Table 1

Relation between context, themes and implementation success of InDepth cases

InterventionAlignment with implementation agendasAvailability of resourcesBoundary spannersQualitative measures of implementation successCVC insertion compliance*HH compliance*CRBSI rate
(N/1000 catheter-days)†
Low
Mid
High
Low
■■ Mid
■■■ High
Low
■■ Mid
■■■ High
Low
■■ Mid
■■■ High
BaselineInterventionBaselineInterventionBaselineIntervention
HH ■■ Human
Material
■■■
■■■
Formal
Informal
■■■
■■■
Satisfaction
Fidelity
Context fit
■■■
■■■
■■■
Low High Mid High‡ Low Low
Both ■■■ Human
Material

■■■
Formal
Informal
■■■
■■
Satisfaction
Fidelity
Context fit
■■■
■■■
■■■
Low High* Mid High* Low Low
CVC ■■■ Human
Material
■■
Formal
Informal
■■
■■■
Satisfaction
Fidelity
Context fit

■■
■■
Low High* Mid Mid* Low Low
Both ■■■ Human
Material

Formal
Informal
■■
■■■
Satisfaction
Fidelity
Context fit
■■■
■■■
■■■
Low High* Low Low§ High Mid*
Both ■■■ Human
Material

Formal
Informal
■■
■■■
Satisfaction
Fidelity
Context fit
■■■
■■■
■■■
Low High* Mid High* High Mid*
CVC Human
Material
■■■
■■■
Formal
Informal

Satisfaction
Fidelity
Context fit
■■■

Mid Mid¶ Low Low Low Low
  • *Thresholds calculated based on terciles of overall compliance in study hospitals during study participation.

  • †Thresholds based on literature (see text).

  • ‡Statistically significant improvement.

  • §Statistically significant decline.

  • ¶Low number of observations.

  • Both, both interventions; CRBSI, catheter-related bloodstream infection; CVC, central venous catheter; HH, hand hygiene.