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pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdf
January 01, 2010 - • PSO Alert – High Alert Medications
► 1 in 5 medication errors reported to PSO in 2014 involved
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pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
December 21, 2021 - ADEs: Infusion Pumps/Medication Error ............................................................... … ADEs: Infusion Pumps/Medication Error
Patient Safety Practices MHS I (2001) MHS II (2013) MHS III … Pharmacopeia, and researchers to
understand the causes of medication errors and the effectiveness of … Medication errors related to CEDR-regulated drug products. … ADEs: Infusion Pumps/Medication Error
Table 7. Alarm Fatigue
Table 8. Care Transitions
Table 9.
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pso.ahrq.gov/sites/default/files/wysiwyg/ai-healthcare-safety-program.pdf
July 01, 2025 - among the PSOs that AI is currently not thought of as its own adverse event
type, such as a Fall or Medication … error.
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pso.ahrq.gov/pso/emergency-medical-error-reduction-group-0
March 08, 2022 - SHARE:
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Return to Delisted PSOs Search
Emergency Medical Error Reduction Group
PSO Number: P0235 Components of Parent Org(s):
Center for Leadership, Inn…
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pso.ahrq.gov/pso/emergency-medical-error-reduction-group
November 28, 2012 - SHARE:
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Return to Delisted PSOs Search
Emergency Medical Error Reduction Group
PSO Number: P0133 Components of Parent Org(s):
Center for Leadership, Inn…
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pso.ahrq.gov/sites/default/files/wysiwyg/fedregnotice-05242016.pdf
January 04, 2025 - the list for re-
porting to a PSO so the PSO can analyze the levels and types of
staff involved in medication … errors.
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pso.ahrq.gov/sites/default/files/wysiwyg/guidance-pswp-provider-obligations.pdf
May 24, 2016 - the list for
reporting to a PSO so the PSO can analyze the levels and types
of staff involved in medication … errors.
14
~ Breaking Down the Guidance ~
Meeting External Obligations
1.
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pso.ahrq.gov/resources/act
August 01, 2022 - SHARE:
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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/pso/delisted
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Filter the Results
Search for a Delisted PSO
Search by Keyword
Search
Delisted PSOs
Below are PSOs that have been delisted. A PSO may be “delisted” for three reasons:
Voluntary Relinquishment — the PSO …
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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, …
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pso.ahrq.gov/about
October 01, 2020 - SHARE:
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About
About
Organizations and Relationships
About the PSO Program
A Brief History of the Program
The Congress developed and enacted the Patient Safety and Quality Improvement A…
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pso.ahrq.gov/pso/delisted/printable-list
December 17, 2008 - SHARE:
Delisted PSOs
Below are PSOs that have been delisted. A PSO may be “delisted” for three reasons:
Voluntary Relinquishment — the PSO chooses to voluntarily relinquish its status as a PSO.
Failure to Seek Continued Listing — the 3-year listing period expires …
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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/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…
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pso.ahrq.gov/resources/acronyms
August 01, 2021 - 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/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-program-acronyms.pdf
October 01, 2022 - PSO Program - Common Terms and Acronyms
Page 1 of 6
PSO PROGRAM: COMMON TERMS
AND ACRONYMS
[Note: Terms used in the Patient Safety Act or Rule are summarized here solely for convenience and may be defined
in the statute or rule. You should always rely on the actual definition when making any determination. The …