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The Patient Safety and Quality Improvement Act of 2005 ▫ Creates “Patient Safety Organizations” (PSOs) ▫ Establishes “Network of Patient Safety Databases” (NPSD) ▫ Authorizes establishment of “Common Formats” for reporting patient safety events ▫ Requires reporting of findings annually in AHRQ’s National Health Quality / Disparities Reports 52 NPSF Professional Learning Series May 31, 2012
Recommendation 7-8 53
Page 1 and 2: NPSF Professional Learning Series p
Page 3 and 4: Disclosure 3 NPSF Professional Lear
Page 5 and 6: NPSF Professional Learning Series p
Page 7 and 8: Committee membership GAIL L. WARDEN
Page 9 and 10: Committee process • 12 month stud
Page 11 and 12: Current state of health IT Magnitud
Page 13 and 14: US Government Study 13 NPSF Profess
Page 15 and 16: Sample for National Incidence Study
Page 17 and 18: Is safety improving in the US? Land
Page 19 and 20: Adverse Events by Category Harm Cat
Page 21: 21 NPSF Professional Learning Serie
Page 26 and 27: Safety as a system property • Saf
Page 28 and 29: Patient engagement tools • Health
Page 30 and 31: Recommendations: Summary Current ma
Page 32 and 33: Recommendation 1 (continued) b. The
Page 34 and 35: Information Transfer and Clear Comm
Page 36 and 37: 36 NPSF Professional Learning Serie
Page 48 and 49: Recommendation 2 The Secretary of H
Page 58 and 59: Recommendation 10 HHS, in collabora
Page 60 and 61: A Definition A multi-disciplinary/m
Page 68 and 69: “When technical systems have more
Page 70 and 71: Declining D Revenue, Competition…
Page 72 and 73: What’s the Payoff? • Lesser ris
Page 74 and 75: Mature Sciences can be applied towa

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