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2111. Delirium: patient safety event reporting and strategies to improve diagnosis, prevention, and treatment

Author(s):
Feil, Michelle, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2015
Subject(s):
Delirium -- diagnosis
Delirium -- etiology
Delirium -- prevention & control
Delirium -- therapy
Age Factors
Aged
Causality
Comorbidity
Hospitalization
Patient safety
Precipitating Factors
Risk Factors
Sex Factors
Humans
Pennsylvania
United States

2112. The current state of "wrong patient" insulin pen injections

Author(s):
Gaunt, Michael J., author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2015
Subject(s):
Equipment Contamination
Injections
Insulin
Medication Errors -- prevention & control
Medication Errors -- statistics & numerical data
Needles
Forecasting
Medication Errors -- trends
Patient Identification Systems
Patient safety
Self Administration -- instrumentation
Humans
Pennsylvania
United States

2113. Antimicrobial therapy for pneumonia in Pennsylvania long-term care: a spotlight on culture

Author(s):
Davis, James, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2015
Subject(s):
Anti-Bacterial Agents -- therapeutic use
Culture Techniques -- statistics & numerical data
Inappropriate Prescribing
Long-Term Care
Microbial Sensitivity Tests -- statistics & numerical data
Nursing Homes
Pneumonia -- drug therapy
Aged
Drug Resistance, Bacterial
Patient safety
Referral and Consultation
Humans
Pennsylvania
United States

2114. Identify sufficient supplemental oxygen for patient intrahospital transport

Author(s):
Gardner, Lea Anne, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, September 2015
Subject(s):
Hypoxia -- prevention & control
Medical Errors -- prevention & control
Oxygen Inhalation Therapy -- instrumentation
Transportation of Patients
Equipment Safety
Hospitals
Oxygen -- administration & dosage
Patient safety
Humans
Pennsylvania
United States

2116. Addressing the rise in neonatal abstinence syndrome: a multifaceted approach

Author(s):
Wallace, Susan, author
Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, December 2015
Subject(s):
Neonatal Abstinence Syndrome -- epidemiology
Neonatal Abstinence Syndrome -- therapy
Patient Care Team
Analgesics, Opioid -- therapeutic use
Breast Feeding
Empathy
Nurse's Role
Nursing Care
Infant, Newborn
Mothers
Neonatal Abstinence Syndrome -- diagnosis
Neonatal Abstinence Syndrome -- drug therapy
Opioid-Related Disorders
Prescription Drug Misuse
Severity of Illness Index
Street Drugs
Substance-Related Disorders
Humans
Pennsylvania
United States

2117. Family members advocate for improved identification of patients with dementia in the acute care setting

Author(s):
Feil, Michelle, author
Publication:
[Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, March 2016
Subject(s):
Alzheimer Disease -- diagnosis
Cognition Disorders -- diagnosis
Decision Making
Dementia -- diagnosis
Informed Consent
Medical Errors -- prevention & control
Mental Competency
Cognitive Dysfunction -- diagnosis
Color
Communication
Family
Hospitals
Patient Advocacy
Patient Identification Systems -- methods
Proxy
Risk Management
Humans
Pennsylvania
United States

2118. A conceptual framework for improving isolation awareness in Pennsylvania acute care hospitals

Author(s):
Davis, James, author
Finley, Edward, author
Publication:
[Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, March 2016
Subject(s):
Cross Infection -- prevention & control
Guideline Adherence
Health Knowledge, Attitudes, Practice
Health Personnel
Infectious Disease Transmission, Patient-to-Professional -- prevention & control
Infectious Disease Transmission, Professional-to-Patient -- prevention & control
Occupational Exposure -- prevention & control
Occupational Exposure -- statistics & numerical data
Patient Isolation -- standards
Personal protective equipment
Universal Precautions
Blood-Borne Pathogens
Communication
Drug Resistance, Bacterial
Drug Resistance, Multiple
Inservice Training
Risk Management
Humans
Pennsylvania
United States
United States. Occupational Safety and Health Administration.

2119. Decline in serious events and wrong-drug reports involving opioids in Pennsylvania facilities

Author(s):
Grissinger, Matthew, author
Publication:
[Harrisburg, Pennsylvania] : Pennsylvania Patient Safety Authority, March 2016
Subject(s):
Analgesics, Opioid -- administration & dosage
Medication Errors -- statistics & numerical data
Medication Errors -- trends
Forecasting
Health Facilities
Hydromorphone -- administration & dosage
Morphine -- administration & dosage
Narcotics -- administration & dosage
Humans
Pennsylvania
United States