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pso.ahrq.gov/common-formats/npsd-data-spotlights
November 01, 2024 - Qualitative Analysis of Concerns During the Public Health Emergency (PDF, 4.6 MB) Falls: Falls: Associated Factors
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pso.ahrq.gov/common-formats/npsd-dashboards
November 01, 2024 - include incident-specific and near misses-specific analyses that examine their origin and contributing factors
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pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
December 21, 2021 - Human Factors Engineering
A basic premise of human factors engineering (HFE) is that well-designed systems … FAA Human Factors Awareness Course: Introduction – Foundations
- What “Human Factors” is. https://elmscontent.dot.gov … PSNet Patient safety primer: human factors engineering. … https://psnet.ahrq.gov/primer/human-factors-engineering. … Preventable anesthesia mishaps: a study of human factors.
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pso.ahrq.gov/sites/default/files/wysiwyg/npsdpatient-safety-culture-brief.pdf
September 01, 2016 - culture of safety is an essential task for
health care organizations as they strive to eliminate
the factors … been discussed during
Safe Table events:
■ Failure to inform patients of abnormal test results
■ Factors
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pso.ahrq.gov/sites/default/files/wysiwyg/ai-healthcare-safety-program.pdf
July 01, 2025 - For example, some PSOs have human factors expertise, which may be needed to
address a system issue stemming … AHRQ employees and contractors,
and researchers from the MedStar Health National Center for Human Factors … were identified directly as Device or HIT events or indirectly as having data or HIT as
contributing factors
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pso.ahrq.gov/work-with/choose
November 01, 2020 - Other factors to consider when selecting a PSO:
Which type of analysis and what services does the
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pso.ahrq.gov/about/webinar-nov5
November 01, 2020 - program
An overview of how a PSO works, examples of what services a PSO can offer hospitals, and factors
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pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
January 01, 2020 - ‘safety critical’ policies and procedures.
https://psnet.ahrq.gov/primer/COVID-19-team-
and-human-factors-improve-safety … https://psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
Committed to Quality
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pso.ahrq.gov/sites/default/files/Choosing%20a%20PSO.pdf
August 01, 2012 - ■ Other factors to consider when selecting a PSO:
– Which types of analysis and what services
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pso.ahrq.gov/sites/default/files/wysiwyg/ChoosingPSO_2016.pdf
January 01, 2016 - ■ Other factors to consider when selecting a PSO:
– Which types of analysis and what services
does
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pso.ahrq.gov/sites/default/files/wysiwyg/pso-brochure.pdf
March 01, 2020 - Other factors to consider when selecting
a PSO:
■ Which types of analysis and what services does
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pso.ahrq.gov/sites/default/files/wysiwyg/fedregnotice-05242016.pdf
January 04, 2025 - reports for reporting to
the PSO so that the richness of the narrative can be mined for
contributing factors
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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…
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pso.ahrq.gov/faq
April 01, 2023 - Hospitals that wish to identify factors associated with unnecessary readmissions are encouraged to consider