Complexity and involvement as implementation challenges: results from a process analysis

Table 2 Description of the involvement rating scoring

IMPROVE-implementation activity	Involvement score	Explanation
Small educational meetings
	0	No educational meetings
	1	The educational meeting partly took place according to the manual
	2	The educational meeting fully took place according to the manual
Audit & feedback
	0	No audit and feedback
	1	The hospital received the feedback report before the next intervention phase
	2	The feedback meeting partly took place according to the manual
	3	The feedback meeting fully took place according to the manual
Structured observation rounds
	0	No structured observation
	1	An observation round by a trained (external) expert with feedback based on a structured observation list. Hospitals received the observation tool for own use.
	2	Observation rounds by own hospital personnel based on the structured observation list
Integration of the guideline recommendations
	0	No integration of guideline recommendations in local activities and processes
	1	Integration of 1 recommendation in local activities and processes
	2	Integration of 2 or more recommendations in local activities and processes
Use of patient safety cards
	0	No use of patient safety cards
	1	Patient safety cards were offered
	2	Patient safety cards were used (with the explicit invitation by caregivers to patients to ask questions)

ISSN: 1472-6963