Assessing the Diffusion of Safe Practices in the U.S. Health Care System

Interim Report to the Agency for Healthcare Research and Quality

by Donna O. Farley, Cheryl L. Damberg, M. Susan Ridgely, Michael D. Greenberg, Amelia Haviland, Peter Mendel, Stephanie S. Teleki

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RAND has contracted with the Agency for Healthcare Research and Quality (AHRQ) to perform a longitudinal evaluation of the full scope of AHRQ’s patient safety activities and to provide regular feedback to support the continuing improvement of the initiative over a four-year evaluation period. This interim report presents an update on the work RAND has performed during FY 2007 for the practice diffusion assessment. The assessment encompasses five specific analytic components: (1) development of a survey questionnaire to use for assessing adoption of the safe practices endorsed by the National Quality Foundation, (2) community studies of patient safety practice adoption and related activities, (3) continued analysis of trends in patient outcomes related to safety, (4) lessons from hospitals’ use of patient safety tools developed by AHRQ, and (5) a second fielding of the hospital adverse event reporting system survey.

The research described in this report was prepared for the Agency for Healthcare Research and Quality and performed under the auspices of RAND Health.

This report is part of the RAND Corporation working paper series. RAND working papers are intended to share researchers' latest findings and to solicit informal peer review. They have been approved for circulation by RAND but may not have been formally edited or peer reviewed.

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