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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