Assessment of the AHRQ Patient Safety Initiative Focus on Implementation and Dissemination Evaluation Report III (2004-2005)

by Farley, Donna O.; Damberg, Cheryl L.; Ridgely, Susan M.; Sorbero, Melony E.; Greenberg, Michael D.

• ISBN13: 9780833042170
• ISBN10: 0833042173
• Edition: 1st
• Format: Paperback
• Copyright: 2007-11-23
• Publisher: RAND CORPORATION

Summary

Text is the third annual evaluation report prepared by RAND covering the period from October 2004 through September 2005. Provides an update on recent changes in policy context that frames the AHRQ patient safety initiative. For public health professionals. DNLM: Medical Errors-prevention & control-United States.

Table of Contents

Preface
Figures
Tables
Executive Summary
Acknowledgments
Acronyms
Introduction	p. 1
The Policy Context	p. 1
Evaluating the Patient Safety Initiative	p. 1
About this Report	p. 5
Context and Input Evaluations	p. 7
The Policy Context	p. 7
Strategic Context and Organization	p. 9
Update on AHRQ Patient Safety Activities	p. 10
Preparation for Implementing Patient Safety Organizations	p. 12
Issues to Consider	p. 13
Process: Monitoring Progress and Maintaining Vigilance	p. 17
Building from Evaluation Reports I and II	p. 17
Standards for Patient Safety Reporting Systems	p. 18
Current Activities for Standardized Data System	p. 19
Availability of Patient Safety Measures	p. 21
Use of Measures in Accreditation or Credentialing	p. 21
Issues and Action Opportunities	p. 23
Process Evaluation: Knowledge of Epidemiology and Development of Effective Practices	p. 25
Building from Evaluation Reports I and II	p. 25
Epidemiology of Patient Safety	p. 26
Updates on Groups of Patient Safety Grants	p. 27
Profile of AHRQ Health IT Projects	p. 29
Conceptual Framework for Implementation of Health IT	p. 35
Experiences of the Health IT Grants	p. 36
Issues and Action Opportunities	p. 41
Process: Building Infrastructure for Effective Practices	p. 45
Building from Evaluation Reports I and II	p. 45
High-Reliability Organizations	p. 46
Hospital Survey on Patient Safety Culture	p. 47
The Patient Safety Improvement Corps	p. 47
Two New AHRQ Networks	p. 50
Issues and Action Opportunities	p. 51
Process: Achieving Broader Adoption of Effective Practices	p. 55
Building from Evaluation Reports I and II	p. 55
Framework for Achieving Adoption of Effective Practices	p. 56
Products Generated from Patient Safety Grantees	p. 60
Dissemination Activities for FY 2000-FY 2001 Grantee Products	p. 61
Two New AHRQ Networks	p. 64
Can a Patient Safety Cooperative Extension Model Work?	p. 65
Other Initiatives for Patient Safety Improvements	p. 66
Issues and Action Opportunities	p. 67
Patient Safety Outcomes	p. 71
Building from Evaluation Report II	p. 71
Framework for the Product Evaluation	p. 71
Availability and Quality of Measures	p. 72
Baseline Trends in Patient Safety Outcomes	p. 75
Lessons from the Baseline Trend Data	p. 85
Issues and Action Opportunities	p. 86
Conclusion	p. 89
Future Directions and Priorities	p. 90
Next Steps for the Evaluation	p. 90
Suggestions For AHRQ Action: Evaluation Reports I and II	p. 93
References	p. 97
Table of Contents provided by Blackwell. All Rights Reserved.