Contract Final Report
In this contract final report, RAND Health identifies criteria for assessing the context-sensitive effectiveness and safety of patient safety practices and presents recommendations for future research on this topic.
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Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
Contract No. HHSA-290-2009-10001C
Santa Monica, CA
Paul G. Shekelle, M.D., Ph.D.
Peter J. Pronovost, M.D., Ph.D.
Robert M. Wachter, M.D.
Chapter 2. Methods
Chapter 3. Forming an Interdisciplinary Panel of Experts
Chapter 4. Determining the Target Patient Safety
Chapter 5. Key Evaluation Questions
Chapter 6. Description of Ideal Evaluation
Chapter 7. The Importance of Theory
Chapter 8. Description of Ideal Evaluation
Methods: Describing Patient Safety Practices
Chapter 9. Description of Ideal Evaluation Methods:
Selecting Key Domains of Context
Chapter 10. Description of Ideal Evaluation
Methods: Measuring and Describing the Implementation Context
Chapter 11. Description of Ideal Evaluation
Methods:Assessing for Possible Harms
Chapter 12. Description of Ideal Evaluation
Methods: Quantitative Approaches to Context Heterogeneity
Chapter 13. Description of Ideal
Evaluation Methods: Assessing the Strength of Evidence Across Studies of
Patient Safety Practices
Chapter 14. Results: Needs for
Chapter 15. Discussion
Note: Appendixes are available on
request from Patty Smith, RAND Health, 1776 Main Street, Mailstop M4E, Santa
Monica, CA 9040; phone 310-393-0411; E-mail firstname.lastname@example.org.
The project leaders gratefully
acknowledge the contributions of the following individuals:
Lauren Carr, M.P.H.
Robbie Foy, MBChB, Ph.D., M.Sc.
Sydney Dy, M.D.
Susanne Hempel, Ph.D.
Kathryn M. McDonald, M.M.
John Øvretveit Ph.D., C.Psychol.
Lisa Rubenstein, M.D.,
Jerome Hawkins, B.A.
Aneesa Motala, B.A.
This report was prepared for the Agency for Healthcare
Research and Quality by RAND Health, Santa Monica, CA, under contract
HHSA-290-2009-10001C. The opinions expressed herein are those of the
authors and do not necessarily represent the views of the U.S. Department of
Health and Human Services or the Agency for Healthcare Research and
This document is in the public domain and may
be used and reprinted without permission except those copyrighted materials
noted, for which further reproduction is prohibited without the specific
permission of copyright holders.
Current as of December 2010
AHRQ Publication No. 11-0006-EF
PG, Pronovost PJ, Wachter RM, Taylor SL, Dy S, Foy R, Hempel S, McDonald,
K, Ovretveit J, Rubenstein L, and the PSP Technical Expert Panel. Assessing the Evidence for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. Contract Final Report. AHRQ Publication No. 11-0006-EF, December 2010. Prepared under
Contract No. HHSA-290-2009-10001C. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/qual/contextsensitive/