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1. Father Penn and John Barleycorn

3. Perioperative medication errors: uncovering risk from behind the drapes

4. Are you ready to respond?: reports of high harm complications after surgery and invasive procedures

5. From the database: deaths after ambulatory surgery

6. How wet is your patient's bed?: blood, urine, and microbiological contamination of mattresses and mattress covers

10. A call to lead: the case for accelerating academic health center transformation

11. Latex: a lingering and lurking safety risk

12. Data snapshot: group A streptococcus in Pennsylvania long-term care facilities

15. Surgical fires: decreasing incidence relies on continued prevention efforts

16. Identifying patient harm from direct oral anticoagulants

17. Combat norovirus infections in long-term care facilities

18. Adapting verification processes to prevent wrong radiology events

19. The breakup: errors when altering oral solid dosage forms

21. A second breadth: hospital-acquired pneumonia in Pennsylvania, nonventilated versus ventilated patients

26. Message from the President of the United States, transmitting a letter from the secretary of state of the State of Pennsylvania: also a letter from the Secretary of War, in relation to the Marine Hospital at Erie, Pa

31. Snip-it safety

36. Venous air emboli and automatic contrast media injectors

37. A word about air detection devices

46. Topical anesthetic-induced methemoglobinemia