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1. 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, 2024 - —Except as provided in subsection (g)(3)— ‘‘(1) EXCEPTIONS FROM PRIVILEGE AND CONFIDENTIALITY.— Subsections … —Not later than 1 year after the date described in paragraph (1), the Secretary shall submit a final … ‘‘(b) CRITERIA.— ‘‘(1) IN GENERAL. … ‘‘(f) STATUS OF DATA AFTER REMOVAL FROM LISTING.— ‘‘(1) NEW DATA. … under paragraph (1).

2. 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 - —Except as provided in subsection (g)(3)— ‘‘(1) EXCEPTIONS FROM PRIVILEGE AND CONFIDENTIALITY.— Subsections … —Not later than 1 year after the date described in paragraph (1), the Secretary shall submit a final … ‘‘(b) CRITERIA.— ‘‘(1) IN GENERAL. … ‘‘(f) STATUS OF DATA AFTER REMOVAL FROM LISTING.— ‘‘(1) NEW DATA. … under paragraph (1).

3. Slide 1 (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/guidance-pswp-provider-obligations.pdf
   May 24, 2016 - PSWP: 1. … Information That Is Not PSWP (1) Specifically excluded from the definition of PSWP is: • ‘‘a patient … Patient Safety Act Does Not Relieve a Provider From Its External Obligations (1) The Patient Safety … Patient Safety Act Does Not Relieve a Provider From Its External Obligations (1) The Guidance: External … Obligations�1.

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 - • No sound from computer speakers? … greater numbers of events than any single provider. 8 Affordable Care Act Sec. 1311(h) • (1) … —Beginning on January 1, 2015, a qualified health plan may contract with— ► (A) a hospital with greater … • PSO Alert – High Alert Medications ► 1 in 5 medication errors reported to PSO in 2014 involved … ► Can you really manage from the middle?

5. Assess Compatibility of Anticipated PSO Operations with Patient Safety Rule Requirements | PSO
   pso.ahrq.gov/become/assess-compatibility
   August 01, 2021 - The PSO must also address the requirement to physically separate PSWP from non-PSWP or, if co-located … Related to the HIPAA Privacy and Security Rules If anticipated PSO operations will involve receipt from … considered a business associate of a healthcare provider if the relationship meets two conditions: (1)

6. Assess Eligibility to Become a PSO | PSO
   pso.ahrq.gov/become/assess-eligibility
   August 01, 2021 - Some entities are explicitly prohibited from becoming a PSO. … additional attestations and provide related information when applying for listing (sections 3.102(c)(1) … and the parent organization so that: Patient safety work product (PSWP) is maintained separately from

7. 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 - Hospitals Designated in OIG Report as Clearly Preventable or Likely Preventable by Clinical Category Page 1 … urinary catheter with resultant injury and bleeding Excessive bleeding due to medication • Bleeding from … characterized by cold and clammy skin and a blood glucose of 47 Constipation, obstipation, and ileus from … II pressure ulcer at coccyx • Stage I pressure ulcer on sacral coccyx Constipation or obstipation from … that developed under brace • Skin excoriation on buttocks Fall associated with patient care • Fall from

8. 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 - Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category Page 1 … pressure ulcer that progressed to stage 4 during LTCH stay • Pressure ulcer of heel that progressed from … pressure ulcer • Progression of stage 2 to stage 3 sacral pressure ulcer • Sacral pressure ulcer • Stage 1 … coccygeal pressure ulcer • Stage 1 facial pressure ulcer associated with BiPAP mask • Stage 1 pressure … ulcer heel • Stage 1 pressure ulcer on sacrum • Stage 1 sacral pressure ulcer Page 9 of 9 • Stage

9. 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 - The seminar will provide: An introduction to the PSO program Insights on perceived value of PSOs from … Timashenka came to AHRQ from the U.S. … her J.D. from the University of Pennsylvania Law School.   … Health Sciences and a Master’s in Business Administration from the University of Phoenix. … Webinar Information Date:  November 5, 2020 Time:  1–2 p.m.

10. Patient Safety Organization (PSO) Listing Guide (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/pso-listing-guide-2022.pdf
    January 01, 2022 - The eight required patient safety activities are: 1. … Rows #1–#8: Listing Requirements Regarding the Patient Safety Activities (Section 3.102(b)(1) of the … Such documentation might include: • Specifying which information 1) received from providers and 2 … https://pso.ahrq.gov/faq/entities-excluded-from-being-listed https://pso.ahrq.gov/faq/entities-excluded-from-being-listed … See Table 1, Row #19.

11. Patient Safety Organization (PSO) Listing Guide (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/PSO-listing-guide-2022.pdf
    January 01, 2022 - The eight required patient safety activities are: 1. … Rows #1–#8: Listing Requirements Regarding the Patient Safety Activities (Section 3.102(b)(1) of the … Such documentation might include: • Specifying which information 1) received from providers and 2 … https://pso.ahrq.gov/faq/entities-excluded-from-being-listed https://pso.ahrq.gov/faq/entities-excluded-from-being-listed … See Table 1, Row #19.

