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Review of the Patient Safety Organization Program

The Patient Safety Organization (PSO) program established federally recognized PSOs to work with health care providers to improve the safety and quality of patient care. The program also creates the first and only comprehensive, nationwide patient safety reporting and learning system in the United States. The Patient Safety and Quality Improvement Act of 2005 created the PSO program, and in 2008 the Agency for Healthcare Research and Quality (AHRQ) published the final Patient Safety Rule implementing the Act. We will determine the reach and value of the PSO program among hospitals. We will also assess AHRQ’s oversight of the PSO program and identify challenges the program faces.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
August 2017 Other Public Health Reviews Review of the Patient Safety Organization Program Office of Evaluation and Inspections OEI-01-17-00420 2019

Office of Inspector General, U.S. Department of Health and Human Services | 330 Independence Avenue, SW, Washington, DC 20201