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  1. pso.ahrq.gov/sites/default/files/wysiwyg/pso-program-acronyms.pdf
    October 01, 2022 - HERF – Healthcare Event Reporting Form (HERF); it is one of 3 general forms of AHRQ’s Common Formats. … This form is not available in versions after Hospital version 1.2. … (PIF); it is one of 3 general forms of AHRQ’s Common Formats. … This form is not available in versions after Hospital version 1.2. … SIR – Summary of Initial Report (SIR) Form; it is one of 3 general forms of AHRQ’s Common Formats.
  2. 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
  3. pso.ahrq.gov/sites/default/files/wysiwyg/fedregnotice-05242016.pdf
    January 04, 2025 - provider has no ongoing requirement to maintain the reported information, the subsequent collection of a form … in the PSES and reporting to a PSO would protect the later form as PSWP because the external obligation … The provider only maintains the forms outside of the PSES: The forms are not PSWP. … The provider only maintains the original forms in the PSES: The forms are original provider records … clear and discrete requirements would include requirements for a provider to fill out a particular form
  4. Slide 1 (pdf file)

    pso.ahrq.gov/sites/default/files/wysiwyg/guidance-pswp-provider-obligations.pdf
    May 24, 2016 - The provider only maintains the forms outside of the PSES: The forms are not PSWP. 2. … : The original forms are not PSWP. 3. … The provider only maintains the original forms in the PSES: The forms are original provider records … The provider maintains the forms outside of the PSES and within the PSES extracts information from the … forms to conduct further analysis: The forms are not PSWP. 23 The Guidance: External Obligations
  5. pso.ahrq.gov/faq
    April 01, 2023 - PSWP analyzed by the PSO forms the basis of protected recommendations from the PSO to the provider. … A health insurance issuer may not form a component PSO, but the other excluded entities listed in 3.102 … If the component PSO's parent is an excluded entity that is permitted to form a component PSO, the PSO … AHRQ has prepared a  PSO Certification for Initial Listing  form that an entity must use to certify that … What is the deadline for submitting the forms to become a PSO?
  6. pso.ahrq.gov/pso
    June 01, 2025 - Work With a PSO Become a PSO Maintain a PSO Listing PSOs Common Formats Forms
  7. pso.ahrq.gov/sites/default/files/wysiwyg/fda-guidance-pso.pdf
    December 01, 2010 - entities that seek to be component PSOs to sign an attestation that the statements on the application form … The application form also indicates that if the answer is “no” for any of the questions, additional … In addition, the form indicates that applicants must promptly notify HHS if any changes take place that
  8. pso.ahrq.gov/work-with/choose
    November 01, 2020 - AHRQ created the Common Formats (forms using common definitions and reporting formats) to facilitate
  9. pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdf
    January 01, 2010 - people throughout 5- state area 13 Decision to Join a PSO Center for Patient Safety (CPS) forms … in setting up the electronic database and our patient safety evaluation system ► Policy and PSO form
  10. pso.ahrq.gov/pso/listed
    To update PSO contact information, please use the Change of Listing Information form which can be accessed
  11. pso.ahrq.gov/sites/default/files/Patient%20Safety%20Act%20PDF.pdf
    January 01, 2025 - identifiable patient safety work product’ means patient safety work product that— ‘‘(A) is presented in a form … information as that term is defined in the HIPAA confiden- tiality regulations; or ‘‘(C) is presented in a form
  12. pso.ahrq.gov/sites/default/files/wysiwyg/Patient-Safety-Act-2005.pdf
    January 01, 2005 - identifiable patient safety work product’ means patient safety work product that— ‘‘(A) is presented in a form … information as that term is defined in the HIPAA confiden- tiality regulations; or ‘‘(C) is presented in a form
  13. pso.ahrq.gov/sites/default/files/wysiwyg/npsdpatient-safety-culture-brief.pdf
    September 01, 2016 - Patient Safety (TeamSTEPPS®) PSOs make patient safety culture initiatives available to members in the form
  14. pso.ahrq.gov/sites/default/files/wysiwyg/ai-healthcare-safety-program.pdf
    July 01, 2025 - virtual environments, translate these into models through automated analysis, and use model inference to form
  15. pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
    December 21, 2021 - excluded from becoming listed as a PSO and the requirements an entity must meet to become a PSO, or to form … aggregate patient safety data for analysis and learning at the national level was to create a standardized form

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