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Showing results for "medication".
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1. Alliance for Patient Medication Safety | PSO
   pso.ahrq.gov/pso/alliance-patient-medication-safety
   December 10, 2008 - section Return to Search Alliance for Patient Medication

2. 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 - 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

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 - 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

4. 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. … • 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

5. Artificial Intelligence (AI) in Healthcare Safety Program: October 2024 Update (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/ai-healthcare-safety-program.pdf
   July 01, 2025 - Additional NPSD data tools include annual Chartbooks, with a focus on fall events in 202311 and medication … Malfunction of medication dispensing system Nurse removing medication from [medication dispensing … system froze during neurosurgical procedure causing delay of 40[-] 60 minutes Improper use of medication … dispensing system Pharmacist discovered no TPA stored in [medication dispensing system]. … The medication should never be empty.

6. Network of Patient Safety Databases (NPSD) Chartbooks | PSO
   pso.ahrq.gov/common-formats/npsd-chartbooks
   April 01, 2025 - Topic Specific Chartbooks: 2024 NPSD Medication Chartbook (PDF, 4 MB) 2023 NPSD Falls Chartbook (PDF

7. Organizations and Relationships | PSO
   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

8. How To Choose a PSO | PSO
   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

9. AHRQ Slide Template 2019-Widescreen (pdf file)
   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

10. Choosing a Patient Safety Organization: Tips for Hospitals and Health Care Providers (pdf file)
    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

11. Listed PSOs | PSO
    pso.ahrq.gov/pso/listed
    Tennessee Components of Parent Organizations: AHS Legacy Operations, LLC Alliance for Patient Medication

12. Choosing a Patient Safety Organization (pdf file)
    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

13. Emergency Medical Error Reduction Group | PSO
    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, Inn…

14. Academic Medical Center (AMC) PSO | PSO
    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 Medi…

15. Emergency Medical Error Reduction Group | PSO
    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, Inn…

16. Community Medical Foundation for Patient Safety | PSO
    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): N/A Effe…

17. American Medical Foundation Patient Safety Organization | PSO
    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 Foundat…

18. PSO Printable Lists | PSO
    pso.ahrq.gov/pso/delisted/printable-list
    December 17, 2008 - Institute for Safe Medication Practices (ISMP) PSO Number: P0009 Components of Parent Org(s): … 00 am Reason for Delisting: Voluntary Relinquishment Additional Comment: The Institute for Safe Medication … PSO changed its name to reflect this agreement and has now become the ECRI and the Institute for Safe Medication

19. PSO Printable List by State | PSO
    pso.ahrq.gov/pso/listed/geographic/printable-list
    None Subject to FDA-Regulated Reporting Entity Guidance: No ECRI and the Institute for Safe Medication … Findings: None Subject to FDA-Regulated Reporting Entity Guidance: No Alliance for Patient Medication

20. Network of Patient Safety Databases (NPSD) Dashboards | PSO
    pso.ahrq.gov/common-formats/npsd-dashboards
    November 01, 2024 - SHARE: More topics in this section Data Common Formats Network of Patient Safety Databases (NPSD) Dashboards Network of Patient Safety Databases (NPSD) Chartbooks Network of Patient Safety Databases (NPSD) Data Spotlights About …