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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
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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
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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
…
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pso.ahrq.gov/contact
October 01, 2020 - SHARE:
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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…
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pso.ahrq.gov/about/organizations
November 01, 2023 - SHARE:
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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…
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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
…
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pso.ahrq.gov/sites/default/files/quiz/pso-quiz-answer-sheet.pdf
January 01, 2020 - PSO Quiz--Answer Sheet
QUIZ —AN…
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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 …
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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…
-
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…