The DOI matches its Crossref record; 48 of the 49 references it cites were found in a registry or an index.
The role of theory in research to develop and evaluate the implementation of patient safety practices: Figure 1
Abstract
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.
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“In this article, we join others in arguing that the explicit application of theory could shorten the time needed to develop improvement interventions, optimise their design, identify conditions of context necessary for their success, and enhance learning from those efforts.4–9”
From Demystifying theory and its use in improvement (2015) · cites this paper as [4]
In the citing paper
“In this article, we join others in arguing that the explicit application of theory could shorten the time needed to develop improvement interventions, optimise their design, identify conditions of context necessary for their success, and enhance learning from those efforts.4–9”
From Demystifying theory and its use in improvement (2015) · cites this paper as [4]
In the citing paper
“In this article, we join others in arguing that the explicit application of theory could shorten the time needed to develop improvement interventions, optimise their design, identify conditions of context necessary for their success, and enhance learning from those efforts.4–9”
From Demystifying theory and its use in improvement (2015) · cites this paper as [4]
In the citing paper
“In this article, we join others in arguing that the explicit application of theory could shorten the time needed to develop improvement interventions, optimise their design, identify conditions of context necessary for their success, and enhance learning from those efforts.4–9”
From Demystifying theory and its use in improvement (2015) · cites this paper as [4]
Citations
Cites
Developing and evaluating complex interventions: the new Medical Research Council guidance
Craig, P., Dieppe, P., Macintyre, S., Michie, S., Nazareth, I., & Petticrew, M. (2008) · BMJ · doi:10.1136/bmj.a1655 · Cited by 10,995
Why Don't Physicians Follow Clinical Practice Guidelines?: A Framework for Improvement
Cabana, M. D., Rand, C. S., Powe, N. R., Wu, A. W., Wilson, M. H., Abboud, P.-A. C., & Rubin, H. R. (1999) · JAMA · doi:10.1001/jama.282.15.1458 · Cited by 6,677
Audit and feedback: effects on professional practice and healthcare outcomes
Ivers, N., Jamtvedt, G., Flottorp, S., Young, J. M., Odgaard-Jensen, J., French, S. D., O'Brien, M. A., Johansen, M., Grimshaw, J., & Oxman, A. D. (2012) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000259.pub3 · Cited by 5,485
Making psychological theory useful for implementing evidence based practice: a consensus approach
Michie, S. (2005) · Quality and Safety in Health Care · doi:10.1136/qshc.2004.011155 · Cited by 3,440
Effectiveness and efficiency of guideline dissemination and implementation strategies
Grimshaw, J., Thomas, R., MacLennan, G., Fraser, C., Ramsay, C., Vale, L., Whitty, P., Eccles, M., Matowe, L., Shirran, L., et al. (2004) · Health Technology Assessment · doi:10.3310/hta8060 · Cited by 3,044
Effectiveness and Efficiency: Random Reflections on Health Services
L'Etang, H. (1973) · Public Health · doi:10.1016/s0033-3506(73)80082-4 · Cited by 1,905
Grimshaw, J., Shirran, L., Thomas, R. E., Mowatt, G., Fraser, C. M., Bero, L. A., Grilli, R. G., Harvey, E., Oxman, A., & O’Brien, M. A. (2001) · Medical Care · doi:10.1097/00005650-200108002-00002 · Cited by 1,805
(2001) · PubMed · Cited by 1,709
(2004) · City Research Online (City University London) · Cited by 1,385
Self-citationProcess evaluation in randomised controlled trials of complex interventions
Oakley, A., Strange, V., Bonell, C., Allen, E., & Stephenson, J. (2006) · BMJ · doi:10.1136/bmj.332.7538.413 · Cited by 1,247
Complex interventions: how “out of control” can a randomised controlled trial be?