12. 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 - safety concerns associated with at least 1 of 10 specific event types. … Figure 1. … No. 19-0052-1. decisionmaking using HIT. … May 2017;AHRQ Publication No. 16(17)-0003-1-EF. … The Patient Safety Act: A National Learning System Figure 1.

13. PSO Printable Lists | PSO
    pso.ahrq.gov/pso/listed/printable-list
    May 05, 2010 - PSO Phone Number: (408) 523-2100 0 Web Site: http://www.intuitive.com/pso Point of Contact: Julie … None Subject to FDA-Regulated Reporting Entity Guidance: Yes PSO Initial Listing Date and Time: July 1, … None Subject to FDA-Regulated Reporting Entity Guidance: No PSO Initial Listing Date and Time: July 1, … Services Subject to FDA-Regulated Reporting Entity Guidance: No PSO Initial Listing Date and Time: April 1,

14. PSO Printable Lists | PSO
    pso.ahrq.gov/pso/delisted/printable-list
    December 17, 2008 - Components of Parent Org(s): Effective Date and Time of Initial Listing: April 1, … Time of Initial Listing: November 5, 2008 12:00 am Effective Date and Time of Delisting: April 1, … 2010 12:00 am Last Date and Time when PSO Will Receive PSWP: April 1, 2010 12:00 am Reason for … and Time of Initial Listing: April 14, 2010 12:00 am Effective Date and Time of Delisting: June 1, … 2015 12:00 am Last Date and Time when PSO Will Receive PSWP: August 1, 2015 12:00 am Reason for

15. Other Educational Materials | PSO
    pso.ahrq.gov/resources/educational-tools
    August 01, 2022 - The seminar provides: An introduction to the PSO program Insights on perceived value of PSOs from … PSO participation can save hospitals money and avert adverse events November 5, 2020 Webinar (1 … Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories from Hospital PSO Members This … June 10, 2015 Webinar highlights the AHRQ PSO program and presents success stories from hospitals that … June 10, 2015 Webcast (1 hour) Benefits of AHRQ Patient Safety Organizations: Success Stories From

16. Listed PSOs | PSO
    pso.ahrq.gov/pso/listed
    Only Certain Clinical Disciplines/Specialties Anesthesiology (7) Cardiology (4) Dentistry (1) … (3) Internal medicine (5) Neurology (6) Neurological surgery (5) Nuclear Medicine (1) … Emergency medicine (12) Size of Hospitals Served by PSOs by Number of Licensed Beds 1- … Results 1 - 25 of 105 Listed PSOs Pagination 1 2 3 4 5 … State: Tennessee Components of Parent Organizations: Centerstone of America Pagination 1

17. Frequently Asked Questions | PSO
    pso.ahrq.gov/faq
    April 01, 2023 - Providers that work with a PSO can benefit from the ability of PSOs to aggregate data from all of the … For example, if a PSO is delisted for cause at midnight on March 1, a healthcare provider can continue … information and analyses generated from those discussions. … transfer, provision of access to, or divulging in any other manner of patient safety work product by: (1) … After addressing recommendations made by the PSWG, AHRQ seeks input from the public.

18. Patient Safety Organizations: A Compliance Self-Assessment Guide (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/saguide.pdf
    September 01, 2009 - Who Can Benefit From Reading This Guide? … EmbedOpenType false /ParseICCProfilesInComments true /EmbedJobOptions true /DSCReportingLevel 0 … 1 1 1] /VSamples [1 1 1 1] >> /ColorImageDict << /QFactor 0.15 /HSamples [1 1 1 1] /VSamples … 1 1 1] /VSamples [1 1 1 1] >> /GrayImageDict << /QFactor 0.15 /HSamples [1 1 1 1] /VSamples … [1 1 1 1] >> /JPEG2000GrayACSImageDict << /TileWidth 256 /TileHeight 256 /Quality 30

19. Choosing a Patient Safety Organization (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/pso-brochure.pdf
    March 01, 2020 - Using this process, PSOs can help healthcare professionals learn from quality and patient safety concerns … to prevent similar problems from happening in the future. … ■ PSOs can aggregate and analyze data from each provider and from multiple providers working with … How will the PSO secure your data and protect it from inappropriate disclosure? … ■ The initial NPSD dashboards are based on more than 1 million records reported by providers to

20. Fedregnotice-05242016 (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/fedregnotice-05242016.pdf
    January 04, 2024 - 32655 Federal Register / Vol. 81, No. 100 / Tuesday, May 24, 2016 / Rules and Regulations 1 Institute … of a larger framework envisioned by the Institute of Medicine and designed to balance two goals: 1) … purposes are not incompatible, but in reality, they can prove difficult to satisfy simultaneously.’’ 1 … for the conduct of patient safety activities. 9 42 U.S.C. 299b-21(7)(A); 42 CFR 3.20 (paragraph (1) … The definition of PSWP sets forth three basic ways that certain information can become PSWP: (1) The