Figure 7. Three types of evaluations assessing the results of implementing PSPs Assessing the Evidence for Context-Sensitive Effectiveness and Safety 1. Effectiveness QuestionsIs the study PSP more effective than usual care?Is the study PSP more effective in reducing patient harm than an alternate approach?2. Implementation Experience QuestionsWhat changes occur in the clinical or economic performance of the study organization/organizational unit during/after implementation of the study PSP?What changes occur in staff/clinician culture/attitudes during/after implementation?3. Adoption or Spread QuestionsHow easily did the study PSP spread (economy/costs, speed/timeline for implementation, #/proportion of organizations/units adopting)?How well/easily was the study PSP maintained (maintenance costs/resources, duration of implementation)?Were there any unintended changes or incidents during or after implementation?Return to Document Current as of December 2010 Internet Citation: Figure 7. Three types of evaluations assessing the results of implementing PSPs: Assessing the Evidence for Context-Sensitive Effectiveness and Safety . December 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/findings/final-reports/contextsensitive/contextfig7.html