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1. Related Office of Inspector General (OIG) Reports | PSO
   pso.ahrq.gov/resources/oig-reports
   August 01, 2025 - Incidence Among Medicare Beneficiaries (November 2010) (PDF, 3.4 MB) Adverse Events in Hospitals: Case

2. Slide 1 (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/guidance-pswp-provider-obligations.pdf
   May 24, 2016 - providers may be using PSWP to meet their external obligations • Address questions raised by the Tibbs case … (the drop-out provision) is intended to be used as a “safety valve” and intended to be used on a “case-by-case

3. 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 - of multifaceted initiatives intended to improve operational efficiency and the safety culture: a case

4. Establish Policies and Procedures for Conducting Patient Safety Activities | PSO
   pso.ahrq.gov/become/establish-policies
   August 01, 2021 - SHARE: More topics in this section Work With a PSO How To Choose a PSO Become a PSO Assess Eligibility to Become a PSO Assess Compatibility of Anticipated PSO Operations with Patient Safety Rule Requirements Establish Po…

5. 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 …

6. 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…

7. PSO: Certification of Continued Listing (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/PSO_ContinuedListing.pdf
   September 30, 2024 - PSO: Certification of Continued Listing Form Approved OMB Control No: 0935-0143 Exp. date: 09/30/2024 PATIENT SAFETY ORGANIZATION: CERTIFICATION FOR CONTINUED LISTING The Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act) authorizes the creation of Patient Safety Organizations (PSOs). The …

8. How To Maintain a PSO Listing | PSO
   pso.ahrq.gov/maintain
   June 01, 2022 - SHARE: More topics in this section Work With a PSO How To Choose a PSO Become a PSO Maintain a PSO Listing Sample Filing Timeline How To Maintain a PSO Listing When a PSO is listed by AHRQ, it…

9. Patient Safety Organization: Certification for Initial Listing (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/PSO_InitialListing.pdf
   September 30, 2024 - Patient Safety Organization: Certification for Initial Listing Form Approved OMB Control No: 0935-0143 Exp. date: 09/30/2024 PATIENT SAFETY ORGANIZATION: CERTIFICATION FOR INITIAL LISTING The Patient Safety and Qualit…

10. Fedregnotice-05242016 (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/fedregnotice-05242016.pdf
    January 04, 2025 - whether that information must be used to meet an external obligation.39 It is intended to be used on a case-by-case

11. 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 - privilege described in subsection (a) unless before the time of the assertion, the entity or, in the case

12. Patient Safety Organization (PSO) Listing Guide (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/PSO-listing-guide-2022.pdf
    January 01, 2022 - In each case, compliance with these additional requirements is the same at initial and continued listing … In each case (Rows #20-#24), compliance with these additional requirements is the same at initial and

13. 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 - privilege described in subsection (a) unless before the time of the assertion, the entity or, in the case

14. PSO Common Terms and Acronyms | PSO
    pso.ahrq.gov/resources/acronyms
    August 01, 2021 - In the case of a component PSO, the rule does not regulate the use of PSWP within the component organization

15. PSO Program - Common Terms and Acronyms (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/pso-program-acronyms.pdf
    October 01, 2022 - In the case of a component PSO, the rule does not regulate the use of PSWP within the component organization

16. 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 …

17. 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 - Less than 3 months after the first known case of COVID-19 was confirmed in the United States, HHS, through … Centers Summary of Evidence (Not reviewed) (Not reviewed) Learning Curves for New Procedures - the Case … rates.83 Facility leadership (executive and clinical) committed to and communicated the goal (in this case