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pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
January 01, 2019 - tract infection (CAUTI)
Soft tissue or other nonsurgical infections
• Infected, necrotic chest wall wound … infections
Surgical-site infections
• Cellulitis at PEG site
• Infection at site of ankle surgery
• Late wound … infection and subsequent partial dehiscence due to inadequate wound care
• Wound infection of below … Patient Care
Pressure ulcers
• Stage 2 nasal pressure ulcer associated with face mask
• Deep tissue injuries … not directly associated with anticoagulants
• Gross hematuria due to trauma from urinary catheter placement
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pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
July 01, 2016 - and agitation secondary to benzodiazepine led
to patient pulling urinary catheter with resultant injury … brace
• Skin excoriation on buttocks
Fall associated with patient care
• Fall from bed with minor injuries … (elbow, knees, and small skin tear)
Device trauma or malfunction
• Clotted arteriovenous shunt (dialysis … access device)
• Trauma due to multiple failed Foley catheter insertions
Edema or volume overload
• … erythema on right thigh
Surgical Site Infection (SSI)
• Superficial infection that developed on existing wound
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pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
January 01, 2020 - Late, Planned,
Unplanned
• Restraint Utilization
• Falls/Unassisted Falls
o By Diagnosis Group
• Injuries … Resulting from
Falls/Unassisted Falls
o By Diagnosis Group
• Pressure Injuries
• Venous Thromboembolism … Sharing
2019
• Our Recent TJC Survey Experience
• Eliminating CAUTI among patients with spinal cord injuries
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pso.ahrq.gov/faq/what-are-patient-safety-activities
participants in a patient safety evaluation system
The term "safety" refers to reducing risk from harm and injury
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pso.ahrq.gov/taxonomy/term/2/feed
April 23, 2019 - participants in a patient safety evaluation system
The term "safety" refers to reducing risk from harm and injury
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pso.ahrq.gov/faq
April 01, 2023 - participants in a patient safety evaluation system
The term "safety" refers to reducing risk from harm and injury