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pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
July 01, 2016 - Hypotension secondary to medication
• Hypotensive-event (syncope) secondary to beta-blocker used to treat … resulting in transfer to an acute-care hospital
• Orthostatic hypotension secondary to medication used to treat … Orthostatic hypotension secondary to diuretic
• Cascade event in which dehydration and medication used to treat … stool softener
Other medication temporary harm events
• Hyponatremia secondary to medication used to treat … decreased hemoglobin secondary to
anticoagulants
• Nausea and vomiting due to medications given to treat
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pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
January 01, 2019 - Delirium while on antipsychotic medication (risperidone) and opioid (oxycodone)
• Failure to identify and treat … at an acute-care hospital
• Cascade with significant pleural effusion with failure to recognize and treat
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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…
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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…
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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, …
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pso.ahrq.gov/sites/default/files/wysiwyg/fedregnotice-05242016.pdf
January 04, 2025 - Information related to care or treat-
ment provided to the patient.
-
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 …
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pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
December 21, 2021 - They treat every incident and close call as
an opportunity to learn, and they encourage reporting of
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pso.ahrq.gov/sites/default/files/wysiwyg/PSO-listing-guide-2022.pdf
January 01, 2022 - Patient Safety Organization (PSO) Listing Guide
PATIENT SAFETY ORGANIZATION (PSO)
LISTING GUIDE
What is the PSO Listing Guide?
The PSO Listing Guide is an informal educational resource to help readers locate and learn about the
requirements for PSO listing under the Patient Safety and Quality Improveme…