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1. Resources for Improving Patient Safety and Healthcare Quality | PSO
   pso.ahrq.gov/resources/improving-patient-safety
   August 01, 2022 - Other Patient Safety and Quality Improvement Resources As the lead Federal agency for patient safety

2. 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…

3. About Network of Patient Safety Databases (NPSD) | PSO
   pso.ahrq.gov/common-formats/about-npsd
   November 01, 2024 - AHRQ, the lead agency for patient safety, implements the NPSD.

4. Contact the PSO Program | PSO
   pso.ahrq.gov/contact
   February 01, 2025 - about quality of care and/or patient safety related to a specific incident Even though AHRQ is the lead

5. Organizations and Relationships | PSO
   pso.ahrq.gov/about/organizations
   November 01, 2023 - Agency for Healthcare Research and Quality (AHRQ) AHRQ is the lead Federal agency charged with improving

6. 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 - Moreover, improving patient safety culture can potentially lead to improvements not only in safety, … The resulting increase in reporting of safety events can then lead to improvement in patient safety … The mutual collaboration and support that PSOs offer to their members can lead to improvements in patient

7. Webinar on Working With Patient Safety Organizations (PSOs): The Value for Hospitals During COVID-19 and Beyond | PSO
   pso.ahrq.gov/about/webinar-nov5
   November 01, 2020 - SHARE: More topics in this section About About Organizations and Relationships Webinar on Working With Patient Safety Organizations (PSOs): The Value for Hospitals During COVID-19 and Beyond Summary This webinar will…

8. Reducing Avoidable Hospital Readmissions: The Role of the Patient Safety Organization (PSO) | PSO
   pso.ahrq.gov/resources/readmission
   August 01, 2022 - Improvements in these areas can lead to reductions in potentially avoidable readmissions.

9. PSO Quiz--Question Sheet (pdf file)
   pso.ahrq.gov/sites/default/files/quiz/pso-quiz-questions.pdf
   January 01, 2020 - PSO Quiz--Question Sheet QUIZ —QUESTION SHEET Page 1 of 3 Question 1 of 12 A PSO that changes its Authorized Official is expected to notify AHRQ of the change no later than when the PSO submits its next certifications for continued listing. Choose one: True False Question 2 of 12 A PSO should notif…

10. AHRQ Slide Template 2019-Widescreen (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
    January 01, 2020 - AHRQ Slide Template 2019-Widescreen Working With Patient Safety Organizations (PSOs) – The Value for Hospitals During COVID-19 and Beyond We will get started in just a few minutes. Housekeeping All lines are currently muted. We will have a Q&A period at the end of the presentation. Chat Function: Use chat to a…

11. PSO Quiz--Answer Sheet (pdf file)
    pso.ahrq.gov/sites/default/files/quiz/pso-quiz-answer-sheet.pdf
    January 01, 2020 - PSO Quiz--Answer Sheet QUIZ —AN…

12. 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 - Hyperlinks lead to the full text of the evidence review and to later updates regarding the assessment … Hyperlinks in the tables in section 2.5.2 lead to the full evidence review for each patient safety strategy … Research shows that when patients are engaged in their healthcare, it can lead to measurable improvements …  Identify system defects that can lead to patient harm.  Learn from defects. … HRET was the lead for this AHRQ-funded project, in partnership with Abt Associates, the Association for

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 - 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…

14. Frequently Asked Questions | PSO
    pso.ahrq.gov/faq
    April 01, 2023 - As the lead Federal agency for patient safety research, AHRQ is an appropriate partner for PSOs and healthcare

15. Fedregnotice-05242016 (pdf file)
    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…

16. Patient Safety Organization (PSO) Listing Guide (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/PSO-listing-guide-2022.pdf
    January 01, 2022 - Agency for Healthcare Research and Quality (AHRQ) AHRQ is the lead Federal agency charged with improving