Factors affecting medical engagement with the Safer Patients Initiative
| Barriers | Factors affecting medical engagement | Enablers |
| Programme implemented or viewed as a temporary project | 1. Quality improvement track record | Doctors previously tried to change practices |
| Initiative overkill | Programme implemented or viewed as a continuous improvement process | |
| Doctors' work commitments preventing time to be spent on programme-related work | 2. Resource allocation | Time is allocated to programme work |
| Programme work perceived by doctors to be more or extra work | ||
| Doctors' perception that there is not enough time | ||
| Doctors' perception of blame apportioned by programme | 3. Perceptions of the purpose of SPI | Doctors' perceptions of genuine purpose of Safer Patients Initiative to improve safety of care |
| Doctors' belief of responsibility to stick with their best practices | ||
| Usually not carried out by medical staff | ||
| Poor communication of purpose of Safer Patients Initiative | ||
| Lack of scientific evidence on programme components | 4. Evidence of efficacy | Demonstration of Institute for Healthcare Improvement gathered information |
| Previous medical training | Demonstration of local evidence | |
| Local feedback | ||
| None reported | 5. External expertise | External experts (Institute for Healthcare Improvement) providing ‘credibility’ |
| Poor relationship/rapport between champions and doctors | 6. Local programme champions | Good relationship/rapport between champions and doctors |
| Not involving doctors champions from the start of the programme | Senior medical champions leading by example | |
| Involving doctors champions from the start of the programme | ||
| None reported | 7. Managerial involvement | Involving managers to increase doctor engagement |
| Good relationship between Management and doctors |