Table 2

Barriers to patient safety curriculum implementation

% (n) identifying as a barrier
n=21
Potential barriers related to the curriculum itself
10 (2)Belief by leadership that the patient safety curriculum is NOT implementable.
10 (2)Belief by leadership that the patient safety curriculum will NOT improve health professional education.
19 (4)Belief by leadership that the patient safety curriculum is NOT needed.
24 (5)Belief by leadership that the patient safety curriculum is externally imposed on us and not relevant to our context.
Potential barriers related to the context
38 (8)Lack of buy-in from stakeholders internal to the organisation.
19 (4)Lack of buy-in from stakeholders external to the organisation.
38 (8)Poor fit between the patient safety curriculum and the broader political and economic context (such as regulation of health professionals and how faculty are paid).
43 (9)Lack of governmental commitment to the patient safety curriculum (eg, providing ongoing financial support).
43 (9)Lack of organisation-level commitment to implementation of the patient safety curriculum.
14 (3)Belief that the patient safety curriculum is NOT compatible with the values of the organisation (eg, the system view of safety, which recognises that clinicians make mistakes, is widely shared by leaders and educators across the organisation).
33 (7)Poor fit between the patient safety curriculum and the assessment system in training settings (eg, the university).
24 (5)There is no space in the curriculum to add new content.
Potential barriers related to the implementation process
67 (14)Insufficient training to enable faculty to implement the patient safety curriculum.
33 (7)Poor coordination between the ministry and other organisations around implementation of the patient safety curriculum.
33 (7)Lack of faculty enthusiasm/meaningful participation in implementation of the curriculum.
14 (3)Poor communication channels among stakeholders regarding implementation of the curriculum.
10 (2)Implementation plan was not made clear to the implementers.
33 (7)Lack of faculty cooperation and collaboration to address implementation challenges.
24 (5)Insufficient evaluation of the curriculum implementation process.
29 (6)Lack of an influential person leading implementation of the patient safety curriculum.
24 (5)Inappropriate leadership approach to implementing the patient safety curriculum.
19 (4)Change(s) in leadership around the time of implementation of the patient safety curriculum.
29 (6)No clear role for teachers in clinical settings in the curriculum implementation process