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pso.ahrq.gov/common-formats/npsd-dashboards
November 01, 2024 - Analyses include incident-specific and near misses-specific analyses that examine their origin and contributing
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pso.ahrq.gov/contact
February 01, 2025 - page
Concerns For concerns about quality of care and/or patient safety related to a specific incident
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pso.ahrq.gov/sites/default/files/wysiwyg/guidance-pswp-provider-obligations.pdf
May 24, 2016 - required for another
purpose and is prepared solely for reporting to a PSO
Following a patient incident … Assembled/Developed (3)
EXAMPLE – 2
A list of provider staff who were present at the time a patient
incident … Following the incident, a provider originally assembles the list for
reporting to a PSO so the PSO can … " (73 FR 8121); and
► Information … collected to comply with external obligations, such as: state incident
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pso.ahrq.gov/sites/default/files/wysiwyg/fedregnotice-05242016.pdf
January 04, 2025 - hospitals are required to ‘‘establish[], maintain[],
and utilize[]’’ administrative reports, including
incident … maintained by providers for
other purposes.’’).
16 Some examples of external obligations include:
state incident … Following a patient incident, a provider develops information about
possible equipment malfunctions … Following the incident, a provider originally assembles the list for re-
porting to a PSO so the PSO … Written reports 21 of witness ac-
counts of what they observed at
the time of a patient incident.
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pso.ahrq.gov/resources/oig-reports
October 01, 2024 - 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 …
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pso.ahrq.gov/about/organizations
November 01, 2023 - SHARE:
More topics in this section
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/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
…
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pso.ahrq.gov/common-formats/about
November 01, 2024 - SHARE:
More topics in this section
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/sites/default/files/wysiwyg/npsdpatient-safety-culture-brief.pdf
September 01, 2016 - helps PSOs build trust is the set of legal
protections for patient safety work product that protects
incident
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pso.ahrq.gov/sites/default/files/wysiwyg/adverse-events-rehab-hospitals.pdf
July 01, 2016 - Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in OIG Report as Clearly Preventable or Likely Preventable by Clinical Category
Page 1 of 4
Adverse and Temporary Harm Events in Rehabilitation
Hospitals Designated in Office of Inspector General Report1
as Clearly Preventable or Likely Pr…
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pso.ahrq.gov/faq
April 01, 2023 - SHARE:
Frequently Asked Questions
Frequently asked questions and definition of terms used in the Patient Safety Act or Patient Safety Rule are summarized here solely for convenience; always rely on the actual text of the Patient Safety Act or Patient Safety …
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pso.ahrq.gov/sites/default/files/wysiwyg/ai-healthcare-safety-program.pdf
July 01, 2025 - considered in analysis of a safety event, AI
is considered as a potentially contributing factor to the incident
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pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
December 21, 2021 - They treat every incident and close call as
an opportunity to learn, and they encourage reporting of … Rather than accepting seemingly obvious
but superficial explanations of why an incident occurred, HROs … take time to analyze each incident to
fully understand why it happened and what may have contributed
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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/oig-list-long-term-care-hospitals-2019.pdf
January 01, 2019 - Adverse and Temporary Harm Events in Long-Term-Care Hospitals (LTCH) Designated in Office of Inspector General Report1 as Clearly Preventable or Likely Preventable, by Clinical Category
Page 1 of 9
Adverse and Temporary Harm Events in Long-Term-Care
Hospitals (LTCH) Designated in Office of Inspector General
Report…
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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…
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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…
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pso.ahrq.gov/sites/default/files/wysiwyg/PSO-listing-guide-2022.pdf
January 01, 2022 - Patient Safety Organization (PSO) Listing Guide
PATIENT SAFETY ORGANIZATION (PSO)
LISTING GUIDE
What is the PSO Listing Guide?
The PSO Listing Guide is an informal educational resource to help readers locate and learn about the
requirements for PSO listing under the Patient Safety and Quality Improveme…