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Report File
Date Issued
Submitting OIG
Department of Health & Human Services OIG
Other Participating OIGs
Department of Health & Human Services OIG
Agencies Reviewed/Investigated
Department of Health & Human Services
Report Number
OEI-01-17-00420
Report Description

Researchers have estimated that over 200,000 people die each year because of medical errors in hospitals. Learning from those and other, nonfatal events to improve patient safety is the goal of AHRQ's voluntary Patient Safety Organization (PSO) program. Hospitals' descriptions of their experiences with the program provide insight into the program's progress toward facilitating national learning from patient safety events. This review is the first to explore the extent to which hospitals participate in the PSO program and their perspectives on its value and challenges.

Report Type
Inspection / Evaluation
Agency Wide
Yes
External Entity
Agency for Healthcare Research and Quality (AHRQ)

Department of Health & Human Services OIG

United States