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Start Over Subjects Patient Safety ✖Remove constraint Subjects: Patient Safety

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. 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

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

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

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

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

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

40. Ready or not: protecting the public's health from diseases, disasters and bioterrorism : 2019

Author(s):
Farberman, Rhea K., author
Lieberman, Dara Alpert, author
Auerbach, John, author
Publication:
Washington, DC : Trust for America's Health, February 2019
Subject(s):
Bioterrorism -- prevention & control
Disease Outbreaks -- prevention & control
Medical Countermeasures
Natural Disasters
Accreditation
Climate Change
Drinking Water
Drug Resistance, Microbial
Family Leave
Financing, Government
Health Care Coalitions
Health Equity
Health Workforce
Influenza Vaccines
Laboratories
Licensure
Pandemics
Patient Safety
Public Health Surveillance
Resilience, Psychological
Sick Leave
State Government
Vaccination
Humans
United States

42. Investigational new drugs: FDA's expanded access program : testimony before the Subcommittee on Health, Committee on Energy and Commerce, House of Representatives

Publication:
Washington, D.C. : U.S. Government Accountability Office, October 3, 2017
Subject(s):
Drug Approval -- statistics & numerical data
Drugs, Investigational -- therapeutic use
Health Services Accessibility
Patient Safety
Investigational New Drug Application
Humans
United States
United States. Food and Drug Administration.

44. 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

47. 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

63. 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

65. 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

73. 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

83. VA health care: improved policies and oversight needed for reviewing and reporting providers for quality and safety concerns : report to the chairman, Committee on Veterans' Affairs, House of Representatives

Publication:
Washington, DC : United States Government Accountability Office, November 2017
Subject(s):
Clinical Competence
Government Regulation
Hospitals, Veterans
Patient Safety
Quality of Health Care
Documentation
Health Policy
Veterans Health
Humans
United States
United States. Veterans Health Administration.

84. VA health care: improved oversight needed for reviewing and reporting providers for quality and safety concerns : testimony before the Subcommittee on Oversight and Investigations, Committee on Veterans' Affairs, House of Representatives

Publication:
Washington, DC : United States Government Accountability Office, November 29, 2017
Subject(s):
Clinical Competence
Government Regulation
Hospitals, Veterans
Patient Safety
Quality of Health Care
Documentation
Veterans Health
Humans
United States
United States. Veterans Health Administration.

85. 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

94. Considerations for the inclusion of adolescent patients in adult oncology clinical trials

Publication:
Silver Spring, MD : Center for Drug Evaluation and Research, March 2019
Subject(s):
Clinical Trials as Topic -- ethics
Adolescent
Neoplasms -- drug therapy
Adult
Medical Oncology -- ethics
Patient Safety
Patient Selection
Pharmacokinetics
Humans
United States
United States. Department of Health and Human Services.
United States. Food and Drug Administration.

95. Adverse events in long-term-care hospitals: national incidence among Medicare beneficiaries

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, November 2018
Subject(s):
Hospitals -- statistics & numerical data
Incidence
Long-Term Care -- statistics & numerical data
Medical Errors -- statistics & numerical data
Medicare
Hospital Mortality
Medical Errors -- prevention & control
Patient Safety
Quality Indicators, Health Care
Quality of Health Care
Subacute Care
Humans
United States
United States. Agency for Healthcare Research and Quality.
Centers for Medicare & Medicaid Services (U.S.)

96. Patient Safety Organizations: hospital participation, value, and challenges

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, September 2019
Subject(s):
Government Programs
Hospitals
Organizations
Patient Safety
Voluntary Programs
Government Regulation
Medical Errors -- prevention & control
Humans
United States
United States. Agency for Healthcare Research and Quality.

98. 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

100. 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