Hawe, P., Shiell, A., & Riley, T. (2004) · BMJ · doi:10.1136/bmj.328.7455.1561 · Cited by 1,244
Planning and Studying Improvement in Patient Care: The Use of Theoretical Perspectives
GROL, R. P. T. M., BOSCH, M. C., HULSCHER, M. E. J. L., ECCLES, M. P., & WENSING, M. (2007) · The Milbank Quarterly · doi:10.1111/j.1468-0009.2007.00478.x · Cited by 943
Audit and feedback: effects on professional practice and health care outcomes
Jamtvedt, G., Young, J. M., Kristoffersen, D. T., O'Brien, M. A., & Oxman, A. D. (2006) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000259.pub2 · Cited by 912 · cited 1×
“For example, audit and feedback are variably effective in changing provider behaviour and clinical outcomes.(6) Their effectiveness may vary according to features”
BackgroundTheoretical Nursing: Development and Progress
Pearson, B. D., & Meleis, A. I. (1985) · AJN American Journal of Nursing · doi:10.2307/3425219 · Cited by 877
Evidence-Based Quality Improvement: The State Of The Science
Shojania, K. G., & Grimshaw, J. (2005) · Health Affairs · doi:10.1377/hlthaff.24.1.138 · Cited by 684
Theory‐based evaluation: Past, present, and future
Weiss, C. H. (1997) · New Directions for Evaluation · doi:10.1002/ev.1086 · Cited by 634
Davies, P., Walker, A. E., & Grimshaw, J. M. (2010) · Implementation Science · doi:10.1186/1748-5908-5-14 · Cited by 619
Developing a Framework for Transferring Knowledge Into Action: A Thematic Analysis of the Literature
Ward, V., House, A., & Hamer, S. (2009) · Journal of Health Services Research & Policy · doi:10.1258/jhsrp.2009.008120 · Cited by 511
Mathison, S. (2005) · Sage eBooks · doi:10.4135/9781412950558 · Cited by 505
How Can Theory-Based Evaluation Make Greater Headway?
Weiss, C. H. (1997) · Evaluation Review · doi:10.1177/0193841x9702100405 · Cited by 484
Designing theoretically-informed implementation interventions
The Improved Clinical Effectiveness through Behavioural Research Group (ICEBeRG) (2006) · Implementation Science · doi:10.1186/1748-5908-1-4 · Cited by 380
The functions of program theory
Bickman, L. (1987) · New Directions for Program Evaluation · doi:10.1002/ev.1443 · Cited by 347
Improving patient safety in intensive care units in Michigan
Pronovost, P. J., Berenholtz, S. M., Goeschel, C. A., Thom, I., Watson, S. R., Holzmueller, C. G., Lyon, J. S., Lubomski, L. H., Thompson, D. A., Needham, D. M., et al. (2008) · Journal of Critical Care · doi:10.1016/j.jcrc.2007.09.002 · Cited by 330
Self-citationTheory as method: small theories of treatments
Lipsey, M. W. (1993) · New Directions for Program Evaluation · doi:10.1002/ev.1637 · Cited by 322
Evaluation and Effective Public Management
Goldoff, A. C., & Wholey, J. S. (1983) · Public Productivity Review · doi:10.2307/3379834 · Cited by 260
Foy, R., Eccles, M., Jamtvedt, G., Young, J., Grimshaw, J., & Baker, R. (2005) · BMC Health Services Research · doi:10.1186/1472-6963-5-50 · Cited by 250 · cited 1×
“9 It is not surprising that systematic reviews based on such categories or typologies raise more questions than they answer and struggle to extract generalisable lessons about how interventions achieve their effects.(10) For example, a CDSS can work in a number of ways, such as by increasing knowledge of safe practice…”
BackgroundSelf-citationUnderstanding what works—and why—in quality improvement: the need for theory-driven evaluation
Walshe, K. (2007) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzm004 · Cited by 237
Improving quality through effective implementation of information technology in healthcare
Ovretveit, J., Scott, T., Rundall, T. G., Shortell, S. M., & Brommels, M. (2007) · International Journal for Quality in Health Care · doi:10.1093/intqhc/mzm031 · Cited by 204
Eccles, M., Grimshaw, J., Johnston, M., Steen, N., Pitts, N. B., Thomas, R. E., Glidewell, L., MacLennan, G., Bonetti, D. L., & Walker, A. E. (2007) · Implementation Science · doi:10.1186/1748-5908-2-26 · Cited by 151
Dyson, J., Lawton, R., Jackson, C., & Cheater, F. (2011) · Journal of Infection Prevention · doi:10.1177/1757177410384300 · Cited by 142
Constructing Theories of Change: Methods and Sources
Mason, P., & Barnes, M. (2007) · Evaluation · doi:10.1177/1356389007075221 · Cited by 123
Byng, R., Norman, I. J., Redfern, S., & Jones, R. H. (2008) · BMC Health Services Research · doi:10.1186/1472-6963-8-274 · Cited by 114
Bonetti, D. L., Pitts, N. B., Eccles, M., Grimshaw, J., Johnston, M., Steen, N., Glidewell, L., Thomas, R. E., MacLennan, G., Clarkson, J., et al. (2006) · Social Science & Medicine · doi:10.1016/j.socscimed.2006.04.005 · Cited by 97
Why does primary care need more implementation research?
