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23. 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

24. Warming blankets and patient harm

Author(s):
Feil, Michelle, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2017
Subject(s):
Bedding and Linens -- adverse effects
Hyperthermia, Induced -- adverse effects
Medical Errors -- prevention & control
Medical Errors -- statistics & numerical data
Blister -- etiology
Body Temperature Changes
Burns -- etiology
Burns -- prevention & control
Equipment Failure
Risk Management
Humans
Pennsylvania
United States

25. Use of serological tests to reduce the risk of transmission of Trypanosoma cruzi infection in blood and blood components

Publication:
Silver Spring, MD : Center for Biologics Evaluation and Research, December 2017
Subject(s):
Blood Donors
Chagas Disease -- blood
Chagas Disease -- transmission
Disease Transmission, Infectious -- prevention & control
Donor Selection
Serologic Tests
Trypanosoma cruzi
Chagas Disease -- prevention & control
Risk Management
Humans
United States
United States. Department of Health and Human Services.
United States. Food and Drug Administration.

26. Adverse drug events with HYDROmorphone: how preventable are they?

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2010
Subject(s):
Analgesics, Opioid -- adverse effects
Dose-Response Relationship, Drug
Hydromorphone -- adverse effects
Medication Errors -- prevention & control
Narcotics -- adverse effects
Analgesics, Opioid -- administration & dosage
Analgesics, Opioid -- pharmacology
Central Nervous System Diseases -- chemically induced
Clinical Protocols -- standards
Drug Administration Schedule
Drug Overdose -- epidemiology
Drug Prescriptions
Hydromorphone -- administration & dosage
Hydromorphone -- pharmacology
Morphine -- administration & dosage
Narcotics -- administration & dosage
Narcotics -- pharmacology
Pain Management
Receptors, Opioid, mu -- agonists
Respiration Disorders -- chemically induced
Risk Management
Humans
United States

27. Beyond the bundle: reducing the risk of central line-associated bloodstream infections

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2010
Subject(s):
Catheterization, Central Venous -- adverse effects
Catheter-Related Infections -- prevention & control
Catheters, Indwelling -- adverse effects
Cross Infection -- prevention & control
Infection Control -- methods
Risk Management
Safety Management -- methods
Checklist
Equipment Contamination -- prevention & control
Evidence-Based Practice
Guideline Adherence
Outcome and Process Assessment (Health Care)
Humans
Pennsylvania
United States

28. Clostridium difficile infections in nursing homes

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2010
Subject(s):
Clostridium Infections -- prevention & control
Cross Infection -- prevention & control
Infection Control -- methods
Nursing Homes
Clostridium difficile
Clostridium Infections -- epidemiology
Clostridium Infections -- transmission
Evidence-Based Practice
Mandatory Reporting
Risk Factors
Risk Management
Humans
Pennsylvania
United States

29. Connecting remote cardiac monitoring issues with care areas

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2009
Subject(s):
Electrocardiography, Ambulatory -- methods
Monitoring, Physiologic -- methods
Telemetry -- methods
Clinical Alarms -- standards
Communication
Electrocardiography, Ambulatory -- instrumentation
Equipment Failure
Monitoring, Physiologic -- instrumentation
Practice Guidelines as Topic
Risk Management
Telemetry -- instrumentation
Humans
United States