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Table 5. Results of Survey of High Priority Contexts

Assessing the Evidence for Context-Sensitive Effectiveness and Safety

Context

Bloodstream Infection Checklist

Universal Protocol

CPOE/DSS

Medication Reconciliation

Falls

1. Structural Organizational Characteristics

Size

X XXX

Location

     

Financial status

  X  

Academic status

   X 

Organizational complexity

 XXX 

Date of study

     

Volume

X    

Existing quality/safety infrastructure

 XXXX

Space/physical environment

     

Past experience with IT

  X  

Physician ownership

  X  

2. External Factors

Regulatory requirement

XXXXX

Payments or penalties

XXXXX

Local sentinel event

 X  X

Marketplace competition

     

Competing demands

     

3. Patient Safety Culture, Teamwork, Leadership

Patient safety culture—org. level

   XX

Patient safety culture—unit level

XX XX

Teamwork—org. level

     

Teamwork—unit level

XX XX

Leadership—org. level

  XXX

Leadership—unit level

XX XX

4. Implementation and Management Tools

Staff education and training

XXXXX

Designated staff time to implement

XXXXX

Use of audit and feedback

XX XX

Internal or external person responsible for implementation

XXXXX

Internal incentives

X X X

Local tailoring or iterative process

XXXXX

Helpdesk support

  X  

Extent of project management

  X  

Timeline of implementation

  X  

Implementation process—one unit at a time or all at once

  X  

Note: IT = information technology; org = organization; PSP = patient safety practice; CPOE = computerized provider order entry; DSS = decision support system; Universal Protocol = for preventing wrong procedure, wrong site, wrong person surgery; Bloodstream Infection Checklist = catheter related.

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Page last reviewed December 2010
Internet Citation: Table 5. Results of Survey of High Priority Contexts: 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/contexttab5.html