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pso.ahrq.gov/about/organizations
November 01, 2023 - receives nonidentifiable data from the PSOPPC on patient safety concerns such as falls and medication incidents
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pso.ahrq.gov/resources/oig-reports
August 01, 2025 - SHARE:
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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/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/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdf
January 01, 2010 - • Patient Safety Events –
► Incidents or near misses or unsafe conditions
► Any type of event
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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/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 - Generally, the CFER can be used for:
Incidents: patient safety events that reached the patient, whether
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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/sites/default/files/wysiwyg/ai-healthcare-safety-program.pdf
July 01, 2025 - in healthcare settings as well as specifications for a
central tracking repository for associated incidents
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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/wysiwyg/PSO-listing-guide-2022.pdf
January 01, 2022 - • If the component PSO has experienced any close calls or
incidents involving inappropriate disclosure