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pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
July 01, 2016 - secondary to medication
• Hypotensive-event (syncope) secondary to beta-blocker used to treat multiple conditions … transfer to an acute-care hospital
Adverse Events Related to Patient Care
Exacerbations of preexisting conditions … and other deteriorating medical conditions
• Omission of care led to congestive heart failure exacerbation
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pso.ahrq.gov/resources/readmission
August 01, 2022 - as a "hospital that the Secretary determines has a high rate of risk-adjusted readmissions for the conditions … means a hospital that the Secretary determines has a high rate of risk-adjusted readmissions for the conditions
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pso.ahrq.gov/contact
February 01, 2025 - outside the scope of the AHRQ PSO Program to provide advice or help with concerns about personal health conditions
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pso.ahrq.gov/common-formats/about
November 01, 2024 - Unsafe conditions: circumstances that increase the probability of a patient safety event occurring.
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pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
December 21, 2021 - Two factors account for system weaknesses: active failures and latent conditions. … Latent conditions may exist for many years
before an active failure happens and triggers an accident … AHRQ National Scorecard on Hospital-Acquired Conditions. … National trends in patient safety for four common conditions, 2005-2011. … AHRQ national scorecard on hospital-acquired conditions.
https://www.ahrq.gov/hai/pfp/index.html.
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pso.ahrq.gov/sites/default/files/wysiwyg/guidance-pswp-provider-obligations.pdf
May 24, 2016 - Medicare’s Conditions
of Participation, state health care regulators, tort system)
“The intent of … actions; complying with required disclosures by
particular providers or suppliers pursuant to Medicare’s conditions … of participation or
conditions of coverage; or provision of access to records by Protection and Advocacy
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pso.ahrq.gov/become/assess-compatibility
August 01, 2021 - A PSO is considered a business associate of a healthcare provider if the relationship meets two conditions
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pso.ahrq.gov/faq
April 01, 2023 - How can a hospital utilize the services of a PSO to help reduce readmission rates for various conditions … For hospitals with high risk-adjusted readmission rates for certain conditions, the Affordable Care Act … If the conditions of section 3.102(c)(3) and, when applicable, of section 3.102(c)(4)(ii)(B) of the Patient … Unsafe conditions: circumstances that increase the probability of a patient safety event occurring.
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pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdf
January 01, 2010 - • Patient Safety Events –
► Incidents or near misses or unsafe conditions
► Any type of event
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pso.ahrq.gov/sites/default/files/wysiwyg/fedregnotice-05242016.pdf
January 04, 2025 - reporting to the National Practitioner Data Bank,
and disclosing information to comply with CMS’
CoPs or conditions … on-call list of
physicians available to provide treatment related to
individuals with emergency medical conditions
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pso.ahrq.gov/sites/default/files/wysiwyg/npsdpatient-safety-culture-brief.pdf
September 01, 2016 - they strive to eliminate
the factors that contribute to medical errors, patient
harm, and unsafe conditions
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pso.ahrq.gov/sites/default/files/wysiwyg/ai-healthcare-safety-program.pdf
July 01, 2025 - standardize
the process for identifying and documenting patient safety concerns (including unsafe conditions
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pso.ahrq.gov/sites/default/files/wysiwyg/pso-program-acronyms.pdf
October 01, 2022 - Note that in addition to meeting the definition of a bona
fide contract, there are additional conditions
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pso.ahrq.gov/resources/acronyms
August 01, 2021 - Note that in addition to meeting the definition of a bona fide contract, there are additional conditions
-
pso.ahrq.gov/sites/default/files/Patient%20Safety%20Act%20PDF.pdf
January 01, 2025 - Patient Safety and Quality Improvement Act of 2005; Public Law 109–41, July 29, 2005
PUBLIC LAW 109–41—JULY 29, 2005
PATIENT SAFETY AND QUALITY
IMPROVEMENT ACT OF 2005
VerDate 14-DEC-2004 11:17 Aug 05, 2005 Jkt 039139 PO 00041 Frm 00001 Fmt 6579 Sfmt 6579 E:\PUBLAW\PUBL041.109 APPS10 PsN: PUBL041
119 STAT. 424 P…
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pso.ahrq.gov/sites/default/files/wysiwyg/Patient-Safety-Act-2005.pdf
January 01, 2005 - Patient Safety and Quality Improvement Act of 2005; Public Law 109–41, July 29, 2005
PUBLIC LAW 109–41—JULY 29, 2005
PATIENT SAFETY AND QUALITY
IMPROVEMENT ACT OF 2005
VerDate 14-DEC-2004 11:17 Aug 05, 2005 Jkt 039139 PO 00041 Frm 00001 Fmt 6579 Sfmt 6579 E:\PUBLAW\PUBL041.109 APPS10 PsN: PUBL041
119 STAT. 424 P…
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pso.ahrq.gov/sites/default/files/wysiwyg/PSO-listing-guide-2022.pdf
January 01, 2022 - A PSO is considered a business
associate of a healthcare provider if the relationship meets two conditions … interaction with, the PSES
• The category of patient safety work product to
which access is needed and any conditions