Results

Total Results: 45 records

Showing results for "medications".
Users also searched for: medication reconciliation

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 - ) Delirium and other changes in mental status • Cascade with oversedation while on multiple opioid medications … pain medication (morphine immediate release) • Cascade with confusion while on multiple psychotropic medications … (opioids and antidepressants) • Delirium due to multiple sedating medications, including opioid pain … medication (intravenous hydromorphone), multiple psychotropic medications, and gabapentin • Delirium … Lethargy while on antipsychotic (haloperidol) medication • Lethargy while on multiple psychotropic medications

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 - Clinical Category Adverse Events Related to Medication Delirium or change in mental status due to medications … Confusion and lethargy secondary to opioid pain medication • Lethargy and confusion secondary to multiple medications … benzodiazepine • Lethargy secondary to opioid pain medication • Sedation and lethargy secondary to antianxiety medications … medication • Significant constipation secondary to opioid pain medication Allergic reactions to medications … site with associated decreased hemoglobin secondary to anticoagulants • Nausea and vomiting due to medications

3. Network of Patient Safety Databases (NPSD) Dashboards | PSO
   pso.ahrq.gov/common-formats/npsd-dashboards
   November 01, 2024 - New for 2024 is a revised Medications or Other Substances Dashboard .  

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 - • PSO Alert – High Alert Medications ► 1 in 5 medication errors reported to PSO in 2014 involved … high alert medications … yields 3/day that are wrong o Not good enough for a high reliability organization ► Compounded oral medications

5. 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…

6. Alliance for Patient Medication Safety | PSO
   pso.ahrq.gov/pso/alliance-patient-medication-safety
   December 10, 2008 - SHARE: More topics in this section Return to Search Alliance for Patient Medication Safety PSO Number: P0020 Components of Parent Org(s): National Alliance of State Pharmacy Assoc…

7. 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…

8. 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…

9. 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…

10. 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…

11. Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
    December 21, 2021 - particular clinical interventions, such as medications … healthcare-associated infections; diagnostic safety and quality; the safe use of medical devices and medications … for patients with multiple chronic conditions; the role of labeling, packaging, and distribution of medications

12. Fedregnotice-05242016 (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/fedregnotice-05242016.pdf
    January 04, 2025 - 32655 Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations 1 Institute of Medicine, ‘‘To Err Is Human: Building a Safer Health System’’, 1999, page 86. 2 42 CFR 482.21(a)(2). 3 As of November 2014, 26 states and the District of Columbia had adverse event reporting systems, and Te…

13. 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 - Artificial Intelligence (AI) in Healthcare Safety Program: October 2024 Update 1 Artificial Intelligence (AI) in Healthcare Safety Program – October 2024 Update Overview In response to Executive Order 14110, Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence (“EO 14110”), HHS establish…

14. Frequently Asked Questions | PSO
    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 …

15. Webinar on Working With Patient Safety Organizations (PSOs): The Value for Hospitals During COVID-19 and Beyond | PSO
    pso.ahrq.gov/about/webinar-nov5
    November 01, 2020 - SHARE: More topics in this section About About Organizations and Relationships Webinar on Working With Patient Safety Organizations (PSOs): The Value for Hospitals During COVID-19 and Beyond Summary This webinar will…

16. PSO Quiz--Answer Sheet (pdf file)
    pso.ahrq.gov/sites/default/files/quiz/pso-quiz-answer-sheet.pdf
    January 01, 2020 - PSO Quiz--Answer Sheet QUIZ —AN…

17. Patient Safety and Quality Improvement Act of 2005 | PSO
    pso.ahrq.gov/resources/act
    August 01, 2022 - SHARE: More topics in this section Resources Resources Resources About the Patient Safety and Quality Improvement Act of 2005 Patient Safety Act Patient Safety Rule HHS Guidance Guides Other Educational Materials …

18. Delisted PSOs | PSO
    pso.ahrq.gov/pso/delisted
    SHARE: Filter the Results Search for a Delisted PSO Search by Keyword Search   Delisted PSOs Below are PSOs that have been delisted. A PSO may be “delisted” for three reasons: Voluntary Relinquishment — the PSO …

19. Listed PSOs | PSO
    pso.ahrq.gov/pso/listed
    SHARE: Filter the Results Search for a Listed PSO Search by Keyword Search   Filter Results: States and Territories Served Serves All States and Territories (53) Alabama (70) Alaska (64) American Sa…

20. Network of Patient Safety Databases (NPSD) Chartbooks | PSO
    pso.ahrq.gov/common-formats/npsd-chartbooks
    April 01, 2025 - 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 …