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Total Results: 3 records

Showing results for "led".

1. 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 - hospital • Cascade in which medication-induced confusion and agitation secondary to benzodiazepine led … Exacerbations of preexisting conditions and other deteriorating medical conditions • Omission of care led … Other patient-care events • Cascade in which continuous passive movement (CPM) and anticoagulation led … Cascade event in which a Clostridium difficile infection (while being treated with an antibiotic) led … transfer to an acute-care hospital Sepsis • Cascade event in which delayed recognition of pneumonia led

2. Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories From Hospital PSO Members (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdf
   January 01, 2010 - ► Reporting a medication with nearly identical labels led to a national change in the label.

3. 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 - treatment resulting in transfer to an acute-care hospital • Cascade in which tracheal laceration led