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 harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. March 24, 2021 Escape Room. 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Requires DHSS to make reported information about certain adverse events publicly available. June 27, 2007
Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. March 24, 2021
2020 Pennsylvania Patient Safety Reporting: an analysis of serious events and incidents from the nation’s largest event reporting database. May 19, 2021
Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. October 6, 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
The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience. June 13, 2007
Inadequate Outpatient Mental Health Triage and Care of a Patient at the Chico Community-Based Outpatient Clinic in California. March 1, 2023
A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout. September 2, 2020
The use of anatomical side markers in general radiology: a systematic review of the current literature. August 26, 2020
Inadequate Emergency Department Care and Physician Misconduct at the Washington DC VA Medical Center. August 12, 2020
Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City. July 29, 2020
Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. May 5, 2021
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
Stroke hospitalization after misdiagnosis of "benign dizziness" is lower in specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods. July 21, 2021
Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Locations Prior to the Pandemic. July 14, 2021
Incidence, origins and avoidable harm of missed opportunities in diagnosis: longitudinal patient record review in 21 English general practices. June 30, 2021
Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. June 16, 2021
Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia. May 26, 2021
Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice. November 3, 2021
Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices. October 20, 2021
A multisite study of interprofessional teamwork and collaboration on general medical services. November 25, 2020
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 in Care, Care Coordination, and Facility Response to a Patient Who Died by Suicide, Memphis VA Medical Center in Tennessee. September 30, 2020
Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice. December 15, 2021
Worldwide incidence of surgical site infections in general surgical patients: a systematic review and meta-analysis of 488,594 patients. December 8, 2021
Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. September 15, 2021
Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients? September 1, 2021
Failures in Care Coordination and Reviewing a Patient's Death at the VA Salt Lake City Healthcare System in Utah. August 25, 2021
Understanding complaints made about surgical departments in a UK district general hospital. August 4, 2021
The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - a systematic review and meta-analysis. July 15, 2020
Does a suggested diagnosis in a general practitioners' referral question impact diagnostic reasoning: an experimental study. April 27, 2022
Deficiencies after the New Electronic Health Record Go-Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. March 30, 2022
Comprehensive Healthcare Inspection Summary Report: Evaluation of Mental Health in Veterans Health Administration Facilities, Fiscal Year 2020. March 16, 2022
Predictive power of the "trigger tool" for the detection of adverse events in general surgery: a multicenter observational validation study. March 9, 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
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
Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. November 16, 2022
Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities. October 26, 2022
Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021. October 12, 2022
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
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
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
The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record. September 7, 2022
The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. July 27, 2022
Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation. July 20, 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
Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. November 8, 2023
Deficiencies in Facility Leaders' Response to Critical Surgical Events at the Michael E. DeBakey VA Medical Center in Houston, Texas. October 25, 2023
The frequency and nature of prescribing problems by general practitioners in training (REVISiT). June 15, 2022
Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. May 25, 2022
The patient's "story": an examination of patient-reported safety incidents in general practice. May 4, 2022
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
Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. October 9, 2019
Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. September 4, 2019
Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. January 14, 2015
Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. September 16, 2015
Identifying patient safety problems associated with information technology in general practice: an analysis of incident reports. December 16, 2015
Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries. July 27, 2016
Review of Alleged Patient Deaths, Patient Wait Times, and Scheduling Practices at the Phoenix VA Health Care System. September 10, 2014
Interim Report: Review of VHA's Patient Wait Times, Scheduling Practices, and Alleged Patient Deaths at the Phoenix Health Care System. June 4, 2014
Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries. January 9, 2019
An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. January 6, 2010
Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. March 19, 2014
Healthcare Inspection—Emergency Department Patient Deaths: Memphis VAMC, Memphis, Tennessee. November 13, 2013
Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems. August 1, 2012
Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities. June 13, 2012
Investigating the Prevalence and Causes of Prescribing Errors in General Practice: The PRACtICe Study. May 16, 2012
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