Lawton RJ, McEachan RRC, Giles SJ, Sirriyeh R, Watt IS, Wright J: Development of a factual framework of factors that contribute to patient safety incidents in the hospital field: systematic verification. BMJ quality and safety. 2012, 21 : 369-380. 10.1136/bmjqs-2011-000443. OnlineFirst Grol R, Wensing M, Eccles M: Improved Patient Care: Implementing Changes in Clinical Practice. 2005, Heinemann Edinburgh: Elsevier Butterworth Mechanisms were designed to verify and treat clinical incidents and complaints. Training [25, 37, 43] and financial incentives [37] were cited as strategies to overcome qualification barriers. Demographic factors such as age, education, gender, nationality and clinical experience can influence health professionals` attitudes towards online health systems [23, 28, 46, 56, 57]; However, most studies conclude that it has not been possible to establish a clear link between these characteristics and these attitudes [46, 56, 57]. By reading the concepts and interpretations of the matrix, it was possible to establish a sense of the relationships between the studies. It became clear that the relationships between the studies appeared to be one another (where the concepts of one study include another), with many subjects being the subject of an inter-study study, broadly agreeing on the factors that influenced implementation and which allowed the development of a line of argument (cross-cutting narrative). After a metaethnography process, the topics covered in each study were not only described and compared, but also asked about topics from other studies. Initial verification – the systematic review of the audits conducted by Mair et al. [7], which were done after review and discussion, the implementation teams identified for each trust the process of verifying the positioning of the nasogastric tubes before feeding as the most important target behavior.

The results of the questionnaire showed differences in the main barriers between organizations. Focus groups have generated innovative, broad-based and adaptable strategies to overcome barriers such as awareness events. B, screensavers, device modifications and interactive learning resources. Exit interviews identified themes related to the benefits, challenges and sustainability of this approach. For 301 patients, data were collected for a trust over an 18-month period, indicating a clinically significant improvement in pH use and post-intervention practice documentation. The program follows the RAID model (Review, Agree, Imlement, Demonstrate) (illustrated) to initiate a project culture within their organization.