends
Surgical Procedures, Operative
Patient Safety
Humans
Pennsylvania
United States

10. What's missing?

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2018
Subject(s):: Equipment Failure
Systems Analysis
Patient Safety
Risk Management
Urine Specimen Collection
Humans
Pennsylvania
United States

11. 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

12. 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

13. 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

14. 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

15. 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

16. Speaking up for safety--it's not simple

Author(s):: Liberatore, Kim, author
Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2018
Subject(s):: Health Care Surveys
Patient Advocacy
Patient Education as Topic
Patient Participation
Patient Safety
Hand Disinfection
Health Knowledge, Attitudes, Practice
Humans
Pennsylvania
United States

17. 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

18. A new pairing: root cause and success analysis

Author(s):: Deutsch, Ellen S., author
Patterson, Mary D., author
Perry, Shawna, J., author
Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2018
Subject(s):: Delivery of Health Care
Medical Errors -- prevention & control
Patient Safety
Quality Improvement
Root Cause Analysis
Humans
Pennsylvania
United States

19. The role of empowerment in patient safety

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2004
Subject(s):: Health Personnel
Organizational Culture
Patient Safety
Power (Psychology)
Communication
Role
Humans
Pennsylvania
United States

20. Risk of unnecessary gall bladder surgery

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2004
Subject(s):: Cholecystectomy
Diagnostic Errors -- prevention & control
Unnecessary Procedures
Cholelithiasis -- diagnostic imaging
Patient Safety
Humans
Pennsylvania
United States

21. 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

22. Medication errors linked to drug name confusion

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2004
Subject(s):: Medication Errors -- prevention & control
Medication Errors -- statistics & numerical data
Prescription Drugs
Terminology as Topic
Patient Safety
Humans
Pennsylvania
United States
Joint Commission on Accreditation of Healthcare Organizations.

23. Fetal lacerations associated with cesarean section

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2004
Subject(s):: Cesarean Section -- adverse effects
Fetus
Lacerations -- epidemiology
Lacerations -- etiology
Medical Errors -- prevention & control
Medical Errors -- statistics & numerical data
Patient Safety
Surgical Instruments -- adverse effects
Humans
Pennsylvania
United States

24. Early discharge from the ED

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2004
Subject(s):: Emergency Medical Services
Emergency Service, Hospital
Medical Errors
Patient Discharge
Patient Safety
Time Factors
Humans
Pennsylvania
United States

25. A rare but potentially fatal complication of colonoscopy

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2004
Subject(s):: Colonoscopy -- adverse effects
Medical Errors -- statistics & numerical data
Splenic Rupture -- etiology
Colonoscopy -- mortality
Medical Errors -- prevention & control
Patient Safety
Splenic Rupture -- mortality
Humans
Pennsylvania
United States

26. 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

27. 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

28. Drug name suffix confusion is a common source of errors

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2004
Subject(s):: Medication Errors -- prevention & control
Drug Prescriptions -- standards
Prescription Drugs
Terminology as Topic
Delayed-Action Preparations
Patient Safety
Humans
Pennsylvania
United States

29. Understanding the benchmarking process

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2004
Subject(s):: Benchmarking
Medication Errors -- prevention & control
Patient Safety
Humans
Pennsylvania
United States

30. "Give 40 of K": (you know what I mean, don't you?)

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2005
Subject(s):: Communication
Drug Prescriptions
Medication Errors -- prevention & control
Verbal Behavior
Patient Safety
Potassium -- therapeutic use
Humans
Pennsylvania
United States

31. Risk of arrhythmia during activation of electrohydraulic lithotripter

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2005
Subject(s):: Arrhythmias, Cardiac -- etiology
Lithotripsy -- adverse effects
Lithotripsy -- instrumentation
Electric Injuries -- prevention & control
Electricity -- adverse effects
Equipment Safety
Patient Safety
Humans
Pennsylvania
United States

32. Multiple messages, multiple tasks

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2005
Subject(s):: Medical Errors -- prevention & control
Multitasking Behavior
Physicians
Communication
Patient Safety
Humans
Pennsylvania
United States

