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1. Related Office of Inspector General (OIG) Reports | PSO
   pso.ahrq.gov/resources/oig-reports
   August 01, 2025 - Related Office of Inspector General (OIG) Reports The HHS OIG has published … AHRQ is disseminating information related to these reports to increase understanding of adverse events … Adverse and Temporary Harm Events in Long-Term-Care Hospitals Designated in Office of Inspector General Report … Adverse and Temporary Harm Events in Rehabilitation Hospitals Designated in Office of Inspector General Report … https://pso.ahrq.gov/resources/oig-reports   Back to Top

2. Resources | PSO
   pso.ahrq.gov/resources
   October 01, 2024 - for Artificial Intelligence (AI) in Healthcare Safety Related Office of Inspector General (OIG) Reports … Related Office of Inspector General (OIG) Reports Resources related to HHS OIG reports regarding adverse

3. Network of Patient Safety Databases (NPSD) Data Spotlights | PSO
   pso.ahrq.gov/common-formats/npsd-data-spotlights
   November 01, 2024 - These reports provide deeper analyses of priority patient safety topics.

4. Patient Safety Organization: Two Bona Fide Contracts Requirement (pdf file)
   pso.ahrq.gov/sites/default/files/wysiwyg/PSO_BonaFideContracts.pdf
   September 30, 2024 - If the PSO reports that it has not yet met the two bona fide contracts requirement, or fails to file … aspect of this collection of information, including suggestions for reducing this burden, to: AHRQ Reports

5. Resources for Improving Patient Safety and Healthcare Quality | PSO
   pso.ahrq.gov/resources/improving-patient-safety
   August 01, 2022 - for Artificial Intelligence (AI) in Healthcare Safety Related Office of Inspector General (OIG) Reports

6. Other Patient Safety and Quality Improvement Resources | PSO
   pso.ahrq.gov/resources/other
   August 01, 2022 - for Artificial Intelligence (AI) in Healthcare Safety Related Office of Inspector General (OIG) Reports

7. Notice of Proposed Rulemaking (February 2008) | PSO
   pso.ahrq.gov/resources/rulemaking
   October 01, 2020 - for Artificial Intelligence (AI) in Healthcare Safety Related Office of Inspector General (OIG) Reports … regulations establish a framework by which hospitals, doctors, and other healthcare providers may voluntarily report

8. Data | PSO
   pso.ahrq.gov/common-formats
   June 01, 2025 - Network of Patient Safety Databases (NPSD) Data Spotlights Reports providing deeper analyses of priority

9. Resources for Artificial Intelligence (AI) in Healthcare Safety | PSO
   pso.ahrq.gov/resources/ai-healthcare-safety
   February 01, 2025 - for Artificial Intelligence (AI) in Healthcare Safety Related Office of Inspector General (OIG) Reports

10. Fedregnotice-05242016 (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/fedregnotice-05242016.pdf
    January 04, 2025 - birthing centers, nursing homes, and other facilities are required by various state laws to submit reports … In Kentucky, hospitals are required to ‘‘establish[], maintain[], and utilize[]’’ administrative reports … , including incident investigation reports, ‘‘to guide the operation, measure productivity, and reflect … Written reports 21 of witness ac- counts of what they observed at the time of a patient incident. … The provider originally prepares the written reports for reporting to the PSO so that the richness of

11. Patient Safety and Quality Improvement Rule (Patient Safety Rule) | PSO
    pso.ahrq.gov/resources/rule
    August 01, 2022 - for Artificial Intelligence (AI) in Healthcare Safety Related Office of Inspector General (OIG) Reports

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 - The dashboard charts detail reports submitted by Common Formats version by year, completeness of reports … submitted by version, percentage of reports by version, percentage of reports by report type, and percentage … Subsequent reports updated the assessment of some topics in a previous report if new evidence was available … In addition to implementing the Patient Safety Act, CQuIPS manages grant funding for patient safety research … September 2019. https://oig.hhs.gov/oei/reports/oei-01-17-00420.pdf 42 https://oig.hhs.gov/oei/reports

13. AHRQ Slide Template 2019-Widescreen (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
    January 01, 2020 - valuable ► 80% found the PSO’s feedback and analysis helped prevent future patient safety events OIG Report … • The PSWP definition includes (but is not limited to): ► Information (any data, reports, records, … define roles at each provider to submit and receive PSWP, confidentiality and privilege, and ‘How to report … Quarterly, comparative analysis reports by region in the PSES (APD rates) 21 Patient Safety Alerts … a culture of reporting to one of performance o Reporting is a must o Utilize the data that you must report

14. 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 - (NPSD) • Requires reporting of findings annually in AHRQ’s National Health Quality / Disparities Reports … – such as skilled nursing facility or retail pharmacy ► Resources provided – such as comparative reports … PSO meetings with “Safe Tables” ► PSO Participant Meetings ► PSO Alerts and Watches ► PSO Annual Report … • The PSO analyzes data and reports trends and we now report trends related to near miss events … • Report your events so we can “all teach, all learn” • How to prioritize issues?

15. Resources About the Patient Safety and Quality Improvement Act of 2005 | PSO
    pso.ahrq.gov/resources/psqia
    August 01, 2022 - for Artificial Intelligence (AI) in Healthcare Safety Related Office of Inspector General (OIG) Reports … page: Information about the Patient Safety Act The Patient Safety Act Information about the Report

16. HHS Guidance | PSO
    pso.ahrq.gov/resources/hhs-guidance
    August 01, 2022 - for Artificial Intelligence (AI) in Healthcare Safety Related Office of Inspector General (OIG) Reports … Federal Food, Drug, and Cosmetic Act (FDCA), 21 U.S.C. § 301 et seq., and its implementing regulations to report

17. Other Educational Materials | PSO
    pso.ahrq.gov/resources/educational-tools
    August 01, 2022 - for Artificial Intelligence (AI) in Healthcare Safety Related Office of Inspector General (OIG) Reports

18. Patient Safety Organization: Change of Listing Information (pdf file)
    pso.ahrq.gov/sites/default/files/wysiwyg/PSO_ChangeOfListingInfo.pdf
    September 30, 2024 - aspect of this collection of information, including suggestions for reducing this burden, to: AHRQ Reports

19. Patient Safety and Quality Improvement Act of 2005 | PSO
    pso.ahrq.gov/resources/act
    August 01, 2022 - for Artificial Intelligence (AI) in Healthcare Safety Related Office of Inspector General (OIG) Reports … NAM published its report, entitled "Peer Review of a Report on Strategies to Improve Patient Safety," … The Final Report, "Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient … Access the final report " Strategies to Improve Patient Safety: Final Report to Congress Required by … Access and review the draft report, " Strategies to Improve Patient Safety: Draft Report to Congress

20. 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 - —Except as provided in subparagraph (B), the term ‘patient safety work product’ means any data, reports … ‘‘(j) REPORTS ON STRATEGIES TO IMPROVE PATIENT SAFETY.— ‘‘(1) DRAFT REPORT. … The Secretary shall make the draft report available for public comment and submit the draft report to … resulting from such analyses shall be made available to the public and included in the annual quality reports … (2) REPORT.