Explaining site-level fidelity within a national initiative to implement a VA patient safety guidebook: the difference-making role of networks & communications
Effective communication networks and perceived priority of the intervention were central to high-fidelity implementation of the VA's safety reporting Guidebook. These findings highlight critical levers for improving implementation fidelity in complex healthcare systems. Targeted strategies that strengthen communication and emphasize the value of safety interventions may enhance implementation success, offering valuable insights for patient safety efforts both within and beyond the VA.
Authors
- Jennifer L. Sullivan (ORCID: https://orcid.org/0000-0003-2906-2232)
- Edward E. Yackel (ORCID: https://orcid.org/0000-0003-3779-8530)
- Amy K. Rosen (ORCID: https://orcid.org/0000-0002-7539-7749)
- Sachin Yende (ORCID: https://orcid.org/0000-0002-6596-8034)
- Jeffrey Chan (ORCID: https://orcid.org/0000-0003-2514-7140)
- Edward J. Miech (ORCID: https://orcid.org/0000-0002-7187-1570)
- Ann M. Borzecki (ORCID: https://orcid.org/0000-0003-1894-1274)
- Marlena H. Shin (ORCID: https://orcid.org/0000-0001-5555-6258)
- Michael Shwartz (ORCID: https://orcid.org/0000-0003-4840-1682)
- Hassen Abdulkerim
Institutions
- Boston University (US)
- United States Department of Veterans Affairs (US)
- Rhode Island Department of Health (US)
- Brown University (US)
- VA Boston Healthcare System (US)
- Providence VA Medical Center (US)
- VA New England Healthcare System (US)
- Richard L. Roudebush VA Medical Center (US)
- Indiana University – Purdue University Indianapolis (US)
- National Patient Safety Foundation (US)
Publication Details
- Journal
- Implementation Science Communications
- Published
- 2025-11-27
- DOI
- https://doi.org/10.1186/s43058-025-00797-8
- Primary Topic
- Patient Safety and Medication Errors
- Type
- article
- Field-Weighted Citation Impact
- 0.00