Foy, R., Eccles, M., & Grimshaw, J. (2001) · Family Practice · doi:10.1093/fampra/18.4.353 · Cited by 96
Self-citationWho Owns the Theory of Change?
Sullivan, H. T., & Stewart, M. (2006) · Evaluation · doi:10.1177/1356389006066971 · Cited by 95
Foy, R., Francis, J. J., Johnston, M., Eccles, M., Lecouturier, J., Bamford, C., & Grimshaw, J. (2007) · BMC Health Services Research · doi:10.1186/1472-6963-7-207 · Cited by 66
Self-citationRamsay, C. R., Thomas, R. E., Croal, B. L., Grimshaw, J., & Eccles, M. (2010) · Implementation Science · doi:10.1186/1748-5908-5-71 · Cited by 65
You Can Get There From Here: Using a Theory of Change Approach to Plan Urban Education Reform
Connell, J. P., & Klem, A. M. (2000) · Journal of Educational and Psychological Consultation · doi:10.1207/s1532768xjepc1101_6 · Cited by 64
Lesselroth, B., Felder, R. S., Adams, S. M., Cauthers, P., Dorr, D. A., Wong, G. J., & Douglas, D. (2009) · Journal of the American Medical Informatics Association · doi:10.1197/jamia.m2642 · Cited by 48
Understanding Causes and Generalizing About Them
SECHREST, L. B., & Scott, A. G. (1993) · Medical Entomology and Zoology · Cited by 45
Psychological contribution to the understanding of adverse events in health care
Parker, D. (2003) · BMJ Quality & Safety · doi:10.1136/qhc.12.6.453 · Cited by 40
Shekelle, P., Pronovost, P. J., Wachter, R. M., Carr, L. H., Foy, R., Dy, S. M., Hempel, S., McDonald, K. M., Øvretveit, J., & Rubenstein, L. V. (2010) · Cited by 31
Self-citationEccles, M., Francis, J., Foy, R., Johnston, M., Bamford, C., Grimshaw, J., Hughes, J. C., Lecouturier, J., Steen, N., & Whitty, P. (2009) · International Journal of Behavioral Medicine · doi:10.1007/s12529-008-9023-3 · Cited by 30
Self-citationShekelle, P., Pronovost, P., Wachter, R., Taylor, S., Dy, S. M., Foy, R., Hempel, S., McDonald, K. M., Øvretveit, J., & Rubenstein, L. V. (2010) · White Rose Research Online (University of Leeds, The University of Sheffield, University of York) · Cited by 17
Self-citationSAFER DESIGN OF ANAESTHETIC EQUIPMENT
Thompson, P. (1987) · British Journal of Anaesthesia · doi:10.1093/bja/59.7.913 · Cited by 17
Dixon‐Woods, M., Tarrant, C., Willars, J., & Suokas, A. K. (2010) · BMJ Quality & Safety · doi:10.1136/qshc.2008.029504 · Cited by 16
Use of performance feedback to increase healthcare worker hand-hygiene behaviour
McAteer, J., Stone, S. P., Roberts, J. A., Michie, S., Fuller, C., Slade, R., Charlett, A., Cookson, B., Cooper, B. S., Duckworth, G. J., et al. (2007) · Journal of Hospital Infection · doi:10.1016/j.jhin.2007.04.013 · Cited by 6
The Science of Quality Improvement
Bickman, L. (2008) · JAMA · doi:10.1001/jama.300.4.391-a · Cited by 1
Research works printed but not linked: 1
- McDonald KM Graham ID Grimshaw J . Chapter 3. Toward a theoretic basis for quality improvement interventions from closing the quality gap: a critical analysis of quality improvement strategies. In: Shojania KG McDonald KM Wachter RM , eds. Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies. Rockville, MD: Agency for Healthcare Research and Quality, US Department of Health and Human Services, 2004.