33. Dangers associated with unlabeled basins, bowls, and cups

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2005
Subject(s):: Drug Labeling
Medical Errors -- prevention & control
Medication Errors -- prevention & control
Operating Rooms -- methods
Product Labeling
Surgical Equipment
Drug Packaging
Patient Safety
Product Packaging
Humans
Pennsylvania
United States

34. Focusing on eye surgery

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2005
Subject(s):: Lens Implantation, Intraocular
Medical Errors -- prevention & control
Ophthalmologic Surgical Procedures
Checklist
Patient Safety
Time Out, Healthcare
Humans
Pennsylvania
United States

35. Mismatching medical devices and accessories

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2005
Subject(s):: Equipment and Supplies -- adverse effects
Equipment Failure
Equipment Safety
Medical Errors -- prevention & control
Circumcision, Male
Patient Safety
Sterilization -- methods
Humans
Pennsylvania
United States

36. 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

37. Abbreviations: a shortcut to medication errors

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2005
Subject(s):: Abbreviations as Topic
Drug Prescriptions
Handwriting
Medication Errors -- prevention & control
Patient Safety
Prescription Drugs -- administration & dosage
Humans
Pennsylvania
United States

38. Changing the culture of seclusion and restraint

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2005
Subject(s):: Organizational Culture
Restraint, Physical -- adverse effects
Restraint, Physical -- utilization
Social Isolation
Inservice Training
Mental Disorders -- therapy
Patient Safety
Humans
Pennsylvania
United States

39. The need for surgical preparation

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2005
Subject(s):: Surgical Procedures, Operative -- methods
Time Out, Healthcare
Patient Safety
Humans
Pennsylvania
United States

40. Convenience at a cost

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, April 21, 2005
Subject(s):: Catheters -- adverse effects
Equipment Failure
Equipment Safety
Flowmeters -- adverse effects
Oxygen Inhalation Therapy -- instrumentation
Vascular Access Devices -- adverse effects
Medical Errors
Patient Safety
Humans
Pennsylvania
United States

41. Clostridium difficile: a sometimes fatal complication of antibiotic use

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Clostridium difficile
Clostridium Infections -- complications
Clostridium Infections -- mortality
Clostridium Infections -- prevention & control
Antibiotic Prophylaxis
Anti-Bacterial Agents -- therapeutic use
Inappropriate Prescribing
Clostridium Infections -- therapy
Cross Infection
Patient Safety
Humans
Pennsylvania
United States

42. The five rights: not the gold standard for safe medication practices

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Benchmarking
Medication Errors -- prevention & control
Systems Analysis
Patient Safety
Humans
Pennsylvania
United States

43. A different mindset: one facility's experience with the anonymous report process

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Mandatory Reporting
Medical Errors
Organizational Culture
Patient Safety
Humans
Pennsylvania
United States

44. Risk of fire from alcohol-based solutions

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Alcohols -- therapeutic use
Burns -- etiology
Burns -- prevention & control
Fires -- prevention & control
Aerosols -- therapeutic use
Anti-Infective Agents, Local -- therapeutic use
Electrocoagulation -- instrumentation
Electrosurgery -- instrumentation
Intraoperative Complications -- prevention & control
Patient Safety
Risk
Solutions -- therapeutic use
Humans
Pennsylvania
United States

45. Poor labeling of respiratory therapy medications can impact patient safety

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Bronchodilator Agents -- therapeutic use
Drug Labeling
Drug Packaging
Medication Errors -- prevention & control
Respiratory System Agents -- therapeutic use
Patient Safety
Respiratory Therapy
Humans
Pennsylvania
United States

46. Tips from PA facilities: enforcing the time out and preventing retained foreign bodies

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Foreign Bodies -- prevention & control
Medical Errors -- prevention & control
Time Out, Healthcare
Patient Safety
Humans
Pennsylvania
United States

47. Forgotten but not gone: tourniquets left on patients

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Medical Errors -- prevention & control
Tourniquets -- adverse effects
Patient Safety
Humans
Pennsylvania
United States

48. PCA by proxy--an overdose of care

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Analgesia, Patient-Controlled -- adverse effects
Medication Errors -- prevention & control
Proxy
Analgesics, Opioid -- adverse effects
Drug Overdose -- prevention & control
Family
Nurses
Patient Safety
Humans
Pennsylvania
United States

