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1. 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 - As the IOM Report noted, “Human beings, in all lines of work, make errors. … Reducing diagnostic errors in primary care pediatrics toolkit. … Several PSLL studies focus on diagnostic errors. … Medication errors related to CEDR-regulated drug products. … Patient Identification Errors Table 24. Radiological Table 25.

2. Emergency Medical Error Reduction Group | PSO
   pso.ahrq.gov/pso/emergency-medical-error-reduction-group-0
   March 08, 2022 - SHARE: More topics in this section Return to Delisted PSOs Search Emergency Medical Error Reduction Group PSO Number: P0235 Components of Parent Org(s): Center for Leadership, Inn…

3. Patient Safety and Quality Improvement Act of 2005 | PSO
   pso.ahrq.gov/resources/act
   August 01, 2022 - consultation with the Director of AHRQ, to prepare a report on effective strategies for reducing medical errors … appropriate by the Secretary to encourage the appropriate use of effective strategies for reducing medical errors

4. Emergency Medical Error Reduction Group | PSO
   pso.ahrq.gov/pso/emergency-medical-error-reduction-group
   November 28, 2012 - SHARE: More topics in this section Return to Delisted PSOs Search Emergency Medical Error Reduction Group PSO Number: P0133 Components of Parent Org(s): Center for Leadership, Inn…

5. 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 - for health care organizations as they strive to eliminate the factors that contribute to medical errors … to moving toward a safer health system is changing the culture from one of blaming individuals for errors … to one in which errors are treated not as personal failures, but as opportunities to improve the system … assessment, health care organizations can assess staff attitudes about patient safety issues, medical errors … evaluated the initiative of Second Victim Experience support for clinicians who have made medical errors

6. 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 - • The Good Catch program: ► creates a positive atmosphere for submitting potential errors. … • PSO Alert – High Alert Medications ► 1 in 5 medication errors reported to PSO in 2014 involved … • Locally we had a long-standing policy of sharing medical errors with families ► Share errors even

7. Resources for Artificial Intelligence (AI) in Healthcare Safety | PSO
   pso.ahrq.gov/resources/ai-healthcare-safety
   February 01, 2025 - and in partnership with AHRQ-listed PSOs, seeks to: Create a common framework to identify clinical errors

8. About the PSO Program | PSO
   pso.ahrq.gov/about
   October 01, 2020 - Medicine  report,  To Err Is Human , which sparked national concern over the number of preventable medical errors

9. 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 - Organizations: (A) establishes a common framework for approaches to identifying and capturing clinical errors … major adverse events such as healthcare- associated infections, adverse drug events, and diagnostics errors … analyze when AI may contribute to clinical error and then take appropriate action to prevent future errors … PSOs are also adept in convening multi-disciplinary experts; for example, AI-related errors may require

10. Fedregnotice-05242016 (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/fedregnotice-05242016.pdf
    January 04, 2025 - .’’ 1 The Patient Safety Act promotes the goal of improving patient safety and reducing medical errors … analyze this information and give feedback to the providers to encourage learning and prevent future errors … reporting systems.3 The legal system provides another course to pursue accountability for medical errors … and it attempts to balance this goal with that of improving patient safety and reducing medical errors … for re- porting to a PSO so the PSO can analyze the levels and types of staff involved in medication errors

11. Slide 1 (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/guidance-pswp-provider-obligations.pdf
    May 24, 2016 - transparency, and it attempts to balance this goal with that of improving patient safety and reducing medical errors … . “ • “The Patient Safety Act promotes the goal of improving patient safety and reducing medical errors … for reporting to a PSO so the PSO can analyze the levels and types of staff involved in medication errors

12. Delisted PSOs | PSO
    pso.ahrq.gov/pso/delisted
    SHARE: Filter the Results Search for a Delisted PSO Search by Keyword Search   Delisted PSOs Below are PSOs that have been delisted. A PSO may be “delisted” for three reasons: Voluntary Relinquishment — the PSO …

13. 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 - consultation with the Director, shall prepare a draft report on effective strategies for reducing med- ical errors … shall be used to analyze national and regional statistics, including trends and patterns of health care errors

14. 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 - consultation with the Director, shall prepare a draft report on effective strategies for reducing med- ical errors … shall be used to analyze national and regional statistics, including trends and patterns of health care errors

15. PSO Program - Common Terms and Acronyms (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/pso-program-acronyms.pdf
    October 01, 2022 - Safety – A culture of safety encompasses: a blame‐free environment where individuals are able to report errors

16. PSO Common Terms and Acronyms | PSO
    pso.ahrq.gov/resources/acronyms
    August 01, 2021 - Safety – A culture of safety encompasses: a blame‐free environment where individuals are able to report errors

17. AHRQ Slide Template 2019-Widescreen (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
    January 01, 2020 - AHRQ Slide Template 2019-Widescreen Working With Patient Safety Organizations (PSOs) – The Value for Hospitals During COVID-19 and Beyond We will get started in just a few minutes. Housekeeping All lines are currently muted. We will have a Q&A period at the end of the presentation. Chat Function: Use chat to a…

18. PSO Printable Lists | PSO
    pso.ahrq.gov/pso/delisted/printable-list
    December 17, 2008 - SHARE: Delisted PSOs Below are PSOs that have been delisted. A PSO may be “delisted” for three reasons: Voluntary Relinquishment — the PSO chooses to voluntarily relinquish its status as a PSO. Failure to Seek Continued Listing — the 3-year listing period expires …

19. 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 …