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31. 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

32. 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

33. 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

34. 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

35. 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

36. 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

38. Care at discharge: a critical juncture for transition to posthospital care

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2008
Subject(s):
Aftercare -- organization & administration
Case Management -- organization & administration
Continuity of Patient Care -- organization & administration
Patient Discharge -- standards
Appointments and Schedules
Medication Errors -- prevention & control
Medication Reconciliation -- methods
Patient Education as Topic
Risk Management
Humans
Pennsylvania
United States

39. Hemodialysis administration: strategies to ensure safe patient care

Publication:
[Harrisburg, Pa.] : Pennsylvania Patient Safety Authority, c2010
Subject(s):
Renal Dialysis -- adverse effects
Renal Dialysis -- methods
Safety
Accidental Falls -- prevention & control
Blood Coagulation
Clinical Protocols
Equipment Failure
Guideline Adherence
Kidney Failure, Chronic -- therapy
Medication Errors
Needles -- adverse effects
Risk Management
Humans
United States