Overall Approach

A quasi-experimental longitudinal research design was used within two Ontario acute care hospitals.

Phase I focused on determining potential facilitators and barriers, assessing current OHSMSs using the leading indicators, and identifying possible leading indicators to be added or changed. Phase I concluded with the development of tailored interventions based on identified gaps and in collaboration with each site.

During phase II, the interventions were pilot tested and evaluated. At Site 1, the main intervention was implemented on four pilot units (two inpatient units and two departments). At Site 2, the interventions were implemented hospital-wide. Data was collected pre- and post-intervention with interviews to assess feasibility, and questionnaires to assess effectiveness.