Cited by
Sorted by citations
Atkins, L., Francis, J., Islam, R., O’Connor, D., Patey, A., Ivers, N., Foy, R., Duncan, E. M., Colquhoun, H., Grimshaw, J. M., et al. (2017) · Implementation Science · doi:10.1186/s13012-017-0605-9 · Cited by 3,819
Self-citationAn introduction to implementation science for the non-specialist
Bauer, M. S., Damschroder, L. J., Hagedorn, H., Smith, J. L., & Kilbourne, A. M. (2015) · BMC Psychology · doi:10.1186/s40359-015-0089-9 · Cited by 2,168
Supply chain resilience: definition, review and theoretical foundations for further study
Tukamuhabwa, B. R., Stevenson, M., Busby, J. S., & Zorzini, M. (2015) · International Journal of Production Research · doi:10.1080/00207543.2015.1037934 · Cited by 1,582
“Established theoretical lenses help in understanding a phenomenon, in identifying the relationships among variables and in enhancing the generalisability of findings across different contexts (Foy et al. 2011).”
BackgroundDemystifying theory and its use in improvement
Davidoff, F., Dixon-Woods, M., Leviton, L., & Michie, S. (2015) · BMJ Quality & Safety · doi:10.1136/bmjqs-2014-003627 · Cited by 714
Kaplan, H. C., Provost, L., Froehle, C. M., & Margolis, P. A. (2011) · BMJ Quality & Safety · doi:10.1136/bmjqs-2011-000010 · Cited by 589
Metadata
- Authors
- Foy, R., Ovretveit, J., Shekelle, P. G., Pronovost, P. J., Taylor, S. L., Dy, S., Hempel, S., McDonald, K. M., Rubenstein, L. V., & Wachter, R. M.
- Affiliations
- University of Leeds (GB)
- RAND Corporation (US)
- Johns Hopkins University (US)
- Stanford University (US)
- University of California, San Francisco (US)
- Corresponding author
- Foy, Robbie
- ORCID
- Venue
- BMJ Quality & Safety
- Publisher
- BMJ
- Published
- 2011-02-11
- Volume
- 20
- Issue
- 5
- Pages
- 453-459
- ISSN
- 1475-3898 (ISSN-L)
- 2044-5415
- 2044-5423
- OpenAlex
- W2116131319
- Cited by
- 148
- References
- 49
- Citations by year
- 2026: 6 · 2025: 8 · 2024: 7 · 2023: 6 · 2022: 8 · 2021: 9 · 2020: 8 · 2019: 16 · 2018: 14 · 2017: 13 · 2016: 8 · 2015: 11 · 2014: 7 · 2013: 11 · 2012: 8
- FWCI
- 20.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- BMJ Quality & Safety (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Patient Safety and Medication Errors
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Quality and Management
- Keywords
- patient safety measures, theory-based evaluation, implementation evaluation, logic model, generalizability, intervention development, mechanism of action, expert consensus, organizational behavior
- MeSH terms
- Health Services Research, Humans, Models, Theoretical, Planning Techniques, Psychological Theory, Models, Organizational, Safety Management
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