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<h1>Table 4. Classification dimensions for patient safety practices</h1>
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<h2>Assessing the Evidence for Context-Sensitive Effectiveness and Safety </h2> <div id="basic-modal"><!-- start: Basic Modal -->
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<table border="1" cellpadding="4" cellspacing="0" style=" width: 100%;"><thead><tr><th scope="col" width="30%"><strong>Dimension</strong></th><th scope="col" width="70%"><strong>Definition and examples</strong></th></tr></thead><tbody><tr valign="top"><td scope="row">Regulatory versus voluntary</td><td>Whether required by external entity, such as the Joint Commission</td></tr><tr valign="top"><td scope="row">Setting</td><td>Hospital, nursing home, ambulatory</td></tr><tr valign="top"><td scope="row">Feasibility</td><td>Ability to implement PSP in a variety of settings, even in small facilities<sup>12</sup></td></tr><tr valign="top"><td scope="row">Individual activity vs. organizational change</td><td>Whether the target of the PSP is individual providers' behavior (e.g., handwashing) or the structure of the organization</td></tr><tr valign="top"><td scope="row">Temporal (one-time vs. repeated/long-term)</td><td>Structural change (e.g., switch to antibiotic-impregnated catheters) or change that requires regular maintenance (e.g., hand hygiene education)</td></tr><tr valign="top"><td scope="row">Pervasive in setting vs. targeted to specific units or providers</td><td>Whether the PSP addresses a safety issue that applies to all patients in a unit or setting (universal protocol would apply to all surgeries, but fall prevention would be targeted to at-risk patients)</td></tr><tr valign="top"><td scope="row">Common vs. rare event as target</td><td>Whether the patient safety event that the PSP is intended to address is relatively common (e.g., medication errors) or rare (e.g., wrong-site surgery)</td></tr><tr valign="top"><td scope="row">PSP maturity, established vs. newer</td><td>Whether the PSP has been well-studied, and implementation needs are well-known</td></tr><tr valign="top"><td scope="row">Degree of controversy or conflicting evidence (or both)</td><td>Whether the PSP is widely accepted; whether examples of ineffective PSPs exist</td></tr><tr valign="top"><td scope="row">Degree of behavioral change required for implementation</td><td>How much the PSP implementation involves human factors issues (e.g., an institutional policy switching to use of chlorhexidine would not depend on provider behavior)</td></tr><tr valign="top"><td scope="row">Sensitivity to context</td><td>Whether the success of PSP implementation depends on issues such as leadership, patient safety culture, or teamwork</td></tr></tbody></table><p class="size2"><a href="/research/findings/final-reports/contextsensitive/context8.html#tab4">Return to Document</a></p> </div><!-- end: Basic Modal -->
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<div class="current-as-of">Page last reviewed December 2010</div>
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<span>Internet Citation: Table 4. Classification dimensions for patient safety practices: Assessing the Evidence for Context-Sensitive Effectiveness and Safety .
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December 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://archive.ahrq.gov/research/findings/final-reports/contextsensitive/contexttab4.html</span>
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