The Role of Theory in Research to Develop and Evaluate the Implementation of Patient Safety Practices

Published in: BMJ Quality and Safety, v. 20, no. 5, May 2011, p. 453-459

Posted on RAND.org on May 01, 2011

by Robbie Foy, John C Ovretveit, Paul G. Shekelle, Peter J. Pronovost, Stephanie L. Taylor, Sydney Dy, Susanne Hempel, Kathryn M McDonald, Lisa V. Rubenstein, Robert M Wachter

Read More

Access further information on this document at BMJ Quality and Safety

This article was published outside of RAND. The full text of the article can be found at the link above.

Theories provide a way of understanding and predicting the effects of patient safety practices (PSPs), interventions intended to prevent or mitigate harm caused by healthcare or risks of such harm. Yet most published evaluations make little or no explicit reference to theory, thereby hindering efforts to generalise findings from one context to another. Theories from a wide range of disciplines are potentially relevant to research on PSPs. Theory can be used in research to explain clinical and organisational behaviour, to guide the development and selection of PSPs, and in evaluating their implementation and mechanisms of action. One key recommendation from an expert consensus process is that researchers should describe the theoretical basis for chosen intervention components or provide an explicit logic model for 'why this PSP should work.' Future theory-driven evaluations would enhance generalisability and help build a cumulative understanding of the nature of change.

Research conducted by

This report is part of the RAND Corporation external publication series. Many RAND studies are published in peer-reviewed scholarly journals, as chapters in commercial books, or as documents published by other organizations.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.