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The Agency for Healthcare Research and Quality (AHRQ) within the
Patient Safety 3Department of Health and Human Services (HHS) is the federal agency charged with implementation of the Act. AHRQ defines the regulation of Patient safety as quality improvement focused on lowering or truncating the lower tail of the quality distribution. It is important that rules be clear, compliance be observable, and performance be fully in control of the hospital or agency being regulated (AHRQ, 2013). ConclusionPatient safety is an important part of the health care system and it helps define quality health care. Keeping patients safe is a challenging issue because errors and mistakes can and do happen.Error occurs "when a planned sequence of mental and physical activities fails to achieve the intended outcome and when this failurecannot be attributed to some chance intervention or occurrence" (Ballard, 2003). The PSQIA authorized the creation of Patient Safety Organizations (PSO), as independent review organizations, to research events by analyzing for who, what, when, where, how and why around the error. The focus is on how to prevent such errors from happening again by system changes rather than placing blame on an individual(AHRQ, 2013).The primary reason for health care regulation, while sometimes confusing, is to ensure that the care being provided by health care practitioners and health care facilities is safe and effective for all everyone who accesses the health care system.Therefore, the success of the PSQIA relies on those health care providers who will voluntarily come forward with information of