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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 - or Likely Preventable, by Clinical Category Adverse Events Related to Infections LTCH-acquired respiratory … infections • Pneumonia contributing to patient death • Pneumonia contributing to patient death • Respiratory … aspiration resulting in transfer to an acute-care hospital and contributing to death • Pneumonia and respiratory … treatment • Aspiration pneumonitis/pneumonia with inadequate preventive care • Cascade with opioids (respiratory … acidosis and cardiac arrest during hemodialysis • Respiratory failure with delayed response resulting