Assessment of the AHRQ Patient Safety Initiative: Moving from Research to Practice Evaluation Report II (2003-2004)
The Agency for Healthcare Research and Quality (AHRQ) is carrying out its congressional mandate to establish a patient-safety research and development initiative to help health care providers reduce medical errors and improve patient safety. In September 2003, 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 AHRQ2s patient safety activities and for providing regular feedback to support the continuing improvement of this initiative over the four-year project period. This report covers the period October 2003 through September 2004. It is the second of what will be four annual reports prepared by RAND during the formative evaluation. It builds on the preceding evaluation report, which covers the period October 2002 through September 2003. This report provides an update on the policy context that frames the AHRQ patient safety initiative, documents the evolution and current status of the priorities and activities being undertaken in the initiative, and lays out a framework and possible measures for evaluating the effects of the initiative on patient outcomes and stakeholders other than patients. Implications of the evaluation findings are discussed with respect to future AHRQ policy, programming, and research, and suggestions are presented for strengthening AHRQ activities as the initiative moves forward. The content and format of each report are designed to provide a stable structure for the longitudinal evaluation; the results of each year2s assessment contribute to a cumulative record of the initiative2s evolution. The contents of this report will be of interest to national and state policymakers, health care organizations and clinical practitioners, patient-advocacy organizations, health researchers, and others with responsibilities for ensuring that patients are not harmed by the health care they receive.
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Achieving Broader Adoption adoption of effective adverse events agency AHRQ patient safety AHRQ-funded projects AHRQ’s budget challenge grants components consumer data standards dissemination effective patient safety effective practices end users establish Evaluation Report evidence report focus funded in FY goals health care organizations health care system hospitals identified improve patient safety interventions interviews involved in patient JCAHO knowledge maintaining vigilance medical errors national patient safety Nosocomial infections patient outcomes patient safety activities patient safety data patient safety epidemiology patient safety grantees Patient Safety Improvement patient safety initiative patient safety issues patient safety measures patient safety organizations Patient Safety Partnerships patient safety practices patient safety projects patient safety research Patient Safety Risks patients and families practices and tools process evaluation progress and maintaining PSIC RAND RAND Corporation reporting systems safer health stakeholders standards of evidence Suggestions for AHRQ U.S. Congress U.S. health