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pso.ahrq.gov/pso/alliance-patient-medication-safety
December 10, 2008 - this section
Return to Search
Alliance for Patient Medication
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pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
January 01, 2019 - with other event types
• Cascade with candidemia with widespread infection treated with ineffective medication … (risperidone) and opioid (oxycodone)
• Failure to identify and treat delirium due to multiple medication … (fentanyl)
• Hallucinations and agitation while on opioid analgesic medication (fentanyl and meperidine … )
• Lethargy while on antipsychotic (haloperidol) medication
• Lethargy while on multiple psychotropic … • Somnolence while on anti-anxiety medication (alprazolam)
• Somnolence while on opioids (intravenous
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pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
July 01, 2016 - as Clearly Preventable or Likely Preventable,
by Clinical Category
Adverse Events Related to Medication … used to treat hypertension
Dehydration and related electrolyte disorders associated with medication … Nausea and vomiting secondary to medication
• Nausea and vomiting due to opioid pain medication
Hypoglycemic … events due to medication
• Multiple, severe symptomatic hypoglycemic episodes characterized by a period … to medication
• Significant diarrhea secondary to stool softener
Other medication temporary harm events
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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. … • PSO Alert – High Alert Medications
► 1 in 5 medication errors reported to PSO in 2014 involved … Standards
• Like many children’s hospitals we have major issues
with medication safety
► Dosing … Standards
• Need a statewide compounded oral medication
standard
► But how to do this? … Standards
Medication Standards
Lessons Learned and Evolving Needs
Value of the PSO Program
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pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
December 21, 2021 - Adverse Drug Events: General Medication Topics ...................................................... … Medication or Other Substance Dashboard
The Medication or Other Substance Dashboard details the extent … Advancing patient safety implementation through safe medication use
research (R18). … Medication errors related to CEDR-regulated drug products. … Adverse Drug Events: General Medication Topics
Table 2.
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pso.ahrq.gov/about/organizations
November 01, 2023 - The NPSD receives nonidentifiable data from the PSOPPC on patient safety concerns such as falls and medication
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pso.ahrq.gov/work-with/choose
November 01, 2020 - Some PSOs specialize by topic area, such as anesthesia or medication adverse events, so you may want
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pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
January 01, 2020 - attestations, flow of patient safety work product
• Organized and chartered quarterly Patient Safety and Medication … Survey Experience
• Eliminating CAUTI among patients with spinal cord injuries
• PME: Personalized Medication
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pso.ahrq.gov/sites/default/files/Choosing%20a%20PSO.pdf
August 01, 2012 - Some PSOs specialize by
topic area, such as anesthesia or medication adverse
PATIENT
SAFETY
Choosing
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pso.ahrq.gov/sites/default/files/wysiwyg/ChoosingPSO_2016.pdf
January 01, 2016 - Some PSOs specialize by topic area, such as
anesthesia or medication adverse events, while
other PSOs
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pso.ahrq.gov/pso/emergency-medical-error-reduction-group-0
March 08, 2022 - SHARE:
More topics in this section
Return to Delisted PSOs Search
Emergency Medical Error Reduction Group
PSO Number: P0235 Components of Parent Org(s):
Center for Leadership, Innovation a…
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pso.ahrq.gov/pso/listed
Tennessee Components of Parent Organizations: AHS Legacy Operations, LLC
Alliance for Patient Medication
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pso.ahrq.gov/sites/default/files/wysiwyg/pso-brochure.pdf
March 01, 2020 - Some PSOs specialize in a specific area, such as
anesthesia or medication adverse events, or focus on
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pso.ahrq.gov/pso/fresenius-medical-care-pso-llc
January 06, 2017 - SHARE:
More topics in this section
Return to Delisted PSOs Search
Fresenius Medical Care PSO, LLC
PSO Number: P0081 Components of Parent Org(s):
Fresenius Medical Care Holdings, Inc.
…
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pso.ahrq.gov/pso/community-medical-foundation-patient-safety
January 07, 2009 - SHARE:
More topics in this section
Return to Delisted PSOs Search
Community Medical Foundation for Patient Safety
PSO Number: P0029 Components of Parent Org(s):
Effective Date an…
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pso.ahrq.gov/pso/emergency-medical-error-reduction-group
November 28, 2012 - SHARE:
More topics in this section
Return to Delisted PSOs Search
Emergency Medical Error Reduction Group
PSO Number: P0133 Components of Parent Org(s):
Center for Leadership, Innovation a…
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pso.ahrq.gov/pso/academic-medical-center-amc-pso
December 22, 2010 - SHARE:
More topics in this section
Return to Search
Academic Medical Center (AMC) PSO
PSO Number: P0103 Components of Parent Org(s):
Risk Management Foundation of the Harvard Medical Insti…
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pso.ahrq.gov/pso/american-medical-foundation-patient-safety-organization
March 13, 2013 - SHARE:
More topics in this section
Return to Search
American Medical Foundation Patient Safety Organization
PSO Number: P0141 Components of Parent Org(s):
American Medical Foundation for P…
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pso.ahrq.gov/sites/default/files/wysiwyg/fedregnotice-05242016.pdf
January 04, 2024 - continued hospitalization, support the diagnosis,
and describe the patient’s progress and response to
medication … the list for re-
porting to a PSO so the PSO can analyze the levels and types of
staff involved in medication
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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 …