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Total Results: 15 records

Showing results for "failure".

1. 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 - resulting in transfer to an acute-care hospital and contributing to death • Pneumonia and respiratory failure … treated with ineffective medication for several days, leading to increased bruising, respiratory failure … Cascade with septic shock related to urinary catheter with delayed recognition leading to respiratory failure … contributing to death • Fungal central line-associated bloodstream infection leading to acute renal failure … , requiring acute-care hospital care, and ultimately death • Altered mental status and respiratory failure

2. 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 - associated with medication • Hyperkalemia secondary to diuretic and antihypertensive • Acute renal failure … exacerbation resulting in transfer to an acute- care hospital • Cascade event in which failure to monitor … dehydration resulting in transfer to an acute-care hospital related to poor transition of care with failure … urosepsis (characterized by increasing confusion) developed into septic shock, which led to kidney failure … harm events • Hyponatremia secondary to medication used to treat hypertension and congestive heart failure

3. Delisted PSOs | PSO
   pso.ahrq.gov/pso/delisted
   January 25, 1991 - Failure to Seek Continued Listing — the 3-year listing period expires without the PSO seeking continued

4. Patient Safety Organization: Two Bona Fide Contracts Requirement (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/PSO_BonaFideContracts.pdf
   January 21, 2021 - Failure to submit this form certifying compliance with the two bona fide contracts requirement by midnight

5. PSO Printable Lists | PSO
   pso.ahrq.gov/pso/delisted/printable-list
   December 17, 2008 - Failure to Seek Continued Listing — the 3-year listing period expires without the PSO seeking continued … Receive PSWP: November 3, 2013 12:00 am Reason for Delisting: Delisted for Cause Additonal Comment: Failure … Receive PSWP: July 1, 2012 12:00 am Reason for Delisting: Delisted for Cause Additonal Comment: Failure … Receive PSWP: August 4, 2011 12:00 am Reason for Delisting: Delisted for Cause Additonal Comment: Failure … Receive PSWP: July 19, 2012 12:00 am Reason for Delisting: Delisted for Cause Additonal Comment: Failure

6. What Is the Role of the PSO Authorized Official? (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/what-is-the-role-of-ao.pdf
   July 01, 2021 - A PSO’s failure to timely submit these forms could result in the PSO’s delisting.

7. What is the Role of the PSO Authorized Official? (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/Role%20of%20AO_July%202016_FINAL.pdf
   July 01, 2016 - A  PSO’s  failure  to  timely   submit  these  forms  could  result  in  the  PSO’s  delisting.   

8. What Is the Role of the PSO Authorized Official? (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/what-is-the-role-of-ao-june-2017.pdf
   January 01, 2017 - A PSO’s failure to timely submit these forms could result in the PSO’s delisting.

9. AHRQ Slide Template 2019-Widescreen (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
   January 01, 2020 - 53 Leading Quality and Safety “Success teaches us nothing; only failure teaches…Develop the capacity

10. PSO Common Terms and Acronyms | PSO
    pso.ahrq.gov/resources/acronyms
    August 01, 2021 - revoking its acceptance of an entity’s certification submission for listing as a PSO for the entity’s failure

11. PSO Program - Common Terms and Acronyms (pdf file)
    pso.ahrq.gov/sites/default/files/pso-program-acronyms.pdf
    March 01, 2017 - revoking its acceptance of an entity’s certification submission for listing as a PSO for the entity’s failure

12. PSO Program - Common Terms and Acronyms (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/pso-program-acronyms.pdf
    October 01, 2022 - revoking its acceptance of an entity’s certification submission for listing as a PSO for the entity’s failure

13. Patient Safety Organizations: A Compliance Self-Assessment Guide (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/saguide.pdf
    September 01, 2009 - While the rule provides AHRQ the authority for delisting a PSO for failure to correct a deficiency,

14. Patient Safety Organization (PSO) Listing Guide (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/pso-listing-guide-2022.pdf
    January 01, 2022 - While AHRQ has the authority to delist a PSO for failure to correct a deficiency and OCR has the authority

15. Patient Safety Organization (PSO) Listing Guide (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/PSO-listing-guide-2022.pdf
    January 01, 2022 - While AHRQ has the authority to delist a PSO for failure to correct a deficiency and OCR has the authority