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Total Results: 16 records

Showing results for "severe".

1. 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 - Nausea and vomiting due to opioid pain medication Hypoglycemic events due to medication • Multiple, severe … acute-care hospital Sepsis • Cascade event in which delayed recognition of pneumonia led to sepsis and then severe

2. 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 - Prolonged PICC line placement associated with sepsis Clostridium difficile infections • Cascade with severe … with somnolence (blood glucose of 27, 37) • Hypoglycemia with unresponsiveness (blood glucose of 32) • Severe … transfer to an acute-care hospital Fluid, electrolyte, and metabolic disorders related to medication • Severe

3. About Common Formats | PSO
   pso.ahrq.gov/common-formats/about
   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 …

4. How To Choose a PSO | PSO
   pso.ahrq.gov/work-with/choose
   November 01, 2020 - SHARE: More topics in this section Work With a PSO How To Choose a PSO Become a PSO Maintain a PSO Listing How To Choose a PSO Are you eligible to work with a PSO? An individual or entity licensed or ot…

5. Work With a Patient Safety Organization | PSO
   pso.ahrq.gov/work-with
   November 01, 2020 - SHARE: More topics in this section Work With a PSO How To Choose a PSO Become a PSO Maintain a PSO Listing Work With a Patient Safety Organization Working with a PSO, which is voluntary, offers several …

6. 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 …

7. Reducing Avoidable Hospital Readmissions: The Role of the Patient Safety Organization (PSO) | PSO
   pso.ahrq.gov/resources/readmission
   August 01, 2022 - SHARE: More topics in this section Resources Resources Resources About the Patient Safety and Quality Improvement Act of 2005 Resources for Improving Patient Safety and Healthcare Quality Reducing Avoidable Hospital Readmissions …

8. 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…

9. Choosing a Patient Safety Organization: Tips for Hospitals and Health Care Providers (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/ChoosingPSO_2016.pdf
   January 01, 2016 - Choosing a Patient Safety Organization: Tips for Hospitals and Health Care Providers Background Your organization is committed to making health care better and safer for your patients. But achieving this goal is no small feat. You and your staff must collect data, identify quality and safety problems, design impr…

10. 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 - Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine iiiiR& Agency for Healthcare Research and Quality Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the Nation…

11. Slide 1 (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/guidance-pswp-provider-obligations.pdf
    May 24, 2016 - Slide 1 Patient Safety and Quality Improvement Act of 2005—HHS Guidance Regarding Patient Safety Work Product and Providers’ External Obligations Effective Date: May 24, 2016 1 Overview of the Guidance Document 2 Why Was The Guidance Issued? • Clarify what information that a provider cre…

12. Choosing a Patient Safety Organization (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/pso-brochure.pdf
    March 01, 2020 - Choosing a Patient Safety Organization Choosing a Patient Safety Organization Background You are committed to making healthcare safer and better for your patients. One of the challenges to achieving this goal is the concern that patient safety information that you or your organization create as part of the ca…

13. Patient Safety and Quality Improvement Act of 2005; Public Law 109–41, July 29, 2005 (pdf file)
    pso.ahrq.gov/sites/default/files/Patient%20Safety%20Act%20PDF.pdf
    January 01, 2025 - Patient Safety and Quality Improvement Act of 2005; Public Law 109–41, July 29, 2005 PUBLIC LAW 109–41—JULY 29, 2005 PATIENT SAFETY AND QUALITY IMPROVEMENT ACT OF 2005 VerDate 14-DEC-2004 11:17 Aug 05, 2005 Jkt 039139 PO 00041 Frm 00001 Fmt 6579 Sfmt 6579 E:\PUBLAW\PUBL041.109 APPS10 PsN: PUBL041 119 STAT. 424 P…

14. Patient Safety and Quality Improvement Act of 2005; Public Law 109–41, July 29, 2005 (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/Patient-Safety-Act-2005.pdf
    January 01, 2005 - Patient Safety and Quality Improvement Act of 2005; Public Law 109–41, July 29, 2005 PUBLIC LAW 109–41—JULY 29, 2005 PATIENT SAFETY AND QUALITY IMPROVEMENT ACT OF 2005 VerDate 14-DEC-2004 11:17 Aug 05, 2005 Jkt 039139 PO 00041 Frm 00001 Fmt 6579 Sfmt 6579 E:\PUBLAW\PUBL041.109 APPS10 PsN: PUBL041 119 STAT. 424 P…

15. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/npsdpatient-safety-culture-brief.pdf
    September 01, 2016 - How PSOs Help Health Care Organizations Improve Patient Safety Culture How PSOs Help Health Care Organizations Improve Patient Safety Culture Developing a culture of safety is an essential task for health care organizations as they strive to eliminate the factors that contribute to medical errors, patient harm, …

16. 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…