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pso.ahrq.gov/resources/oig-reports
October 01, 2024 - Medicare Patients Experienced Harm in October 2018 (May 2022) Adverse Events in Hospitals: National Incidence … Among Medicare Beneficiaries (November 2010) (PDF, 3.4 MB) Adverse Events in Hospitals: Case Study of Incidence … 2008) (PDF, 821 KB) Long-Term-Care Hospitals: Adverse Events in Long-Term-Care Hospitals: National Incidence … Category (PDF, 253 KB) Rehabilitation Hospitals: Adverse Events in Rehabilitation Hospitals: National Incidence … Skilled Nursing Facilities: Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare
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pso.ahrq.gov/resources/act
August 01, 2022 - of the Public Health Service Act to provide for the improvement of patient safety and to reduce the incidence
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pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
July 01, 2016 - Adverse Events in Rehabilitation Hospitals:
National Incidence Among Medicare Beneficiaries, OEI-06-
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pso.ahrq.gov/common-formats/npsd-dashboards
November 01, 2024 - SHARE:
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Data
Common Formats
Network of Patient Safety Databases (NPSD) Dashboards
Network of Patient Safety Databases (NPSD) Chartbooks
Network of Patient Safety Databases (NPSD) Data Spotlights
About …
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pso.ahrq.gov/contact
February 01, 2025 - SHARE:
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Contact PSO
Subscribe to Email Updates
Contact the PSO Program
AHRQ PSO Program Contact the AHRQ PSO Program for more information about the Patient Safety Act and Rule, PSO listing process,…
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pso.ahrq.gov/about/organizations
November 01, 2023 - SHARE:
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About
About
Organizations and Relationships
Organizations and Relationships
Congress authorized the Secretary of the U.S. Department of Health and Human Services (HHS) to implement an…
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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/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…
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pso.ahrq.gov/common-formats/about
November 01, 2024 - SHARE:
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Data
Common Formats
Network of Patient Safety Databases (NPSD) Dashboards
Network of Patient Safety Databases (NPSD) Chartbooks
Network of Patient Safety Databases (NPSD) Data Spotlights
About …
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pso.ahrq.gov/faq
April 01, 2023 - (Patient Safety Act) authorized the creation of PSOs to improve quality and safety by reducing the incidence … organizations, known as Patient Safety Organizations (PSOs), to improve patient safety and to reduce the incidence
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pso.ahrq.gov/sites/default/files/wysiwyg/oig-list-long-term-care-hospitals-2019.pdf
January 01, 2019 - Adverse Events in Long-Term-Care
Hospitals: National Incidence Among Medicare Beneficiaries, OEI-06-
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pso.ahrq.gov/sites/default/files/wysiwyg/ai-healthcare-safety-program.pdf
July 01, 2025 - Artificial Intelligence (AI) in Healthcare Safety Program: October 2024 Update
1
Artificial Intelligence (AI) in Healthcare
Safety Program – October 2024 Update
Overview
In response to Executive Order 14110, Safe, Secure, and Trustworthy Development and Use of Artificial
Intelligence (“EO 14110”), HHS establish…
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pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
December 21, 2021 - Incidence of adverse
events and negligence in hospitalized patients.
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pso.ahrq.gov/sites/default/files/Patient%20Safety%20Act%20PDF.pdf
January 01, 2025 - of the Public Health Service Act to provide for the improvement
of patient safety and to reduce the incidence
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pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdf
January 01, 2010 - Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories From Hospital PSO Members
Benefits of AHRQ Patient Safety
Organizations (PSOs):
Success Stories from Hospital PSO Members
Webcast
June 10, 2015
2:00 – 3:00 pm ET
Need Help?
• No sound from computer speakers?
► Join us by phone: (855)…
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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, …
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pso.ahrq.gov/sites/default/files/wysiwyg/Patient-Safety-Act-2005.pdf
January 01, 2005 - of the Public Health Service Act to provide for the improvement
of patient safety and to reduce the incidence
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pso.ahrq.gov/sites/default/files/wysiwyg/PSO-listing-guide-2022.pdf
January 01, 2022 - of the Public Health Service Act to provide for the improvement of patient safety and to reduce
the incidence