Legislation/Case Law An Amendment of the Medical Care Availability and Reduction of Error (Mcare) Act. Citation Text: Pennsylvania General Assembly. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL August 1, 2007 Pennsylvania General Assembly. This bill requires that Pennsylvania hospitals and nursing homes implement an internal infection control plan and report hospital-acquired infections. Free full text Information Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Pennsylvania General Assembly. Copy Citation Related Resources From the Same Author(s) Prohibition of Excessive Overtime for Nurses Act. May 25, 2005 Requires DHSS to make reported information about certain adverse events publicly available. June 27, 2007 Patient Safety Authority. March 6, 2005 Clear liquids may place patients at risk. January 25, 2006 Escape Room. December 9, 2020 Statement of The Hospital & Healthsystem Association of Pennsylvania. March 6, 2005 Patient Safety Authority Annual Reports. May 1, 2023 Q3 Health Innovation Partners. January 8, 2020 Hospital-acquired Infections in Pennsylvania. December 6, 2006 Recommendations for Safe Use of Insulin in Hospitals. February 8, 2006 Hospital-acquired Infections in Pennsylvania. July 27, 2005 Teamwork and Communication. July 7, 2010 Addressing Health Worker Burnout. June 8, 2022 Independent Review of Gross Negligence Manslaughter and Culpable Homicide. July 17, 2019 National Training Survey 2013: Concerns about Patient Safety. January 8, 2014 Adverse Events. November 8, 2023 Covid-19: Assessing the Risk to Public Protection Posed by a Doctor as a Result of Concerns about their Practice during the Pandemic. September 30, 2020 Raising and Acting on Concerns about Patient Safety. 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November 16, 2022 Incidence of Adverse Events in Indian Health Service Hospitals. December 23, 2020 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. July 13, 2022 Medicare's Oversight of Ambulatory Surgery Centers Report. October 23, 2019 Hospital Reporting of Deaths Related to Restraint and Seclusion. September 27, 2006 Nursing Home Complaint Investigations. September 20, 2006 2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. May 19, 2021 Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. September 16, 2015 Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. June 13, 2012 Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. June 4, 2014 Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. September 10, 2014 Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. July 26, 2023 Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. March 1, 2023 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021. October 12, 2022 Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. January 31, 2024 Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures. January 24, 2024 The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. July 27, 2022 Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow-Up Care at the Phoenix VA Health Care System in Arizona. November 29, 2023 Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. October 25, 2023 Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. April 19, 2023 Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020. April 22, 2020 Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. March 16, 2022 VA Patient Safety Program: A Cultural Perspective at Four Medical Facilities. January 4, 2006 Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. March 5, 2014 Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. December 16, 2020 Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center in Tennessee. September 30, 2020 Long-Term Trends of Psychotropic Drug Use in Nursing Homes. February 1, 2023 Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. May 25, 2022 Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. November 8, 2023 Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. September 15, 2021 Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. April 26, 2006 Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus. April 10, 2024 Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. March 24, 2021 Process failures that increase the risk of infection through respiratory droplets: a study of patient safety events reported by hospitals across Pennsylvania. October 7, 2020 Critical Deficiencies at the Washington DC VA Medical Center. March 21, 2018 Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. 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January 18, 2012 Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. August 1, 2012 Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. November 16, 2011 Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. March 19, 2014 Medicare’s Oversight of Compounded Pharmaceuticals Used in Hospitals. February 11, 2015 Adverse Events Toolkit: Medical Record Review Methodology. July 26, 2023 Adverse Events Toolkit: Clinical Guidance for Identifying Harm July 19, 2023 Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. February 18, 2009 Adverse Events in Hospitals: State Reporting Systems. January 14, 2009 Adverse Events in Hospitals: Overview of Key Issues. January 14, 2009 Adverse Events in Hospitals: Public Disclosure of Information About Events. January 20, 2010 Therapeutic duplication on the general surgical wards. October 13, 2021 Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. July 18, 2007 The frequency and nature of prescribing problems by general practitioners in training (REVISiT). June 15, 2022 The patient's "story": an examination of patient-reported safety incidents in general practice. May 4, 2022 View More Related Resources The National Healthcare Safety Network's digital quality measures: CDC's automated measures for surveillance of patient safety. April 24, 2024 Prioritizing Patient Safety Through Quality Measurement. February 28, 2024 National Healthcare Quality and Disparities Reports. January 9, 2024 National and State Healthcare-Associated Infections Progress Report. November 30, 2023 It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. November 29, 2023 Adverse Health Events in Minnesota: Annual Reports. September 30, 2023 Maryland Hospital Patient Safety Program Annual Report. September 28, 2023 Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. June 7, 2023 Patient Safety Authority Annual Reports. May 1, 2023 National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020. March 1, 2023 National Patient Safety Board Act of 2022. December 21, 2022 The Lancet Commission on lessons for the future from the COVID-19 pandemic. October 12, 2022 COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. October 12, 2022 Concordance of hospital ranks and category ratings using the current technical specification of US Hospital Star Ratings and reasonable alternative specifications. August 31, 2022 Risk reduction strategy to decrease incidence of retained surgical items. August 31, 2022 Health care quality and safety in a correctional system: creating goals and performance measures for improvement. August 17, 2022 Improving Diagnosis in Medicine Act of 2022. July 20, 2022 COVID-19 Focused Inspection Initiative in Healthcare. March 23, 2022 Patient