Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System

By Donna O. Farley; M. Susan Ridgely et al. | Go to book overview

ACKNOWLEDGMENTS

We gratefully acknowledge the participation of numerous individuals in the various studies we conducted in assessing the diffusion of safe practices and related outcomes by health care providers across in the United States. The development process for the Hospital Safe Practice Survey questionnaire was enriched by consultation from staff at the Leapfrog Group and the NQF Safe Practices Workgroup, as well as by the thoughtful and candid feedback from hospitals in our cognitive testing and validation of the questionnaire. We have generated a stronger product as a result of their involvement.

Likewise, we extend thanks to the many community leaders we interviewed during the community study, and who provided us with a wealth of information on patient-safety activities and issues in their communities. We also appreciate the generosity of the many staff at the hospitals we visited, who spent a full day with us and candidly shared their experiences, successes, and challenges in their pursuit of patient-safety performance improvements. The rich insights they provided will be useful to other health care providers, as well as to policymakers.

We experienced similar generosity from representatives of other hospitals who willingly participated in our interviews and shared their experiences in using the AHRQ Hospital Survey on Patient Safety Culture (HSOPS), how their survey results led to patient safety improvements, and the role the survey plays in their overall patient safety work. They imparted valuable information that helped us explore how changes in patient safety culture are diffusing in the hospital sector, and they also provided feedback that should help AHRQ and its contractor to refine HSOPS and related technical support.

Thank you also to our AHRQ project officer, James Battles, who has continued to be an active guide and supporter of our work, in both the original evaluation and this two-year work focusing on the diffusion of patient safety practices. We also thank our RAND colleagues Scott Ashwood, Evan Raff, Erin Dela Cruz, and Stacy Fitzsimmons for their indispensable contributions to our data-collection and analysis processes, and to production of this report. Finally, we thank Marjorie Pearson, Veronica Nieva, and Elizabeth Yano for their helpful comments on an earlier draft of this report. Any errors of fact or interpretation in this report remain the responsibility of the authors.

-xxvii-

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