PSO Acronyms

Patient Safety Organization. A public or private entity that is federally listed as a PSO by the Secretary of the US Department of Health and Human Services (HHS).
Center for Patient Safety
Center for Patient Safety Patient Safety Organization
Patient Safety and Quality Improvement Act. Federal legislation signed in to law in 2005 which established the basis for the development of a network of PSOs. It provides legal protection for data reported to a PSO with the intent to enable providers to be proactive about the prevention of medical errors.
Patient Safety Evaluation System. The collection, management, or analysis of information for reporting to or by a PSO. It exists whenever the provider engages in patient safety activities for the purpose of reporting to a PSO.
Patient Safety Work Product. Any data, reports, records, memoranda, analyses, or written or oral statements which:
  • Are assembled or developed by a provider for reporting to a PSO and are reported to a PSO.
  • Are developed by a PSO for the conduct of patient safety activities.
  • Identify or constitute the deliberations or analysis, of, or identify the fact of reporting pursuant to, a PSES.
Agency for Healthcare Research and Quality. Federal agency under the US Department of Health and Human Services responsible for the oversight and administration of the provisions of the Patient Safety Act and the Patient Safety Rule dealing with PSO operations.
Serious Reportable Event. A list of clinical events defined by the National Quality Forum that are considered serious, harmful and largely preventable.
Hospital acquired condition. These events determined by the Centers for Medicare and Medicaid which are acquired in a healthcare setting and are deemed non-reimbursable under current Medicare regulations.



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.