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1. Emergency Medical Error Reduction Group | PSO
   pso.ahrq.gov/pso/emergency-medical-error-reduction-group-0
   March 08, 2022 - Return to Delisted PSOs Search Emergency Medical Error

2. Emergency Medical Error Reduction Group | PSO
   pso.ahrq.gov/pso/emergency-medical-error-reduction-group
   November 28, 2012 - Return to Delisted PSOs Search Emergency Medical Error

3. Artificial Intelligence (AI) in Healthcare Safety Program: October 2024 Update (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/ai-healthcare-safety-program.pdf
   July 01, 2025 - are well situated to help providers first identify and analyze when AI may contribute to clinical error … PSOs that AI is currently not thought of as its own adverse event type, such as a Fall or Medication error … For example, a wrong diagnosis due to an error by an AI-enabled clinical decision support tool used … as part of the diagnostic process would likely be considered a “diagnostic error” not an “AI error … , combination of use error and device defect or failure, and “unknown” identified less frequently.

4. Delisted PSOs | PSO
   pso.ahrq.gov/pso/delisted
   Expired listing Components of Parent Organizations: ECI Healthcare Partners, LLC Emergency Medical Error … Parent Organizations: Center for Leadership, Innovation and Research (CLIR) Emergency Medical Error

5. 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 - Human Error in Medicine. … Human error: models and management. … Stretching the search for the “why” of error: the systems approach. … Error in medicine. JAMA. 1994 Dec 21;272(23):1851-7. … Diagnostic Error Table 14. Failure to Rescue Table 15. General Clinical Topics Table 16.

6. Patient Safety and Quality Improvement Act of 2005 | PSO
   pso.ahrq.gov/resources/act
   August 01, 2022 - SHARE: More topics in this section Resources Resources Resources About the Patient Safety and Quality Improvement Act of 2005 Patient Safety Act Patient Safety Rule HHS Guidance Guides Other Educational Materials …

7. 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 - policy of sharing medical errors with families ► Share errors even if families did not know about the error

8. 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, …

9. Resources for Artificial Intelligence (AI) in Healthcare Safety | PSO
   pso.ahrq.gov/resources/ai-healthcare-safety
   February 01, 2025 - 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 Resources for Artificial Intelligence (AI) in …

10. About the PSO Program | PSO
    pso.ahrq.gov/about
    October 01, 2020 - SHARE: More topics in this section About About Organizations and Relationships About the PSO Program A Brief History of the Program The Congress developed and enacted the  Patient Safety and Quality Improvement A…

11. 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…

12. Other Patient Safety and Quality Improvement Resources | PSO
    pso.ahrq.gov/resources/other
    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 …

13. 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…

14. AHRQ Slide Template 2019-Widescreen (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
    January 01, 2020 - Sharing Through a PSO • Sharing of processes and outcomes o Reduces individual facility “trial and error

15. PSO Printable Lists | PSO
    pso.ahrq.gov/pso/delisted/printable-list
    December 17, 2008 - Emergency Medical Error Reduction Group PSO Number: P0133 Components of Parent Org(s): Center … 12:00 am Reason for Delisting: Expired listing Additional Comment: None Emergency Medical Error … HealthDataPSO PSO Number: P0045 Components of Parent Org(s): CCD Healthsystems Medical Error

16. 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…

17. 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…

18. PSO Common Terms and Acronyms | PSO
    pso.ahrq.gov/resources/acronyms
    August 01, 2021 - 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 Resources for Artificial Intelligence (AI) in …

19. PSO Program - Common Terms and Acronyms (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/pso-program-acronyms.pdf
    October 01, 2022 - PSO Program - Common Terms and Acronyms Page 1 of 6 PSO PROGRAM: COMMON TERMS AND ACRONYMS [Note: Terms used in the Patient Safety Act or Rule are summarized here solely for convenience and may be defined in the statute or rule. You should always rely on the actual definition when making any determination. The …