49. Skin integrity issues associated with pulse oximetry

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Burns -- prevention & control
Oximetry -- adverse effects
Oximetry -- instrumentation
Skin -- injuries
Equipment Failure
Equipment Safety
Patient Safety
Humans
Pennsylvania
United States

50. Complexity of insulin therapy

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Insulins -- adverse effects
Insulins -- therapeutic use
Medication Errors -- prevention & control
Diabetes Mellitus -- drug therapy
Drug Prescriptions
Medical Order Entry Systems
Patient Safety
Humans
Pennsylvania
United States

51. Lost surgical specimens, lost opportunities

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Medical Errors -- prevention & control
Specimen Handling -- methods
Systems Analysis
Patient Safety
Humans
Pennsylvania
United States

52. Expecting the unexpected: ambulatory surgical facilities and unanticipated care

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Ambulatory Care
Medical Errors
Surgicenters
Hospitalization
Intraoperative Complications
Patient Safety
Patient Transfer
Postoperative Complications
Humans
Pennsylvania
United States

53. Continuity of oxygen therapy during intrahospital transport

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2005
Subject(s):: Continuity of Patient Care
Medical Errors -- prevention & control
Oxygen Inhalation Therapy -- instrumentation
Patient Transfer
Transportation of Patients
Hypoxia -- prevention & control
Patient Safety
Humans
Pennsylvania
United States

54. Is CT a high-risk area for patient transport?

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Tomography, X-Ray Computed -- adverse effects
Transportation of Patients
Critical Illness
Patient Safety
Patient Transfer
Risk
Humans
Pennsylvania
United States

55. Unexpected risk from a beneficial device: sequential compression devices and patient falls

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Accidental Falls -- prevention & control
Intermittent Pneumatic Compression Devices -- adverse effects
Equipment Safety
Patient Safety
Risk Factors
Humans
Pennsylvania
United States

56. ICU reports more likely to be reported as serious events

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Critical Care
Intensive Care Units
Medical Errors
Medication Errors
Patient Safety
Humans
Pennsylvania
United States

57. Patient receives shock during defibrillator operational check

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Defibrillators -- adverse effects
Electric Injuries -- prevention & control
Equipment Safety
Medical Errors -- prevention & control
Patient Safety
Humans
Pennsylvania
United States

58. Problems associated with automated dispensing cabinets

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Medication Errors -- prevention & control
Medication Systems, Hospital
Equipment Design
Equipment Safety
Patient Safety
Pharmacy Service, Hospital
Humans
Pennsylvania
United States

59. Anesthesia awareness

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Intraoperative Awareness -- prevention & control
Anesthesia, General
Anesthesiology -- instrumentation
Communication
Equipment Failure
Equipment Safety
Medication Errors -- prevention & control
Monitoring, Intraoperative
Patient Education as Topic
Patient Safety
Risk Factors
Humans
Pennsylvania
United States

60. Unanticipated care after discharge from ambulatory surgical facilities

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Patient Readmission
Postoperative Care
Postoperative Complications -- prevention & control
Surgicenters
Ambulatory Care
Pain, Postoperative -- therapy
Patient Discharge
Patient Education as Topic
Patient Safety
Postoperative Hemorrhage -- therapy
Humans
Pennsylvania
United States

61. Stress management in response to practice errors: critical events in professional practice

Author(s):: Wolf, Zane Robinson, author
Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Health Personnel -- psychology
Medical Errors
Occupational Stress -- prevention & control
Medication Errors
Patient Safety
Stress, Psychological -- prevention & control
Humans
Pennsylvania
United States

62. The Beers Criteria: screening for potentially inappropriate medications in the elderly

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Aging -- drug effects
Inappropriate Prescribing
Medication Therapy Management
Potentially Inappropriate Medication List
Prescription Drugs -- pharmacokinetics
Age Factors
Aged
Aged, 80 and over
Health Services for the Aged
Medication Errors -- prevention & control
Patient Safety
Humans
Pennsylvania
United States

63. From the mouths of babes: healthcare supplies and environment pose dangers to children

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Airway Obstruction -- prevention & control
Equipment and Supplies -- adverse effects
Equipment Safety
Child
Child, Preschool
Infant
Patient Safety
Play and Playthings -- injuries
Humans
Pennsylvania
United States

