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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 - peritonitis in the wake of PEG placement followed by sepsis, hypotension, acute kidney injury, “shock liver … Toxic metabolic encephalopathy due to opioid pain medication (oxycodone) with underlying renal and liver