title: Predictors of the perceived impact of a patient safety collaborative: an exploratory study.
abstract: OBJECTIVE
  The aim of this study was to evaluate the influence of various factors on the perceived impact of a patient safety improvement collaborative in the UK, the Safer Patients Initiative (SPI).
  
  
  METHODS
  A cross-sectional survey design was used. Study setting Twenty National Health Service organizations from the UK that participated in the main phase of the SPI programme, which ran from September 2007 to 2008.
  
  
  METHODS
  Senior executive leads, clinical operational leads in the four clinical areas targeted by the programme, programme coordinators and any other staff involved in the SPI (n = 635).
  
  
  METHODS
  The SPI is a patient safety improvement intervention based on the Breakthrough Series Collaborative model (Institute of Healthcare Improvement, 2004) aimed at improving patient safety in four clinical areas (general ward care, intensive care, perioperative care and pharmacy) through implementing a number of evidence-based clinical practices and a focus on organizational leadership. Outcome measures Participant perceptions of the impact of the programme on their organizations.
  
  
  RESULTS
  Exploratory regression analysis showed that programme management, the value assigned to programme methodology and length of data collection contributed the largest variance in perceived impact of the SPI followed by perceived support from junior doctors, inter-professional collaboration, difference of the programme from existing safety improvement practices and organizational readiness.
  
  
  CONCLUSIONS
  The resulting model suggests hierarchical importance for a range of variables to support future research concerning the mechanisms by which large-scale organizational programmes, such as the SPI, impact on the care systems they are designed to influence.
authors.affiliation: Division of Surgery, Department of Surgery and Cancer, Clinical Safety Research Unit, Imperial College London, St Mary's Campus, Norfolk Place, London W2 1PG, UK. a.pinto@imperial.ac.uk
authors.forename: Anna
authors.initials: A
authors.lastname: Pinto
authors.forename: Jonathan
authors.initials: J
authors.lastname: Benn
authors.forename: Susan
authors.initials: S
authors.lastname: Burnett
authors.forename: Anam
authors.initials: A
authors.lastname: Parand
authors.forename: Charles
authors.initials: C
authors.lastname: Vincent
mesh_terms: D001291:Attitude of Health Personnel; D003299:Cooperative Behavior; D003430:Cross-Sectional Studies; D006270:Health Facility Administrators; D006801:Humans; D017146:Models, Organizational; D015397:Program Evaluation; D011785:Quality Assurance, Health Care / Q000379:methods* / Q000458:organization & administration / Q000592:standards; D012044:Regression Analysis; D017751:Safety Management / Q000379:methods* / Q000458:organization & administration / Q000592:standards; D013222:State Medicine / Q000458:organization & administration / Q000592:standards; D006113:United Kingdom