64. Emergency department management of the suicidal patient

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Suicide -- prevention & control
Suicidal Ideation
Emergency Service, Hospital
Emergency Medical Services
Patient Safety
Patients' Rooms
Risk Management
Treatment Refusal
Humans
Pennsylvania
United States

65. Continuous care throughout patient transfer

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Continuity of Patient Care
Patient Transfer
Transportation of Patients
Critical Care
Critical Illness -- therapy
Intensive Care Units
Medical Errors -- prevention & control
Patient Safety
Humans
Pennsylvania
United States

66. Workarounds: a sign of opportunity knocking

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Medical Errors -- prevention & control
Medication Errors -- prevention & control
Risk Management
Communication
Inservice Training
Patient Safety
Systems Analysis
Humans
Pennsylvania
United States

67. Clear liquids may place patients at risk

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2005]
Subject(s):: Drug Labeling
Medical Errors -- prevention & control
Medication Errors -- prevention & control
Product Labeling
Drug Storage
Patient Safety
Risk Management
Solutions
Humans
Pennsylvania
United States

68. Use of color-coded patient wristbands creates unnecessary risk

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, Dec. 14, 2005
Subject(s):: Color
Medical Errors -- prevention & control
Patient Identification Systems
Classification
Patient Safety
Risk Management
Humans
Pennsylvania
United States

69. Who administers propofol in your organization?

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2006
Subject(s):: Medication Errors -- prevention & control
Propofol -- administration & dosage
Propofol -- adverse effects
Propofol -- therapeutic use
Anesthesiology -- standards
Credentialing
Drug Labeling
Monitoring, Intraoperative
Nurse Anesthetists
Patient Safety
Humans
Pennsylvania
United States

70. Minimizing complications from temporary epicardial pacing wires after cardiac surgery

Author(s):: McClurken, James B., author
Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2006]
Subject(s):: Cardiac Pacing, Artificial -- adverse effects
Device Removal -- adverse effects
Medical Errors -- prevention & control
Pacemaker, Artificial -- adverse effects
Pericardium -- injuries
Postoperative Complications -- prevention & control
Cardiac Surgical Procedures -- adverse effects
Electrodes -- adverse effects
Patient Safety
Humans
Pennsylvania
United States

71. Healthcare industry representatives: maximizing benefits and reducing risks

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2006]
Subject(s):: Biomedical Technology
Health Care Sector
Industry
Operating Rooms -- standards
Risk Management
Organizational Policy
Patient Safety
Privacy
Surgical Procedures, Operative
Humans
Pennsylvania
United States

72. Bioburden on surgical instruments

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2006]
Subject(s):: Equipment Contamination -- prevention & control
Sterilization
Surgical Instruments
Cross Infection -- prevention & control
Equipment Safety
Patient Safety
Surgical Instruments -- microbiology
Humans
Pennsylvania
United States

73. New guidance on preventing anesthesia awareness

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2006]
Subject(s):: Intraoperative Awareness -- prevention & control
Perioperative Care -- standards
Intraoperative Care
Monitoring, Intraoperative
Patient Safety
Postoperative Care
Preoperative Care
Risk Factors
Humans
Pennsylvania
United States

74. Glacial acetic acid: doing more harm than good?

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2006]
Subject(s):: Acetic Acid -- adverse effects
Medication Errors -- prevention & control
Burns, Chemical -- etiology
Burns, Chemical -- prevention & control
Drug Labeling
Patient Safety
Humans
Pennsylvania
United States

75. Mix-up between skin prep solution and adhesive remover

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2006]
Subject(s):: Dermatologic Agents
Medical Errors -- prevention & control
Adhesiveness
Electrodes
Patient Safety
Product Labeling
Product Packaging
Solutions -- adverse effects
Humans
Pennsylvania
United States

76. Electrosurgery safety issues

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2006]
Subject(s):: Electrocoagulation -- adverse effects
Electrocoagulation -- instrumentation
Electrosurgery -- adverse effects
Electrosurgery -- instrumentation
Fires -- prevention & control
Medical Errors -- prevention & control
Equipment Safety
Patient Safety
Humans
Pennsylvania
United States

