Figure 7. Three types of evaluations assessing the results of implementing PSPs
Assessing the Evidence for Context-Sensitive Effectiveness and Safety
1. Effectiveness Questions
- Is 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 Questions
- What 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 Questions
- How 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?