Assessment of the Ahrq Patient Safety Initiative: Final Report--Evaluation Report IV
In September 2002, AHRQ entered into a four-year contract with the RAND Corporation to serve as the patient safety evaluation center for its patient safety initiative. The evaluation center is responsible for performing a longitudinal evaluation of the full scope of AHRQ's patient safety activities and for providing regular feedback to support the continuing improvement of this initiative over the four-year project period. This is the fourth and final evaluation report prepared by RAND. It presents new results for the period from October 2005 through September 2006, synthesizes the full evaluation findings over the four-year evaluation period, and discusses how AHRQ activities could be strengthened as the initiative moves forward. It also describes how AHRQ's strategy and activities developed over time, the new knowledge generated by funded projects, and the contributions of various components of the initiative to patient safety. Finally, it presents updated baseline data on selected outcome measures and discusses options for ongoing monitoring of effects on both practices and outcomes.
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Context and Input Evaluations
Monitoring Progress and Maintaining Vigilance
Epidemiology and Effective Practices
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achieve addressed Adoption of Effective adverse events AHRQ patient safety AHRQ-funded patient safety AHRQ's ambulatory assessment baseline trends collaborative Coordinating Center databases DHHS Effective Practices Electronic Health Records end users established evaluation center Evaluation Report factors goals health care organizations health care providers health care system health IT projects high reliability organization hospitals identified implementation grants improve patient safety innovation interventions interviews involved Joint Commission knowledge medical errors Medicare monitoring national patient safety needed outcome measures participants patient safety activities patient safety culture patient safety data patient safety epidemiology patient safety improvement patient safety initiative patient safety issues patient safety measures patient safety organizations patient safety outcomes patient safety practices patient safety projects percent practices and tools priorities progress PSIC PSQIA QIOs rates RHIOs safe safety and quality SCIP sentinel events September 2006 stakeholders standards strategy Table update