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  1. pso.ahrq.gov/resources/oig-reports
    October 01, 2024 - Incidence Among Medicare Beneficiaries (November 2010) (PDF, 3.4 MB) Adverse Events in Hospitals: Case Study
  2. pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
    December 21, 2021 - most important reasons why hospitals choose to work with a federally listed PSO, according to the study … Preventable anesthesia mishaps: a study of human factors. … Results of the Harvard Medical Practice Study I. … Based on that research and the study of Crew Resource Management protocols in aviation, the experts … The study found that among the most important reasons why hospitals choose to work with a federally
  3. pso.ahrq.gov/sites/default/files/Patient%20Safety%20Act%20PDF.pdf
    January 01, 2025 - (c) GAO STUDY ON IMPLEMENTATION.— (1) STUDY. … —The Comptroller General of the United States shall conduct a study on the effectiveness of part C of … —Not later than February 1, 2010, the Comp- troller General shall submit a report on the study conducted
  4. pso.ahrq.gov/sites/default/files/wysiwyg/Patient-Safety-Act-2005.pdf
    January 01, 2005 - (c) GAO STUDY ON IMPLEMENTATION.— (1) STUDY. … —The Comptroller General of the United States shall conduct a study on the effectiveness of part C of … —Not later than February 1, 2010, the Comp- troller General shall submit a report on the study conducted
  5. pso.ahrq.gov/sites/default/files/wysiwyg/npsdpatient-safety-culture-brief.pdf
    September 01, 2016 - multifaceted initiatives intended to improve operational efficiency and the safety culture: a case study … between hospital leadership walkrounds and patient safety climate and risk reduction: a cross-sectional study
  6. pso.ahrq.gov/sites/default/files/wysiwyg/ai-healthcare-safety-program.pdf
    July 01, 2025 - To better study as many of these types of events as possible, the program started with a broad working … AI, this guide will aid healthcare provider organizations and PSOs in a systems-based approach to study
  7. pso.ahrq.gov/pso/delisted/printable-list
    December 17, 2008 - Vascular Study Group Patient Safety Organization, LLC PSO Number: P0080 Components of Parent Org(s): … , 2011 12:00 am Reason for Delisting: Voluntary Relinquishment Additional Comment: The Vascular Study

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