Results

Total Results: 25 records

Showing results for "event".

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 - hematoma in thigh secondary to multiple anticoagulants Hypotension secondary to medication • Hypotensive-event … to congestive heart failure exacerbation resulting in transfer to an acute- care hospital • Cascade event … Clostridium difficile infection • Clostridium difficile infection secondary to antibiotics • Cascade event … confusion, and metabolic acidosis resulting in transfer to an acute-care hospital Sepsis • Cascade event … then severe hypotension resulting in transfer to an acute-care hospital and finally death • Cascade event

2. AHRQ Slide Template 2019-Widescreen (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
   January 01, 2020 - submit and receive PSWP, confidentiality and privilege, and ‘How to report to PSO (SBAR format)’: • Event … Reporting (Safety Event/Sentinel event) • Patient Safety Plan • Root Cause Analysis • Confidentiality … Press Ganey/HPI model) approx. 3500 have taken this course since 2014 • Bimonthly, anonymous Safety Event … Guidance Re: Sentinel Event Alerts, ISMP, etc. e. … DRIVERS OF HIGH RELIABILITY & SAFETY SERIOUS SAFETY EVENT RATE (SSER) SAFETY IS A CORE VALUE STANDARDIZED

3. Work With a Patient Safety Organization | PSO
   pso.ahrq.gov/work-with
   November 01, 2020 - Increased event data volume. … As PSOs aggregate large volumes of event data from multiple providers, they are in a position to identify

4. 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 - FDA-regulated entities generally have mandatory adverse event reporting responsibilities under the FDCA … and its implementing regulations, device manufacturers are required to establish and maintain MDR event … and Quality Improvement Act of 2005” 3 inspections, and MDR event … permit any authorized FDA employee, at all reasonable times, to access, to copy, and to verify MDR event … Thus, FDA may inspect facilities and any adverse event/complaint files, including files containing PSWP

5. Frequently Asked Questions | PSO
   pso.ahrq.gov/faq
   April 01, 2023 - the information about the patient safety event. … AHRQ has developed Common Formats for Event Reporting for several healthcare settings and event types … What are the Common Formats for Event Reporting (CFER)? … Unsafe conditions: circumstances that increase the probability of a patient safety event occurring. … What are the Common Formats for Event Reporting–Diagnostic Safety (CFER-DS)?

6. 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 - • Patient Safety Events – ► Incidents or near misses or unsafe conditions ► Any type of event … adheres to the requirements of the legislation. 22 Evolving Needs • Assistance with more robust event … • Collaboration with the PSO IT staff to assist us in moving toward electronic event reporting. … hospital readmissions. 23 Overall Benefit of the PSO Program • Allowing our facility’s event

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

8. Select the Prospective PSO Authorized Official (AO) | PSO
   pso.ahrq.gov/become/select-authorized-official
   August 01, 2021 - AHRQ will want to communicate directly with the AO in all technical assistance calls and in the event

9. PSO Common Terms and Acronyms | PSO
   pso.ahrq.gov/resources/acronyms
   August 01, 2021 - Patient Safety Organizations' Reporting Obligations to the FDA  (PDF, 0.4 MB) HERF – Healthcare Event … U.S.C. 299b‐23), will receive, analyze, and report on non‐identifiable and aggregated patient safety event … The goal of the NPSD is to facilitate aggregation and analyses of patient safety event information to … to provide support and assistance to PSOs for the contextual non‐identification of patient safety event

10. PSO Program - Common Terms and Acronyms (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/pso-program-acronyms.pdf
    October 01, 2022 - HERF – Healthcare Event Reporting Form (HERF); it is one of 3 general forms of AHRQ’s Common Formats. … U.S.C. 299b‐23), will receive, analyze, and report on non‐identifiable and aggregated patient safety event … The goal of the NPSD is to facilitate aggregation and analyses of patient safety event information to … to provide support and assistance to PSOs for the contextual non‐identification of patient safety event

11. Working With a PSO: One Approach (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/WorkingWithAPSOOneApproach-20160317.pdf
    January 01, 2016 - feedback and analysis to provider PSES ■ Prepare data to submit to PSOPPC Nonidentifiable Patient Safety Event

12. PSO Program - Common Terms and Acronyms (pdf file)
    pso.ahrq.gov/sites/default/files/pso-program-acronyms.pdf
    March 01, 2017 -                                                                                               HERF – Healthcare Event … U.S.C. 299b‐23), will receive, analyze, and report on non‐identifiable and aggregated patient safety event … The goal of the NPSD is to facilitate aggregation and analyses of patient safety event information … to provide support and assistance to PSOs for the contextual non‐identification of patient safety event

13. 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 - on ventilator • Pneumonia with delayed recognition and treatment Sepsis not associated with other event

14. Choosing a Patient Safety Organization (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/pso-brochure.pdf
    March 01, 2020 - Choosing a Patient Safety Organization Choosing a Patient Safety Organization Background You are committed to making healthcare safer and better for your patients. One of the challenges to achieving this goal is the concern that patient safety information that you or your organization create as part of the ca…

15. How To Choose a PSO | PSO
    pso.ahrq.gov/work-with/choose
    November 01, 2020 - SHARE: More topics in this section Work With a PSO How To Choose a PSO Become a PSO Maintain a PSO Listing How To Choose a PSO Are you eligible to work with a PSO? An individual or entity licensed or ot…

16. Notice of Proposed Rulemaking (February 2008) | PSO
    pso.ahrq.gov/resources/rulemaking
    October 01, 2020 - SHARE: More topics in this section Resources Resources Resources About the Patient Safety and Quality Improvement Act of 2005 Resources for Improving Patient Safety and Healthcare Quality Notice of Proposed Rulemakin…

17. What are "patient safety activities"? | PSO
    pso.ahrq.gov/faq/what-are-patient-safety-activities
    SHARE: What are "patient safety activities"? There are eight patient safety activities that are carried out by, or on behalf of a PSO, or a healthcare provider: Efforts to improve patient safety and the quality of healthcare delivery The collection and ana…

18. PSO General Information
    pso.ahrq.gov/taxonomy/term/2/feed
    April 23, 2019 - PSO General Information PSO General Information What are "patient safety activities"? What are "patient safety activities"? ahrqSuperAdmin Tue, 04/23/2019 - 10:09 There are eight patient safety activities that are carried out by, or on behalf of a PSO, or a healthcare provider: Efforts to improve p…

19. Other Educational Materials | PSO
    pso.ahrq.gov/resources/educational-tools
    August 01, 2022 - SHARE: More topics in this section Resources Resources Resources About the Patient Safety and Quality Improvement Act of 2005 Patient Safety Act Patient Safety Rule HHS Guidance Guides Other Educational Materials …

20. Slide 1 (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/guidance-pswp-provider-obligations.pdf
    May 24, 2016 - to comply with external obligations, such as: state incident reporting requirements; adverse drug event