77. Hold on to these orders

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2006]
Subject(s):: Drug Prescriptions
Medication Errors -- prevention & control
Medication Therapy Management
Anticoagulants -- administration & dosage
Antihypertensive Agents -- administration & dosage
Hypoglycemic Agents -- administration & dosage
Patient Safety
Humans
Pennsylvania
United States

78. Patient Safety Authority. 2021 annual report

Publication:: Harrisburg, PA : Pennsylvania Patient Safety Authority, [2021]
Subject(s):: Patient Safety
Pennsylvania
United States

79. Decision tree helps standardize reporting of falls event types

Author(s):: Gardner, Lea Anne, author
Burns, Laurie M., author
Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2014
Subject(s):: Accidental Falls -- statistics & numerical data
Data Collection -- standards
Decision Support Techniques
Hospitals -- statistics & numerical data
Patient Safety
Toilet Facilities
Humans
Pennsylvania
United States

80. Patient Safety Authority: 2019 annual report

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, [2019]
Subject(s):: Patient Safety
Pennsylvania
United States

81. Patient Safety Authority: 2020 annual report

Publication:: Harrisburg, PA : Pennsylvania Patient Safety Authority, [2021]
Subject(s):: Delivery of Health Care -- organization & administration
Patient Safety
Pennsylvania
United States

82. Survey of emergency department practices in Pennsylvania hospitals to protect patients and staff

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2011
Subject(s):: Emergency Service, Hospital -- organization & administration
Organizational Culture
Patient Safety
Security Measures
Violence -- prevention & control
Data Collection
Guideline Adherence
Personnel, Hospital
Telecommunications
Violence -- statistics & numerical data
Workplace
Humans
Pennsylvania
United States

83. Update on the prevention of retained surgical items

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2012
Subject(s):: Foreign Bodies -- prevention & control
Intraoperative Care -- methods
Intraoperative Complications -- prevention & control
Medical Errors -- prevention & control
Patient Safety
Postoperative Complications -- prevention & control
Safety Management
Surgical Procedures, Operative -- adverse effects
Surgical Procedures, Operative -- methods
Documentation
Needles
Practice Guidelines as Topic
Risk Factors
Surgical Instruments -- adverse effects
Surgical Sponges -- adverse effects
Humans
Pennsylvania
United States

84. A systems and behavioral approach to improve hand hygiene practice

Author(s):: Bradley, Sharon, author
Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2014
Subject(s):: Hand Hygiene -- organization & administration
Hand Disinfection
Hospitals
Infection Control
Systems Analysis
Behavior
Cross Infection -- prevention & control
Guideline Adherence
Health Knowledge, Attitudes, Practice
Patient Safety
Practice Guidelines as Topic
Humans
Pennsylvania
United States

85. What can Pennsylvania learn from Minnesota's program to prevent wrong-site surgery?

Author(s):: Wallace, Susan C., author
Clarke, John R., author
Arnold, Theresa V., author
Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2014
Subject(s):: Medical Errors -- prevention & control
Preoperative Care -- methods
Surgical Procedures, Operative
Cooperative Behavior
Interinstitutional Relations
Organizational Policy
Patient Safety
Humans
Minnesota
Pennsylvania
United States

86. Wrong-site orthopedic operations on the extremities: the Pennsylvania experience

Author(s):: Clarke, John R., author
Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, June 2015
Subject(s):: Medical Errors -- statistics & numerical data
Orthopedic Procedures -- statistics & numerical data
Surgical Procedures, Operative -- statistics & numerical data
Extremities -- surgery
Patient Safety
Humans
Pennsylvania
United States

87. Update on medication errors associated with incorrect patient weights

Author(s):: Bailey, Bryan R., author
Gaunt, Michael J., author
Grissinger, Matthew, author
Publication:: [Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, June 2016
Subject(s):: Body Weight
Medication Errors -- prevention & control
Medication Errors -- statistics & numerical data
Patient Safety
Humans
Pennsylvania
United States

88. That pesky human factor

Author(s):: Deutsch, Ellen S., author
Publication:: [Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, June 2016
Subject(s):: Ergonomics
Medical Errors -- prevention & control
Patient Safety
Systems Analysis
Equipment Design
Humans
Pennsylvania
United States

