Dimension | Definition | Application to study |
---|---|---|
Reach | Absolute number, proportion, and representativeness of individuals willing to participate in a given initiative | Number and characteristics of sites that participated, applied but were not selected to participate, sites that were contacted but did not apply, and all US hospitals; Number and characteristics of stakeholders within each institution involved in the study at each participating site |
Effectiveness | Impact of intervention on outcomes | Primary outcome: number of unintentional medication discrepancies in admission and discharge orders per patient |
Adoption | Absolute number, proportion, and representativeness of settings and agents willing to initiate the program | Description of services and units that did and did not adopt the intervention |
Implementation | Fidelity to the various elements of an intervention’s protocol | Number and type of system-level intervention components implemented; proportion of patients that received patient-level interventions |
Maintenance | Extent to which a program becomes part of routine practice; long-term effects of a program on outcomes | Discrepancy rates 6 months after the end of mentored implementation; intervention components still in place and participating units/services 6 months after the end of mentored implementation. |