Safety Primers Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes February 24, 2022 Hospital Performance Report. October 28, 2021 Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. September 22, 2021 Addressing systemic racism in nursing homes: a time for action. April 14, 2021 Medicare cuts payment to 774 hospitals over patient complications. March 3, 2021 Improving Diagnosis in Medicine Act of 2020. December 23, 2020 Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 pandemic. September 16, 2020 For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths. August 19, 2020 Private patient rooms and hospital-acquired methicillin-resistant Staphylococcus aureus: hospital-level analysis of administrative data from the United States. August 5, 2020 As coronavirus ravaged nursing homes, inspectors were not being tested. August 5, 2020 Older Adults and COVID-19: Implications for Aging Policy and Practice. July 15, 2020 A nursing home’s 64-day Covid siege: ‘They’re all going to die’. June 24, 2020 View More See More About The Topic Outpatient Surgery Hospitals Long-Term Care Policy Makers General Internal Medicine View More
Requires DHSS to make reported information about certain adverse events publicly available. June 27, 2007
Covid-19: Assessing the Risk to Public Protection Posed by a Doctor as a Result of Concerns about their Practice during the Pandemic. September 30, 2020
Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. March 30, 2022
Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. June 16, 2021
Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. October 6, 2021
An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. January 6, 2010
Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. November 16, 2022
Multiple Failures in Test Results Follow-up for a Patient Diagnosed with Prostate Cancer at the Hampton VA Medical Center in Virginia. July 13, 2022
2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. May 19, 2021
Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. September 16, 2015
Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. June 13, 2012
Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. June 4, 2014
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. September 10, 2014
Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. July 26, 2023
Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. March 1, 2023
Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021. October 12, 2022
Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. January 31, 2024
Deficiencies in the Community Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures. January 24, 2024
The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. July 27, 2022
Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow-Up Care at the Phoenix VA Health Care System in Arizona. November 29, 2023
Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. October 25, 2023
Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. April 19, 2023
Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020. April 22, 2020
Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. March 16, 2022
Deficiencies in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center in Tennessee. September 30, 2020
Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. May 25, 2022
Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. November 8, 2023
Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. September 15, 2021
Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. April 26, 2006
Electronic Health Record Modernization Caused Pharmacy-Related Patient Safety Issues Nationally and at the VA Central Ohio Healthcare System in Columbus. April 10, 2024
Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. March 24, 2021
Process failures that increase the risk of infection through respiratory droplets: a study of patient safety events reported by hospitals across Pennsylvania. October 7, 2020
Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. November 13, 2013
Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. May 16, 2012
Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia. May 26, 2021
Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. July 5, 2023
Deficiencies in Inpatient Mental Health Care Coordination and Processes Prior to a Patient's Death by Suicide, Harry S. Truman Memorial Veterans' Hospital in Columbia, Missouri. February 10, 2021
Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. August 25, 2021
Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Locations Prior to the Pandemic. July 14, 2021
Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri. August 2, 2023
Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. September 4, 2019
Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. August 12, 2020
Deficiencies in Care Coordination and Facility Response to a Patient Suicide at the Minneapolis VA Health Care System, Minnesota. January 29, 2020
Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. January 14, 2015
Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look. May 20, 2020
The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. June 13, 2007
Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. July 27, 2016
Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. January 9, 2019
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. August 1, 2012
Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. March 19, 2014
Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties. February 18, 2009
Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors. July 18, 2007
The frequency and nature of prescribing problems by general practitioners in training (REVISiT). June 15, 2022
The patient's "story": an examination of patient-reported safety incidents in general practice. May 4, 2022
The National Healthcare Safety Network's digital quality measures: CDC's automated measures for surveillance of patient safety. April 24, 2024
It depends who you ask: divergences in staff and external stakeholder narratives about the causes of a healthcare failure. November 29, 2023
Underreporting of quality measures and associated facility characteristics and racial disparities in US nursing home ratings. June 7, 2023
National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020. March 1, 2023
COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. October 12, 2022
Concordance of hospital ranks and category ratings using the current technical specification of US Hospital Star Ratings and reasonable alternative specifications. August 31, 2022
Health care quality and safety in a correctional system: creating goals and performance measures for improvement. August 17, 2022
Patient Safety Primers Coronavirus Disease 2019 (COVID-19) and Safety of Older Adults Residing in Nursing Homes February 24, 2022
Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes. September 22, 2021
Severe staffing and personal protective equipment shortages faced by nursing homes during the COVID-19 pandemic. September 16, 2020
For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths. August 19, 2020
Private patient rooms and hospital-acquired methicillin-resistant Staphylococcus aureus: hospital-level analysis of administrative data from the United States. August 5, 2020