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Showing results for "adverse events".
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1. Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in OIG Report as Clearly Preventable or Likely Preventable by Clinical Category (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
   July 01, 2016 - Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in OIG Report as Clearly Preventable … or Likely Preventable by Clinical Category Page 1 of 4 Adverse and Temporary Harm Events in Rehabilitation … Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category Adverse … period of unresponsiveness and blood glucose of 29 resulting in transfer to an acute-care hospital Adverse … Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries, OEI-06-

2. Common Formats Overview | PSO
   pso.ahrq.gov/common-formats/overview
   July 01, 2023 - adverse events experienced by Medicare beneficiaries in healthcare settings. … OIG Report on Adverse Events in Rehabilitation Hospitals The OIG's study of the incidence of adverse … Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries . … OIG Report on Adverse Events in Long-Term-Care Hospitals The OIG's study of adverse events in long-term-care … Lists of Potentially Preventable Adverse Events Using the adverse events identified by the OIG as potentially

3. Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
   January 01, 2019 - Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector … Report1 as Clearly Preventable or Likely Preventable, by Clinical Category Adverse Events Related … Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries, OEI-06- … Other infection-related adverse events • Meningoencephalitis with delayed recognition contributing … to patient death Adverse Events Related to Medication Bleeding associated with anticoagulants • Gastrointestinal

4. Choosing a Patient Safety Organization: Tips for Hospitals and Health Care Providers (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/ChoosingPSO_2016.pdf
   January 01, 2016 - events. … ■ Feedback and expertise to help you understand and prevent the causes of adverse events and to develop … successful approaches to improving quality and reducing adverse outcomes. … Some PSOs specialize by topic area, such as anesthesia or medication adverse events, while other PSOs … may handle many kinds of patient safety events.

5. U.S. Department of Health and Human Services Guidance Regarding Patient Safety Organizations' Reporting Obligations and the Patient Safety and Quality Improvement Act of 2005 (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/fda-guidance-pso.pdf
   December 01, 2010 - regulations at 42 CFR Part 3, provide for the disclosure of information relating to patient safety events … certification and listing of PSOs, which receive this information and analyze these patient safety events … events that were not assembled or developed for reporting to a PSO or information that exists separately … events/complaints. … events as provided in 21 CFR Part 803.

6. Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
   December 21, 2021 - Adverse Drug Events: General Medication Topics ...................................................... … events or to mitigate harm when adverse events do occur. … Incidence of adverse events and negligence in hospitalized patients. … , other surgical and anesthesia-related events, and obstetric and neonatal adverse events, with the … Adverse Drug Events: General Medication Topics Table 2.

7. Frequently Asked Questions | PSO
   pso.ahrq.gov/faq
   April 01, 2023 - By addressing common, preventable adverse events, a healthcare setting can become safer, thereby enhancing … essential for identifying the underlying causes of infrequent, but often tragic, adverse events. … establishing strong protections, providers may engage in more detailed discussions about the causes of adverse … healthcare providers will ultimately result in more opportunities to identify and address the causes of adverse … adverse event rates in populations reviewed that will facilitate collection of comparable performance

8. Fedregnotice-05242016 (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/fedregnotice-05242016.pdf
   January 04, 2024 - National Academy for State Health Policy, ‘‘2014 Guide to State Adverse Event Reporting Systems’’, … Ch 114, Rules Governing the Reporting of Sentinel Events. … events that result in patient harm. … The document the provider prepares to meet its requirement about such adverse events is not PSWP. … events in order to satisfy a federal or state law obligation. 1.

