Healthcare innovation barriers: results of a survey of certified professional healthcare risk managers

J Healthc Risk Manag. 2012;31(4):3-16. doi: 10.1002/jhrm.20099.


Medical errors cause significant patient injuries, including deaths. Innovations designed to improve quality and reduce risk are numerous, as are the barriers that prevent innovation implementation. The purpose of this research was to analyze the relationships, if any, between the independent variables of hospital bed size and organizational structure, and the dependent variable barriers to three innovations: implementing a surgical safety checklist, preventing catheter-associated urinary tract infections, and adopting patient- and family-centered care. The findings strengthen and expand existing research and serve as the foundation for understanding barriers to implementation of three healthcare innovations. Future research should focus on organizational culture instead of innovation-specific barriers and should incorporate other independent variables, such as organizational profitability.

Publication types

  • Comparative Study

MeSH terms

  • Checklist
  • Cross-Sectional Studies
  • Diffusion of Innovation*
  • Guideline Adherence
  • Hospital Bed Capacity
  • Humans
  • Medical Errors / prevention & control*
  • Organizational Culture
  • Patient Safety*
  • Patient-Centered Care
  • Risk Management*
  • Surveys and Questionnaires
  • United States
  • Urinary Tract Infections / prevention & control