PT  - JOURNAL ARTICLE
AU  - Sydney M Dy
AU  - Stephanie L Taylor
AU  - Lauren H Carr
AU  - Robbie Foy
AU  - Peter J Pronovost
AU  - John Øvretveit
AU  - Robert M Wachter
AU  - Lisa V Rubenstein
AU  - Susanne Hempel
AU  - Kathryn M McDonald
AU  - Paul G Shekelle
TI  - A framework for classifying patient safety practices: results from an expert consensus process
AID  - 10.1136/bmjqs.2010.049296
DP  - 2011 Jul 01
TA  - BMJ Quality & Safety
PG  - 618--624
VI  - 20
IP  - 7
4099  - http://qualitysafety.bmj.com/content/20/7/618.short
4100  - http://qualitysafety.bmj.com/content/20/7/618.full
SO  - BMJ Qual Saf2011 Jul 01; 20
AB  - Objective Development of a coherent literature evaluating patient safety practices has been hampered by the lack of an underlying conceptual framework. The authors describe issues and choices in describing and classifying diverse patient safety practices (PSPs).Methods The authors developed a framework to classify PSPs by identifying and synthesising existing conceptual frameworks, evaluating the draft framework by asking a group of experts to use it to classify a diverse set of PSPs and revising the framework through an expert-panel consensus process.Results The 11 classification dimensions in the framework include: regulatory versus voluntary; setting; feasibility; individual activity versus organisational change; temporal (one-time vs repeated/long-term); pervasive versus targeted; common versus rare events; PSP maturity; degree of controversy/conflicting evidence; degree of behavioural change required for implementation; and sensitivity to context.Conclusion This framework offers a way to classify and compare PSPs, and thereby to interpret the patient-safety literature. Further research is needed to develop understanding of these dimensions, how they evolve as the patient safety field matures, and their relative utilities in describing, evaluating and implementing PSPs.