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The Patient Safety Adoption Framework: A Practical Framework to Bridge the Know-Do Gap.

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A new framework helps healthcare organizations implement effective patient safety initiatives, bridging the gap between evidence-based knowledge and actual practice. This framework supports the adoption of proven safety strategies.

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Area of Science:

  • Healthcare quality improvement
  • Patient safety research
  • Implementation science

Background:

  • Many effective patient safety initiatives are not adopted in practice, leading to a significant 'know-do gap'.
  • This gap represents the difference between healthcare knowledge and its application in clinical settings.
  • Addressing this gap is crucial for improving patient outcomes and healthcare system performance.

Purpose of the Study:

  • To develop a comprehensive framework aimed at enhancing the adoption and implementation of patient safety initiatives.
  • To provide healthcare organizations with a structured approach to overcome barriers in implementing evidence-based practices.
  • To create a practical tool that facilitates the translation of knowledge into improved patient safety.

Main Methods:

  • A literature review and qualitative interviews with patient safety leaders identified key barriers and facilitators.
  • Inductive thematic analysis was employed to derive themes for framework development.
  • A consensus-building approach with experts and patient advisors co-created the framework and a supporting guidance tool, followed by utility testing.

Main Results:

  • The Patient Safety Adoption Framework comprises 5 domains: leadership, culture and context, process, meaningful measurement, and person-centeredness.
  • Six subdomains further detail these areas, including prioritization, accountability, governance, co-creation, high reliability, engagement, and measurement.
  • The accompanying guidance tool and framework demonstrated high acceptability, feasibility, and utility in testing.

Conclusions:

  • The Patient Safety Adoption Framework offers essential components for successful adoption and implementation of safety initiatives.
  • It serves as a roadmap for healthcare organizations aiming to effectively close the 'know-do gap'.
  • The framework and tool provide practical support for improving patient safety practices.