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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. 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

3. 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.

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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

10. 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.

11. 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

12. 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.

13. PSO Program - Common Terms and Acronyms (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/pso-program-acronyms.pdf
    October 01, 2022 - index.html Page 4 of 6 Equitable Relief – The Patient Safety Act prohibits a provider from taking an adverse … 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.

14. AHRQ Slide Template 2019-Widescreen (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
    January 01, 2020 - feedback to healthcare providers aimed at promoting learning and preventing future patient safety events … find it valuable ► 80% found the PSO’s feedback and analysis helped prevent future patient safety events … aggregate patient safety data, and to develop customized approaches to improve quality and reduce adverse … ► Increased data volume: A PSO can identify and help your organization learn from rare and novel events … C. difficile LabID Events Catheter-Associated Urinary Tract Infections Urinary Catheter Utilization

15. Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories From Hospital PSO Members (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdf
    January 01, 2010 - healthcare outcomes • Authorizes establishment of “Common Formats” for reporting patient safety events … • Patient Safety Events – ► Incidents or near misses or unsafe conditions ► Any type of event … safety or healthcare outcomes • Common Formats – ► Provide a uniform way to measure patient safety events … • The PSO analyzes data and reports trends and we now report trends related to near miss events … • Report your events so we can “all teach, all learn” • How to prioritize issues?

16. Slide 1 (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/guidance-pswp-provider-obligations.pdf
    May 24, 2016 - possible equipment malfunctions for reporting to a PSO so that the PSO can aggregate it with other rare events … Information … collected to comply with external obligations, such as: state incident reporting requirements; adverse

17. Patient Safety Organization (PSO) Listing Guide (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/pso-listing-guide-2022.pdf
    January 01, 2022 - Health Service Act to provide for the improvement of patient safety and to reduce the incidence of events … ❍ WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of patient safety events … product with a member of the parent organization whose job responsibilities would involve taking adverse

18. Patient Safety Organization (PSO) Listing Guide (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/PSO-listing-guide-2022.pdf
    January 01, 2022 - Health Service Act to provide for the improvement of patient safety and to reduce the incidence of events … ❍ WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of patient safety events … product with a member of the parent organization whose job responsibilities would involve taking adverse

19. Patient Safety Organizations: A Compliance Self-Assessment Guide (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/saguide.pdf
    September 01, 2009 - them to take advantage of the potential for significant aggregation and analysis of patient safety events … product with a member of the parent organization whose job responsibilities would involve taking adverse