How does AHRQ ensure that a listed PSO is in compliance with the statutory requirements as outlined in the Patient Safety Rule?

The Patient Safety Rule establishes in Subpart B the requirements that an entity must meet to seek listing, and remain listed, as a PSO. The Patient Safety Rule relies primarily upon a system of attestations, which places a significant burden for understanding and complying with these requirements on the PSO. However, the Patient Safety Rule also authorizes AHRQ to conduct reviews (including announced or unannounced site visits) to assess PSO compliance. To assist PSOs in making the required attestations and preparing for a compliance review, AHRQ developed a Patient Safety Organizations: A Compliance Self-Assessment Guide to suggest approaches for thinking systematically about the scope of these requirements and what compliance may mean for an individual PSO.