The Department of Veterans Affairs National Center for Patient Safety (NCPS) supports and leads the patient safety activities for all the VA medical centers. Since 1999, NCPS has developed tools, training and software to facilitate patient safety and Root Cause Analysis (RCA) investigations. These tools function as a cognitive aid to help teams in developing a chronological event flow diagram (an understanding of what occurs) along with a cause and effect diagram (why the event occurs). RCA is used to retrospectively investigate hazards and near-misses. The same tools can be used to prospectively develop a logic model for the processes you are trying to change with your D&I plan.
Source: http://www.patientsafety.va.gov/ Developed by: Joe DeRosier, P.E, C.S.P. and Erik Stalhandske, M.P.P., M.H.S.A.
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Source: Brownson RC, Jacobs JA, Tabak RG, Hoehner CM, Stamatakis KA. Designing for Dissemination Among Public Health Researchers: Findings From a National Survey in the United States. Am J Public Health, July 2013: e1–e7.
Evaluate prior implementation, explore policy positions, draft guidance, engage institutional partners; and conduct formative evaluations with priority providers and public health/clinical settings.
Develop and pretest messages and intervention components; identify and engage influential public health, clinical, and/or community leaders.
Partner to build delivery capacity and infrastructure support for public health or clinical implementation; provide training and technical assistance.
Public health and/or healthcare providers share promising practices Implementation best practices are established and disseminated.
Number (%) who adopt the behavior
Number (%) of public/patients who are affected
Changes in population-level health outcomes