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Showing results for "fall".
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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 - changes in mental status • Cascade with oversedation while on multiple opioid medications leading to a fall … patient resulting in desaturation, hypoxemia, replacement of the tube, and aspiration pneumonia Fall … with injury • Fall with recurrent right hip fracture associated with inadequate monitoring Page 5 … from gastric secretions due to PEG leak • Skin tear and abrasion on sacral area • Skin tear forearm Fall … with injury • Fall with laceration forehead • Fall with soft tissue hematoma over left maxillary sinus

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 - event • Skin tear with fungal infection that developed under brace • Skin excoriation on buttocks Fall … associated with patient care • Fall from bed with minor injuries (elbow, knees, and small skin tear

3. AHRQ Slide Template 2019-Widescreen (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
   January 01, 2020 - AHRQ Slide Template 2019-Widescreen Working With Patient Safety Organizations (PSOs) – The Value for Hospitals During COVID-19 and Beyond We will get started in just a few minutes. Housekeeping All lines are currently muted. We will have a Q&A period at the end of the presentation. Chat Function: Use chat to a…

4. Organizations and Relationships | PSO
   pso.ahrq.gov/about/organizations
   November 01, 2023 - SHARE: More topics in this section About About Organizations and Relationships Organizations and Relationships Congress authorized the Secretary of the U.S. Department of Health and Human Services (HHS) to implement an…