Table 1. Number of ERIC Domains Among Significantly Successful Improvement Programs.
| Domain title | ERIC domain No. | Occurrence, No. (%) (N = 49) | Example of strategy from literature (source) |
|---|---|---|---|
| Use of evaluative and iterative strategies | 1 | 49 (100) | Develop an implementation blueprint that summarizes the intervention purpose; scope of change; timeframe and intervention milestones; and defines measures of performance and success (Anderson et al,40 2017) |
| Provision of interactive assistance | 2 | 6 (12.2) | Implement electronic order sets (Anderson et al,40 2017) and e-pathways (Talevski et al,45 2020) |
| Adapt and tailor to context | 3 | 17 (34.7) | Prioritize surgery of older patients with hip fractures and tailor timing of procedures to within the first hours after admission (Sánchez-Hernández et al,47 2016) |
| Development of stakeholder interrelationships | 4 | 35 (71.4) | Implement combined multidisciplinary and comanagement systems (VanTienderen et al,75 2021) |
| Training and education of stakeholders | 5 | 3 (6.1) | Recruit integrated care managers to improve care path compliance and coordination of care (Heyzer et al,60 2021) |
| Support of clinicians | 6 | 33 (67.3) | Hire a designated lean manager in the orthopaedic department to assess processes involved with quality improvement project, including tracking new hip fracture patients (Sayeed et al,76 2018) |
| Engagement with consumers | 7 | 1 (2) | In the event that a patient was unable to give consent, delay surgery only when efforts to contact the immediate family failed (Kosy et al,65 2013) |
| Use of financial strategies | 8 | 6 (12.2) | Incentivize meeting a 24-hour, 48-hour, or other target time for surgical fixation of hip fractures via a reimbursement system (Uri et al,46 2020) |
| Change of infrastructure | 9 | 10 (20.4) | Designate a dedicated “out of hours” trauma room (Keren et al,59 2017) |
Abbreviation: ERIC, Expert Recommendations for Implementing Change.