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  1. pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
    January 01, 2019 - care • Cascade with opioids (respiratory depressant) complicated by morbid obesity and sleep apnea leading … to aspiration pneumonia • Cascade with respiratory infection while on ventilator leading to acute kidney … an acute-care hospital and contributing to death • Cascade with stage-4 infected pressure ulcer leading … to death • Cascade beginning with delirium leading to the dislodgement of the tracheal tube by the … to electrolyte imbalance leading to ventricular tachycardia • Hyperkalemia (potassium of 6.2) Other
  2. 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 … 2019 AHA Quest For Quality Prize Value of Sharing Through a PSO Value of Sharing Through a PSO Leading
  3. pso.ahrq.gov/resources/improving-patient-safety
    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 …
  4. pso.ahrq.gov/contact
    October 01, 2020 - SHARE: More topics in this section Contact PSO Subscribe to Email Updates Contact the PSO Program AHRQ PSO Program Contact the AHRQ PSO Program for more information about the Patient Safety Act and Rule, PSO listing proces…
  5. 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…
  6. pso.ahrq.gov/resources/readmission
    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 …
  7. pso.ahrq.gov/sites/default/files/quiz/pso-quiz-answer-sheet.pdf
    January 01, 2020 - PSO Quiz--Answer Sheet QUIZ —AN…
  8. pso.ahrq.gov/faq
    April 01, 2023 - SHARE: Frequently Asked Questions Frequently asked questions and definition of terms used in the Patient Safety Act or Patient Safety Rule are summarized here solely for convenience; always rely on the actual text of the Patient Safety Act or Patient Safety …
  9. pso.ahrq.gov/sites/default/files/wysiwyg/pso-listing-guide-2022.pdf
    January 01, 2022 - Patient Safety Organization (PSO) Listing Guide PATIENT SAFETY ORGANIZATION (PSO) LISTING GUIDE What is the PSO Listing Guide? The PSO Listing Guide is an informal educational resource to help readers locate and learn about the requirements for PSO listing under the Patient Safety and Quality Improveme…
  10. pso.ahrq.gov/sites/default/files/wysiwyg/PSO-listing-guide-2022.pdf
    January 01, 2022 - Patient Safety Organization (PSO) Listing Guide PATIENT SAFETY ORGANIZATION (PSO) LISTING GUIDE What is the PSO Listing Guide? The PSO Listing Guide is an informal educational resource to help readers locate and learn about the requirements for PSO listing under the Patient Safety and Quality Improveme…

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