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Total Results: 18 records

Showing results for "incidents".

1. Organizations and Relationships | PSO
   pso.ahrq.gov/about/organizations
   November 01, 2023 - receives nonidentifiable data from the PSOPPC on patient safety concerns such as falls and medication incidents

2. About Common Formats | PSO
   pso.ahrq.gov/common-formats/about
   November 01, 2024 - Generally, the CFER can be used to report: Incidents: patient safety events that reached the patient

3. Related Office of Inspector General (OIG) Reports | PSO
   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 …

4. Network of Patient Safety Databases (NPSD) Dashboards | PSO
   pso.ahrq.gov/common-formats/npsd-dashboards
   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 …

5. Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories From Hospital PSO Members (pdf file)
   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

6. Contact the PSO Program | PSO
   pso.ahrq.gov/contact
   February 01, 2025 - SHARE: More topics in this section 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,…

7. Fedregnotice-05242016 (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/fedregnotice-05242016.pdf
   January 04, 2025 - other facilities are required by various state laws to submit reports on ‘‘serious events’’ and ‘‘incidents

8. Slide 1 (pdf file)
   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…

9. Patient Safety and Quality Improvement Act of 2005 | PSO
   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 …

10. Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
    December 21, 2021 - NPSD data are derived from reports of all types of patient safety incidents, near misses, and unsafe … Dashboard The Medication or Other Substance Dashboard details the extent of harm due to medication incidents … preventable patient harms by investigating trends and patterns in frequently occurring anesthesia- related incidents … .21 These studies were among the first to systematically analyze “critical incidents” in healthcare … and design engineering principles.22 Identification of the underlying causes of anesthesia-related incidents

11. Frequently Asked Questions | PSO
    pso.ahrq.gov/faq
    April 01, 2023 - Generally, the CFER can be used for: Incidents: patient safety events that reached the patient, whether

12. Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in OIG Report as Clearly Preventable or Likely Preventable by Clinical Category (pdf file)
    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…

13. Artificial Intelligence (AI) in Healthcare Safety Program: October 2024 Update (pdf file)
    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

14. How PSOs Help Health Care Organizations Improve Patient Safety Culture (pdf file)
    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, …

15. 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 (pdf file)
    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…

16. Patient Safety and Quality Improvement Act of 2005; Public Law 109–41, July 29, 2005 (pdf file)
    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…

17. Patient Safety and Quality Improvement Act of 2005; Public Law 109–41, July 29, 2005 (pdf file)
    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…

18. Patient Safety Organization (PSO) Listing Guide (pdf file)
    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