Table 2

Dimensions and subdimensions associated with CEO role in SPI

First order dimensionSubdimensionDimension description
1 Resource provision1.1 Securing fundingThis factor refers to the CEO function of securing funding for the SPI programme and allocating financial and human resources to aid the implementation and continuation of the programme
1.2 Resource allocation
2 Staff motivation and engagement2.1 Motivation and empowerment of staffThis factor describes CEOs motivating, involving and engaging clinical staff with the SPI programme through communication, methods of empowerment and reinforcement
2.2 Shared dialogue
2.3 Reinforcement of staff involvement
3 Commitment and support3.1 Display of visible commitmentThis factor refers to the CEOs’ demonstration of their own commitment to the programme along with the CEOs’ role of support (not through resources) to clinical staff involved in SPI. This includes ‘creating the right environment’ for staff and ‘selling’ the programme to them
3.2 Creation of right environment/climate
3.3 Directing staff and stating purpose
4 Monitoring progress4.1 Reviewing SPI measuresThis factor illustrates the CEO activity of monitoring programme outcome measures and regularly requesting and reviewing overall performance on SPI, as well as indirectly generating accountability on progress
4.2 Performance management
5 Embedding programme elements5.1 Strategy and agenda changeThis factor comprises of changes made by the CEOs to strategies, agendas and processes in order to integrate SPI procedures and practices into them, so that they are sustained
5.2 Structure change and embedding for sustainability
  • CEO, Chief Executive Officer; SPI, Safer Patients Initiative.