Table 4.
Implementation Success Factor | Original Grants (n=39)† | Challenge and PIPS Grants (n=21)† |
---|---|---|
A. Organizational infrastructure scales | ||
Degree to which the following elements are in place | Percent Reporting Score of 4 or 5‡ | |
1. A patient safety culture | 9 | 45 |
2. An effective data system | 46 | 42 |
3. A culture of excellence (quality improvement) | 42 | 65 |
The existence of | Scale Average (Scale Maximum) | |
4. Patient safety standards | 2.1 (of 3) | 2.7 (of 3) |
5. Incentives for safety improvement efforts | 1.3 (of 3) | 1.9 (of 3) |
B. Planning and implementation scales | ||
Scale Average (Scale Maximum) | ||
1. The degree of leadership's involvement in the project | 3.4 (of 10) | 3.6 (of 10) |
2. Whether or not organizations' leadership provided autonomy and adequate resources to support project | 2.3 (of 3) | 2.9 (of 3) |
3. Whether or not project's financial resources are sufficient | 1.3 (of 2) | 1.5 (of 2) |
4. Types of stakeholders on the project team | Percent Having Stakeholder on Team | |
Senior management | 66 | 61 |
Mid-level management | 91 | 90 |
Physicians | 89 | 90 |
Nurses | 86 | 86 |
Patients | 16 | 19 |
Community representatives | 38 | 14 |
Information technology | 71 | 71 |
Legal | 44 | 19 |
5. Extent to which the project team has | Percent Reporting Score of 4 or 5‡ | |
Defined a strategy and plan for the project | 88 | 95 |
Persevered in implementing the project | 97 | 100 |
Collaborated effectively across disciplines | 91 | 100 |
Felt empowered by the organization's leadership | 81 | 95 |
6. Degree of end-user involvement | 28 | 33 |
7. Extent to which data will be used for monitoring performance outcomes | 70 | 95 |
Factors identified in a review of the literature as important for project implementation and sustainability.
We did not attempt to examine whether these differences were significant, given the small sample sizes, so statistically significant differences cannot be noted.
Response scale is 1=not at all to 5=a great deal.
PIPS, Partnerships in Patient Safety projects.