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pso.ahrq.gov/sites/default/files/wysiwyg/PSO_ChangeOfListingInfo.pdf
December 17, 2021 - Patient Safety Organization: Change of Listing Information
Form Approved
OMB … Control No: 0935-0143
Exp. date: 09/30/2024
PATIENT SAFETY ORGANIZATION:
CHANGE OF LISTING INFORMATION … provide the PSO’s number and current PSO name; complete only the sections(s) below that
apply to the change … Changes to Parent Organization(s) Information
NOTE: If you are reporting a change … of parent organization(s) or a change in organizational structure that
affects the PSO, please submit
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pso.ahrq.gov/forms
February 01, 2022 - Change of Listing Information Form
As required by section 3.102(a)(1)(vi) of the Patient Safety Rule … are not limited to, acquisition of the PSO or its parent organization by a health insurance issuer; change … or addition of a parent organization; change in address, phone number or other contact information; … You can download a blank PDF of the Change of Listing Information form (PDF, 281 KB) for reference.
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pso.ahrq.gov/maintain/sample-timeline
June 01, 2022 - Change of Information Form
Submit whenever any information contained in the previous listing form changes … Change of Information Form
Submit whenever any information contained in the previous listing form changes … Change of Information Form
Submit whenever any information contained in the previous listing form changes
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pso.ahrq.gov/sites/default/files/quiz/pso-quiz-answer-sheet.pdf
January 01, 2020 - SHEET
Question 1 of 12
A PSO that changes its Authorized Official is expected to notify AHRQ of the change … True
[The PSO Change of Listing Information form can be used to notify AHRQ of a change
in contact
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pso.ahrq.gov/pso/listed/geographic
October 01, 2022 - To update PSO contact information, please use the Change of Listing Information form ; to update profile
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pso.ahrq.gov/sites/default/files/wysiwyg/what-is-the-role-of-ao.pdf
July 01, 2021 - listing if there have been any changes in the accuracy of the listing
information, or if there is a change … Contracts Requirement Form, Disclosure Statement
Form, Certification for Continued Listing Form, and Change
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pso.ahrq.gov/sites/default/files/wysiwyg/Role%20of%20AO_July%202016_FINAL.pdf
July 01, 2016 - there are any changes in the accuracy of the information provided or if
there is a change … Requirement Form, Disclosure
Statement Form, Certification for Continued Listing Form, and Change
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pso.ahrq.gov/maintain
June 01, 2022 - Submit the Change of Listing Information Form whenever listing information changes
A PSO must promptly … The Change of Listing Information Form (PDF, 281 KB) is an administrative form that can be used by
-
pso.ahrq.gov/sites/default/files/wysiwyg/what-is-the-role-of-ao-june-2017.pdf
January 01, 2017 - listing if there have been any changes in the accuracy of the listing
information, or if there is a change … Contracts Requirement Form, Disclosure Statement
Form, Certification for Continued Listing Form, and Change
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pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
July 01, 2016 - Preventable or Likely Preventable,
by Clinical Category
Adverse Events Related to Medication
Delirium or change … acute-care hospital
Temporary Harm Events Related to Medication
Medication-induced delirium or other change
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pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
January 01, 2019 - which required sending to
an acute-care hospital for treatment
• PEG site infection resulting in PEG change … patient with
tracheostomy
• Penile bleeding while over-anti-coagulated (INR 4.5) leading to catheter change … medication
(hydrocodone)
Bleeding associated with anticoagulants
• Bleeding from penis with catheter change
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pso.ahrq.gov/resources/hhs-guidance
August 01, 2022 - presented is not legal advice, is not to be acted on as such, may not be current, and is subject to change
-
pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdf
January 01, 2010 - ► Reporting a medication with nearly identical labels led to a
national change in the label. … ► How do you change culture? … ► How to implement change?
► How to break down barriers?
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pso.ahrq.gov/resources/guides
August 01, 2023 - presented is not legal advice, is not to be acted on as such, may not be current, and is subject to change
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pso.ahrq.gov/sites/default/files/wysiwyg/PSO_ContinuedListing.pdf
February 15, 2022 - , or
if there are any changes in the contact information, the PSO must notify AHRQ by submitting a Change
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pso.ahrq.gov/sites/default/files/wysiwyg/PSO_BonaFideContracts.pdf
January 21, 2021 - The issuance of such a notice for this purpose does
not change the entity’s status as a PSO during this
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pso.ahrq.gov/sites/default/files/wysiwyg/PSO_InitialListing.pdf
February 15, 2022 - , or
if there are any changes in the contact information, the PSO must notify AHRQ by submitting a Change
-
pso.ahrq.gov/become/assess-compatibility
August 01, 2021 - FDA reporting responsibilities do not change when an entity becomes listed as a PSO or becomes the parent
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pso.ahrq.gov/sites/default/files/wysiwyg/pso-listing-guide-2022.pdf
January 01, 2022 - presented is not legal
advice, is not to be acted on as such, may not be current, and is subject to change … FDA reporting responsibilities do not change when an entity becomes
listed as a PSO or becomes the parent … Submit the Change of Listing Information Form whenever listing information changes
A PSO must promptly … https://pso.ahrq.gov/faq/example-collection-and-analysis-change
https://pso.ahrq.gov/faq/example-collection-and-analysis-change … https://pso.ahrq.gov/faq/example-collection-and-analysis-change
https://pso.ahrq.gov/faq/example-collection-and-analysis-change
-
pso.ahrq.gov/sites/default/files/wysiwyg/PSO-listing-guide-2022.pdf
January 01, 2022 - presented is not legal
advice, is not to be acted on as such, may not be current, and is subject to change … FDA reporting responsibilities do not change when an entity becomes
listed as a PSO or becomes the parent … Submit the Change of Listing Information Form whenever listing information changes
A PSO must promptly … https://pso.ahrq.gov/faq/example-collection-and-analysis-change
https://pso.ahrq.gov/faq/example-collection-and-analysis-change … https://pso.ahrq.gov/faq/example-collection-and-analysis-change
https://pso.ahrq.gov/faq/example-collection-and-analysis-change