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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 - hospital • Soft tissue infection at PICC entrance site extending into axilla Urinary tract infections … infection • Clostridium difficile infection • Clostridium difficile infection • Clostridium difficile … infection • Clostridium difficile infection • Clostridium difficile infection • Clostridium difficile … infection LTCH-acquired respiratory infections Surgical-site infections • Cellulitis at PEG site • … associated infections • Cellulitis/abscess at PICC site • Central line infection followed by sepsis

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 - Hemorrhagic cystitis in patient associated with Foley catheter and anticoagulant Adverse Events Related to Infections … infection (Escherichia coli) • Catheter-associated urinary tract infection (Enterobacter) Clostridium … difficile infection • Clostridium difficile infection secondary to antibiotics • Cascade event in which … extremity pitting edema Other patient care temporary harm events Temporary Harm Events Related to Infections … area • Blisters and erythema on right thigh Surgical Site Infection (SSI) • Superficial infection that

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 - Comparison Groups: Acuity, Size, IRF/IRU Quarterly conference calls/Safe Tables • General webinar and Infection … Falls o By Diagnosis Group • Pressure Injuries • Venous Thromboembolism • Healthcare-Associated MRSA Infections … • Healthcare-Associated C.difficile Infections • Healthcare-Associated CAUTI Infections • Oncology … Influenza Outbreak Management in Rehabilitation Settings • School of Nursing Outreach Program • Writing an Infection … Falls MRSA Bacteremia LabID Events C. difficile LabID Events Catheter-Associated Urinary Tract Infections

4. Other Patient Safety and Quality Improvement Resources | PSO
   pso.ahrq.gov/resources/other
   August 01, 2022 - 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 Reducing Avoidable Hospital Readmissions …