9. Common Formats | PSO
   pso.ahrq.gov/common-formats
   November 01, 2020 - more information about them, how to provide feedback on AHRQ Common Formats, and information about adverse … events in rehabilitation and long-term-care hospitals from studies conducted by the Office of the Inspector

10. Choosing a Patient Safety Organization (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/pso-brochure.pdf
    March 01, 2020 - a PSO found that the PSO’s feedback and analysis was helpful to prevent future patient safety events … that work with a PSO, 80 percent said they find the PSO’s feedback and analysis on patient safety events … have helped prevent similar future events.* * Findings from the September 23, 2019 Final Report: Patient … PSOs can help you develop successful approaches to improving quality and reducing adverse outcomes. … Some PSOs specialize in a specific area, such as anesthesia or medication adverse events, or focus on

11. How To Choose a PSO | PSO
    pso.ahrq.gov/work-with/choose
    November 01, 2020 - Some PSOs specialize by topic area, such as anesthesia or medication adverse events, so you may want … However, larger PSOs that handle all kinds of patient safety events may also have access to the expertise … If one of your goals is to develop insights for rare cases or sentinel events, another relevant question … common definitions and reporting formats) to facilitate the collection and reporting of patient safety events

12. What are "patient safety activities"? | PSO
    pso.ahrq.gov/faq/what-are-patient-safety-activities
    By addressing common, preventable adverse events, a healthcare setting can become safer, thereby enhancing

13. PSO General Information
    pso.ahrq.gov/taxonomy/term/2/feed
    April 23, 2019 - By addressing common, preventable adverse events, a healthcare setting can become safer, thereby enhancing

14. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/npsdpatient-safety-culture-brief.pdf
    September 01, 2016 - in the past 12 months, and about respondent perceptions of the frequency of events reported. … Watson Senior Vice President Michigan Health & Hospital Association 3 of adverse events and discussion … offers a way for PSO members to share accounts of patient safety events. … The alerts describe the reported events and provide information on how to prevent similar events. … Exploring relationships between hospital patient safety culture and adverse events.

15. Choosing a Patient Safety Organization: Tips for Hospitals and Health Care Providers (pdf file)
    pso.ahrq.gov/sites/default/files/Choosing%20a%20PSO.pdf
    August 01, 2012 - PSOs help health care professionals learn from data on patient safety events to prevent them from happening … locally, regionally, and nationally to develop insights into the underlying causes of patient safety events … PSO Privacy Protection Center) ■ Expertise to understand and prevent the causes of patient safety events … Some PSOs specialize by topic area, such as anesthesia or medication adverse PATIENT SAFETY Choosing … , while other PSOs may handle all kinds of patient safety events.

16. Other Educational Materials | PSO
    pso.ahrq.gov/resources/educational-tools
    August 01, 2022 - hospitals during COVID-19 A demonstration of how PSO participation can save hospitals money and avert adverse … events November 5, 2020 Webinar (1 hour, 2 minutes) Working With Patient Safety Organizations

17. Webinar on Working With Patient Safety Organizations (PSOs): The Value for Hospitals During COVID-19 and Beyond | PSO
    pso.ahrq.gov/about/webinar-nov5
    November 01, 2020 - hospitals during COVID-19 A demonstration of how PSO participation can save hospitals money and avert adverse … events. … demonstration of how PSO participation impacts hospitals' quality and safety performance over time, including events

18. PSO Common Terms and Acronyms | PSO
    pso.ahrq.gov/resources/acronyms
    August 01, 2021 - Equitable Relief – The Patient Safety Act prohibits a provider from taking an adverse employment action … Equitable relief refers to the relief that an individual may seek in a civil action to redress an adverse … the NPSD is to facilitate aggregation and analyses of patient safety event information to help reduce adverse … events and improve healthcare quality.

19. PSO Quiz--Answer Sheet (pdf file)
    pso.ahrq.gov/sites/default/files/quiz/pso-quiz-answer-sheet.pdf
    January 01, 2020 - risk management department, the nurse prepares a written statement documenting her observations of an adverse … a written statement prepared for purposes of reporting to the PSO and/or subsequent analysis of an adverse

20. PSO Program - Common Terms and Acronyms (pdf file)
    pso.ahrq.gov/sites/default/files/pso-program-acronyms.pdf
    March 01, 2017 - Equitable Relief – The Patient Safety Act prohibits a provider from taking an adverse employment action … Equitable relief refers to the relief that an individual may seek in a civil action to redress an adverse … the NPSD is to facilitate aggregation and analyses of patient safety event information to help reduce adverse … events and improve health care quality.