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Consensus Study Report


In response to a congressional mandate under the Patient Safety and Quality Improvement Act of 2005, the National Academies of Sciences, Engineering, and Medicine was asked to review the Agency for Healthcare Research and Quality (AHRQ) draft report Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine. The National Academies convened a committee of four subject-matter experts with experience in clinical patient safety, patient-safety research, health information technology, safety science, clinical medicine, and implementation science to conduct a peer review of the draft report. This committee had less than three months to review the AHRQ draft report and comment on additional effective strategies for improving patient safety, new evidence of effectiveness for safety strategies, potential implementation methods that were not mentioned, and any general technical corrections.

The Patient Safety and Quality Improvement Act of 2005 created valuable national resources as part of the tools needed for systemic change. The committee offers these additional strategies to improve patient safety for consideration in the revision of the AHRQ draft report to Congress.

Suggested Citation

National Academies of Sciences, Engineering, and Medicine. 2021. Peer Review of a Report on Strategies to Improve Patient Safety. Washington, DC: The National Academies Press.

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Publication Info

46 pages | 8.5 x 11 |  DOI:
Chapters skim
Front Matter i-xvi
Summary 1-2
Introduction 3-6
Review of the AHRQ Report 7-24
References 25-30

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