Hospital PSO Services

PSO Participants-Only

The Center for Patient Safety is a federally designated
Patient Safety Organization (PSO)

“PSOs are becoming a more integral part of the patient safety landscape and a more important role in patient safety research” AHRQ is committed to continued support for the program.
Richard Kronick, Agency for Healthcare Research and Quality (AHRQ) Director

What is a PSO?

pharmacy-technicians-smallPatient Safety Organizations (PSOs) support the collection, analysis, sharing and learning about what medical errors occur, why and how to prevent them. By reinforcing a safety culture that allows healthcare providers to safely report and share information about vulnerabilities within the healthcare system, PSOs are pivotal in the crusade to prevent medical errors and patient harm.

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patient_id_8_mediumPatient Safety Organizations (PSOs) conduct activities to improve the safety and quality of patient care. PSOs create a legally secure environment (conferring privilege and confidentiality) where clinicians and health care organizations can voluntarily report, aggregate, and analyze data, with the goal of reducing the risks and hazards associated with patient care. The Patient Safety and Quality Improvement Act of 2005 (Patient Safety Act) authorized the creation of PSOs and the development of Common Formats for uniform reporting of patient safety events.
[Agency for Healthcare Research & Quality; Patient Safety Organizations Program]

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eHealthPSOs serve as independent, external experts who can assist providers in the collection, analysis, and aggregation of patient safety events to develop insights into effective methods to improve quality and safety. Providers who establish relationships with a PSO receive uniform Federal protections (conferring privilege and confidentiality) that are expected to remove fear of legal liability or professional sanctions.
[Agency for Healthcare Research & Quality; Patient Safety Organizations Program]

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Choosing a Patient Safety Organization

It’s important to select the most appropriate PSO for your organization.  How to Find the Best PSO for You.

About the Center for Patient Safety’s PSO

The Center for Patient Safety (CPS) is positioned to assist new and current participants in gaining the invaluable learning PSOs provide, and obtaining the federal protections that are available within the PSQIA but, mostly importantly, to prevent patient harm. CPS staff have the knowledge and experience to appreciate the unique qualities of your organization.  Benefits of Center for Patient Safety’s PSO.


PSO Services for Healthcare Providers: The Center for Patient Safety offers PSO services for Hospitals, Medical Offices, Long-term Care, and EMS – request more information.

PSO Services for other PSOs: The Center for Patient Safety offers flexible assistance for new or established PSOs, providing options for full support, to complement your PSO’s current services, to minimal assistance through consultative services and a toolkitrequest more information.


Team Members

Lee Varner, BS EMS, EMT-P, Project Manager, EMS Services, [email protected]
Eunice Halverson, MA, Patient Safety Specialist, [email protected]
Kathy Wire, JD, MBA, CPHRM, Project Manager, [email protected]
Tina Hilmas, RN, BSN, Project Manager, [email protected] 
Alex Christgen, BSBA, Project/Operations Manager and Analyst, [email protected]
Michael Handler, MD, MMM, FACPE, Medical Director
Amy Vogelsmeier, PhD, RN, GCNS-BC, Patient Safety Researcher/Analyst


PSO Case Law: Ungurian v. Beyzman, et al., 2020 PA Super 105:

A recent Pennsylvania case shows how courts narrowly interpret the PSQIA, ignoring the D & A pathway and the clear language of the Final Rule. (Ungurian v. Beyzman, et al., 2020 PA Super 105). The cour

Joint Commission New Sentinel Event Alert 61: Managing the Risks of Direct Oral Anticoagulants:

The Center for Patient Safety wants to share this important harm-prevention advice from The Joint Commission and its Sentinel Event Alert: Managing the Risks of Direct Oral Anticoagulants. The Joint Commis

CPS Safety Watch/Alert – Culture Can Improve the Control of Multi-Drug Resistant Organisms:

Issue: A number of events reported co CPS’ Patient Safety Organization (PSO) demonstrate poor handoff communication about the patients’ infectious disease status Examples include: Patient with

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The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.