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1. Related Office of Inspector General (OIG) Reports | PSO
   pso.ahrq.gov/resources/oig-reports
   August 01, 2025 - Study of Incidence Among Medicare Beneficiaries in Two Selected Counties (December 2008) (PDF, 821 KB) Long-Term-Care … Hospitals: Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries … (November 2018) Adverse and Temporary Harm Events in Long-Term-Care Hospitals Designated in Office

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 … Preventable or Likely Preventable, by Clinical Category Page 1 of 9 Adverse and Temporary Harm Events in Long-Term-Care … Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries, OEI-06-

3. Work With a Patient Safety Organization | PSO
   pso.ahrq.gov/work-with
   November 01, 2020 - When a provider works with a PSO, many of the long-recognized impediments to successful quality and safety

4. Listed PSOs | PSO
   pso.ahrq.gov/pso/listed
   Licensed Practitioner Groups (5 or fewer) (14) Licensed Practitioner Groups (6 or more) (28) Long … (18) Rehabilitation hospital (14) Retail pharmacy (11) Skilled nursing or intermediate/long

5. Assess Compatibility of Anticipated PSO Operations with Patient Safety Rule Requirements | PSO
   pso.ahrq.gov/become/assess-compatibility
   August 01, 2021 - Met by a PSO Within Certain Timeframes When developing plans for a prospective PSO, consider how long

6. How To Maintain a PSO Listing | PSO
   pso.ahrq.gov/maintain
   June 01, 2022 - Only the completed form (not the contracts) is required as long as it is submitted before the deadline

7. Slide 1 (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/guidance-pswp-provider-obligations.pdf
   May 24, 2016 - The forms outside the PSES are not PSWP; the ones inside are as long as the ones outside are available … meet its other obligations; moreover, information enters into a provider’s PSES “remains PSWP (so long

8. 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 - For example, commercial aviation, nuclear power, and railway industries have long implemented safety … the IOM report, AHRQ, in conjunction with its Federal partners and non- 21 Cooper JB, Newbower RS, Long … AHRQ Health Services Research Projects: Making health care safer in ambulatory care settings and long … Final report on the AHRQ safety program for long-term care: preventing CAUTI and other HAIs. … , emergency care, general and specialty medical care in various settings, home health and hospice, long

9. 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 - • Locally we had a long-standing policy of sharing medical errors with families ► Share errors even

10. Frequently Asked Questions | PSO
    pso.ahrq.gov/faq
    April 01, 2023 - this aspect of the appropriately qualified workforce requirement by contracting with individuals as long … The Patient Safety Rule does not specify how long a PSO must retain PSWP or information pertaining to

11. Fedregnotice-05242016 (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/fedregnotice-05242016.pdf
    January 04, 2025 - PSES will be ‘‘original provider records’’ that are no longer privileged and confidential PSWP so long … the provider instead decides to report the information to a PSO, the information remains PSWP (so long

12. Guides for PSOs and Providers for Determining Parent Organizations and Affiliated Providers (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/guides-psos-providers-determining-parent-orgs-affiliated-providers.pdf
    July 01, 2021 - surgical center, pharmacy, physician or health care practitioner’s office (includes a group practice), long

13. 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 - facility, ambulatory sur- gical center, pharmacy, physician or health care practi- tioner’s office, long

14. 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 - facility, ambulatory sur- gical center, pharmacy, physician or health care practi- tioner’s office, long

15. Patient Safety Organization (PSO) Listing Guide (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/PSO-listing-guide-2022.pdf
    January 01, 2022 - When developing plans for a prospective PSO, consider how long it is likely to take before the plans … Only the completed form (not the contracts) is required as long as it is submitted before the deadline