Using CFIR to Enhance the Implementation Journey of a Non-Visual Patient Safety Aid Innovation

Health technology projects can deliver safer and more efficient care, but challenges in implementation can hinder technology adoption and ultimately lead to an in-novation failing. This paper presents some reflections of the use of the Consolidated Framework for Implementation Research (CFIR) to evaluate the implementation of the installation of continuous movement sensor-based monitoring technology, called a Non-Visual Patient Safety Aid, to enhance safety in high-risk care settings. The technology was installed at a UK National Health Service hospital mental health inpatient ward. The implementation project took much longer to complete than anticipated. To understand why this happened, in a retrospective analysis, we mapped CFIR constructs on to the facilitators and barriers of the installation process. We reflected on our perceptions of the strength of the influence of these constructs at Pre-Implementation and compared these to our views at Post-Implementation. This exercise helped us to understand the areas of influence we under- and over- estimated.