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		X	X	X
Location
Financial status			X
Academic status				X
Organizational complexity		X	X	X
Date of study
Volume	X
Existing quality/safety infrastructure		X	X	X	X
Space/physical environment
Past experience with IT			X
Physician ownership			X
2. External Factors
Regulatory requirement	X	X	X	X	X
Payments or penalties	X	X	X	X	X
Local sentinel event		X			X
Marketplace competition
Competing demands
3. Patient Safety Culture, Teamwork, Leadership
Patient safety culture—org. level				X	X
Patient safety culture—unit level	X	X		X	X
Teamwork—org. level
Teamwork—unit level	X	X		X	X
Leadership—org. level			X	X	X
Leadership—unit level	X	X		X	X
4. Implementation and Management Tools
Staff education and training	X	X	X	X	X
Designated staff time to implement	X	X	X	X	X
Use of audit and feedback	X	X		X	X
Internal or external person responsible for implementation	X	X	X	X	X
Internal incentives	X		X		X
Local tailoring or iterative process	X	X	X	X	X
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://archive.ahrq.gov/research/findings/final-reports/contextsensitive/contexttab5.html