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Table 1 Adaptive Design: a model to improve adaptation and adoption of patient safety practices

From: Adaptive design: adaptation and adoption of patient safety practices in daily routines, a multi-site study

  Process Participatory
Design (PD)
Experiential
Learning (EL)
Adaptive
Design (AD)
Process characteristics Adaptation/ Adoption Adoption Adaptation Adoption & Adaptation
Orientation Product Process Product & Process
Design/ learning cycles Structured &
Iterative
Unstructured & iterative Semi-structured & iterative
Knowledge Objective Subjective
Created & recreated
Objective & Subjective
Created & recreated
End-product Final Final (uncertain) Provisional
Design process Process
Steps
Design
Test
Evaluate
Redesign
Learn
Experience
Reflect & Learn
Act
Design & Learn
Test & Experience
Evaluate, Reflect & Learn
Redesign & Act
User participation Small, ad hoc end-user group End-users randomly chosen from designated group All end-users from designated group
Influence Limited No pre-set limits Adaptable within pre-set limits
Acceptance Early adoption Adoption varies between end-users or user groups Early adoption by small group, increasingly adopted by more users, eventually by all end-users
Learning Participating end-user group Individuals & teams from designated users All users from designated group: individual, team & organisation
End-product One for all end-users Might be different between end-users (user groups) Provisional per user group, subject to change over time