-
pso.ahrq.gov/sites/default/files/wysiwyg/guides-psos-providers-determining-parent-orgs-affiliated-providers.pdf
July 01, 2021 - a
system‐wide contract with a PSO” since “[t]he parent of a health system also may not be licensed … If a PSO enters into a single contract applicable to a healthcare system, such
as Health System West … System Capital City. … Conglomerate
ABC
Health System Health System
East West
Health System
Central
Hospital U Hospital … Health System West: Hospital X, Y, Z are also affiliated providers with Health System West since
they
-
pso.ahrq.gov/sites/default/files/wysiwyg/fedregnotice-05242016.pdf
January 04, 2025 - 2016 / Rules and Regulations
1 Institute of Medicine, ‘‘To Err Is Human:
Building a Safer Health System … and the District
of Columbia had adverse event reporting systems,
and Texas began implementing a system … submit reports on
‘‘serious events’’ and ‘‘incidents’’ to the
Pennsylvania Patient Safety Reporting System … Patient Safety
Authority, Pennsylvania Patient Safety Reporting
System: PA–PSRS (Pennsylvania Patient … Safety
Reporting System), http://
patientsafetyauthority.org/PA-PSRS/Pages/
PAPSRS.aspx (last accessed
-
pso.ahrq.gov/sites/default/files/wysiwyg/ai-healthcare-safety-program.pdf
July 01, 2025 - All together, the Patient Safety Act provides the
framework for a national learning system to improve … system]
however, [system] count is
incorrect. … planning system
and Navigation system froze
during neurosurgical procedure
causing delay of 40[-] … 60 minutes
Improper use of
medication
dispensing
system
Pharmacist discovered no TPA
stored … in [medication dispensing
system].
-
pso.ahrq.gov/sites/default/files/quiz/pso-quiz-answer-sheet.pdf
January 01, 2020 - Question 3 of 12
A PSO can meet its two-contract requirement by entering into one contract with a health system … reported to a PSO, which includes information that is documented as within a patient
safety evaluation system … PSO, and such documentation includes the
date the information entered the patient safety evaluation system … provider can protect both the original and a copy of information in its patient safety evaluation
system … available to providers because
it was prepared outside of the provider’s patient safety evaluation system
-
pso.ahrq.gov/sites/default/files/wysiwyg/PSO_ContinuedListing.pdf
September 30, 2024 - care services;
- An entity that operates a Federal, state, local, or Tribal patient safety
reporting system … services; or
An entity that operates a Federal, state, local or Tribal patient safety
reporting system … Operating a patient safety evaluation system (PSES), and providing feedback to
participants in a PSES … The PSO is using an alternative system of formats and definitions to collect PSWP
from providers that … If the answer is “Yes,” please explain how the alternative system permits
valid comparisons of similar
-
pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
December 21, 2021 - The Patient Safety Act: A National Learning System
A “learning health system” systematically integrates … The Quality and Safety Review System (QSRS). … Military health system. … These limitations are interrelated with
the voluntary nature of the system. … The Patient Safety Act: A National Learning System
Figure 1.
-
pso.ahrq.gov/sites/default/files/wysiwyg/PSO_InitialListing.pdf
September 30, 2024 - care services;
- An entity that operates a Federal, state, local, or Tribal patient safety reporting
system … Will the information system in which the component PSO maintains PSWP
prohibit unauthorized access by … services; or
An entity that operates a Federal, state, local or Tribal patient safety
reporting system … of health care services; or operation of a Federal, State,
local or Tribal patient safety reporting system … of health care services; or operation of a Federal, State, local or Tribal patient safety reporting system
-
pso.ahrq.gov/taxonomy/term/2/feed
April 23, 2019 - utilization of qualified staff
Activities related to the operation of a patient safety evaluation system … and to the provision of feedback to participants in a patient safety evaluation system
The term "safety
-
pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdf
January 01, 2010 - hospital with greater than 50 beds only if such hospital—
(i) utilizes a patient safety evaluation system … legislation
► Assistance in setting up the electronic database and our
patient safety evaluation system … safety culture that encourages open
reporting on every level.