89. Update on wrong-site surgery: reports from ambulatory surgical facilities

Author(s):: Arnold, Theresa V., author
Publication:: [Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, December 2016
Subject(s):: Medical Errors -- statistics & numerical data
Medical Errors -- trends
Surgical Procedures, Operative
Surgicenters -- statistics & numerical data
Forecasting
Medical Errors -- prevention & control
Patient Safety
Humans
Pennsylvania
United States

90. Medication errors attributed to health information technology

Author(s):: Lawes, Staley, author
Grissinger, Matthew, author
Publication:: [Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, March 2017
Subject(s):: Medical Informatics
Medical Order Entry Systems
Medication Errors -- prevention & control
Medication Errors -- statistics & numerical data
Clinical Pharmacy Information Systems
Electronic Health Records
Patient Safety
Humans
Pennsylvania
United States

91. Dislodged gastrostomy tubes: preventing a potentially fatal complication

Author(s):: Fiel, Michelle, author
Publication:: [Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, March 2017
Subject(s):: Enteral Nutrition -- adverse effects
Enteral Nutrition -- instrumentation
Equipment Failure
Equipment Safety
Fatal Outcome
Gastrostomy -- instrumentation
Patient Safety
Humans
Pennsylvania
United States

92. Handoff communications: a systems approach

Author(s):: Gardner, Lea Anne, author
Publication:: [Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, March 2017
Subject(s):: Communication
Patient Handoff -- organization & administration
Systems Analysis
Medical Errors -- prevention & control
Patient Safety
Patient Transfer
Risk Management
Humans
Pennsylvania
United States

93. Retained surgical items: events and guidelines revisited

Author(s):: Wallace, Susan C., author
Publication:: [Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, March 2017
Subject(s):: Foreign Bodies
Medical Errors -- prevention & control
Surgical Procedures, Operative -- adverse effects
Patient Safety
Humans
Pennsylvania
United States
Joint Commission on Accreditation of Healthcare Organizations.
National Quality Forum.

94. Data snapshot: improving influenza vaccination rates of healthcare personnel in Pennsylvania long-term care facilities

Author(s):: Roberts, Terri Lee, author
Publication:: [Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, March 2017
Subject(s):: Health Personnel
Influenza Vaccines -- therapeutic use
Nursing Homes
Vaccination -- statistics & numerical data
Influenza, Human -- prevention & control
Long-Term Care
Patient Safety
Humans
Pennsylvania
United States

95. Data, data everywhere...not any time to think!

Author(s):: Deutsch, Ellen S., author
Publication:: [Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, March 2017
Subject(s):: Data Display -- adverse effects
Medical Informatics
Electronic Health Records
Equipment Design
Equipment Safety
Patient Safety
User-Computer Interface
Humans
Pennsylvania
United States

96. Catching a 10-fold overdose

Publication:: [Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, March 2017
Subject(s):: Drug Overdose -- prevention & control
Medication Errors -- prevention & control
Syringes
Equipment Safety
Insulin
Patient Safety
Humans
Pennsylvania
United States

97. Patient self-harm in the nonpsychiatric setting

Author(s):: Liberatore, Kim, author
Rose, Carole M., author
Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2019
Subject(s):: Hospitals
Inpatients
Outpatients
Risk Management
Self-Injurious Behavior -- epidemiology
Self-Injurious Behavior -- prevention & control
Patient Safety
Humans
Pennsylvania
United States

98. 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

99. Exploring vulnerability to patient safety events along the age continuum

Author(s):: Field, Cynthia, author
Finley, Edward, author
Deutsch, Ellen S., author
Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2019
Subject(s):: Age Factors
Medical Errors -- statistics & numerical data
Adolescent
Adult
Aged
Aged, 80 and over
Child
Cohort Studies
Infant
Middle Aged
Patient Admission -- statistics & numerical data
Patient Safety
Young Adult
Humans
Pennsylvania
United States

100. Incidence of concurrent surgery in Pennsylvania

Publication:: [Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, March 2019
Subject(s):: Medical Errors
Surgical Procedures, Operative -- methods
Internship and Residency
Patient Safety
Postoperative Complications
Surgical Procedures, Operative -- adverse effects
Humans
Pennsylvania
United States