24
University of Michigan Health System … Chief Medical Officer
CS Mott Children’s Hospital
• Part of the University of Michigan Health System … to adult hospital
26
Mott Background
• Shared resources with University of Michigan Health System
-
pso.ahrq.gov/faq/what-are-patient-safety-activities
utilization of qualified staff
Activities related to the operation of a patient safety evaluation system … and to the provision of feedback to participants in a patient safety evaluation system
The term
-
pso.ahrq.gov/sites/default/files/wysiwyg/guidance-pswp-provider-obligations.pdf
May 24, 2016 - Safety Act promotes the goal of improving patient
safety and reducing medical errors by establishing a system … Medicare’s Conditions
of Participation, state health care regulators, tort system)
“The intent of … the system established by the Patient Safety Act is to
protect the additional information created through … The bottom line is that this legislation neither
strengthens nor weakens the existing system of tort … “…the protected system established by the Patient Safety Act, resides
alongside but does not replace
-
pso.ahrq.gov/sites/default/files/wysiwyg/PSO-listing-guide-2022.pdf
January 01, 2022 - to participants in a patient safety evaluation system. … and to the provision of feedback to participants
in a patient safety evaluation system). … and to
the provision of feedback to
participants in a patient safety
evaluation system
Has the … safety
evaluation system activities? … • If the PSO is using another system, is the PSO
prepared to demonstrate that the system it
is using
-
pso.ahrq.gov/sites/default/files/quiz/pso-quiz-questions.pdf
January 01, 2020 - Question 3 of 12
A PSO can meet its two-contract requirement by entering into one contract with a health system … provider can protect both the original and a copy of information in its patient safety evaluation
system
-
pso.ahrq.gov/become/establish-policies
August 01, 2021 - utilization of qualified staff; and
Activities related to the operation of a patient safety evaluation system … and to the provision of feedback to participants in a patient safety evaluation system.
-
pso.ahrq.gov/sites/default/files/Patient%20Safety%20Act%20PDF.pdf
January 01, 2025 - ‘‘(H) Activities related to the operation of a patient
safety evaluation system and to the provision … of feedback
to participants in a patient safety evaluation system.
‘‘(6) PATIENT SAFETY EVALUATION SYSTEM … —The term
‘patient safety evaluation system’ means the collection, manage-
ment, or analysis of information … deliberations
or analysis of, or identify the fact of reporting pursuant
to, a patient safety evaluation system … collected, main-
tained, or developed separately, or exists separately,
from a patient safety evaluation system
-
pso.ahrq.gov/sites/default/files/wysiwyg/npsdpatient-safety-culture-brief.pdf
September 01, 2016 - Institute of Medicine report, To Err is Human,
“the biggest challenge to moving toward a safer health
system … to one in which errors are treated
not as personal failures, but as opportunities to improve
the system … “A positive culture for safety is the
foundation for learning about the
vulnerabilities in the system … Teamwork Climate
Are Associated With Decreases in Patient Harm and Hospital
Mortality Across a Hospital System … To Err Is
Human: Building a Safer Health System.
-
pso.ahrq.gov/sites/default/files/wysiwyg/Patient-Safety-Act-2005.pdf
January 01, 2005 - ‘‘(H) Activities related to the operation of a patient
safety evaluation system and to the provision … of feedback
to participants in a patient safety evaluation system.
‘‘(6) PATIENT SAFETY EVALUATION SYSTEM … —The term
‘patient safety evaluation system’ means the collection, manage-
ment, or analysis of information … deliberations
or analysis of, or identify the fact of reporting pursuant
to, a patient safety evaluation system … collected, main-
tained, or developed separately, or exists separately,
from a patient safety evaluation system
-
pso.ahrq.gov/sites/default/files/wysiwyg/working-with-pso-webinar-value-hospitals.pdf
January 01, 2020 - For example, a health care system can pool data
and share experiences across facilities and clinicians … and member provider
levels
• Insourced and developed IT platform for our Patient Safety Evaluation System … Collection and analysis of patient safety work product (PSWP)
• Operates a patient safety evaluation system
-
pso.ahrq.gov/resources/rule
August 01, 2022 - Subpart A defines essential terms, such as patient safety work product, patient safety evaluation system
-
pso.ahrq.gov/resources/educational-tools
August 01, 2022 - Saint Francis Medical Center, Cape Girardeau, MO
Chris Dickinson, MD
University of Michigan Health System