Reporting systems in long term care: heading for implementation / Berichts- und Lernsysteme in der stationären Langzeitpflege auf dem Weg zur Implementierung.

Background: There is a need for discussing influencing factors of the implementation of critical incident reporting systems in long term care. Objective of this publication is to describe the value of Reporting and Learning Systems and to discuss concrete recommendations for implementation based on the Consolidated Framework for Implementation Research. Influencing factors of successful implementation: A successful implementation is related to a systematic approach and several success factors. The following factors of implementation after analysis with Consolidated Framework for Implementation Research are relevant: (i) a standardised and straightforward design, (ii) the consideration of external stimuli, (iii) the development of a positive organisational and safety culture that facilitates implementation by providing resources, (iv) the consideration of needs, knowledge and individual processes of change, and (v) repeated evaluation of the implementation process. Outlook: A particular focus should be applied to visible interventions. Safety culture will be reinforced by enabling personalized reports. However, today it is needed to face current barriers. It is recommended to develop and to test instruments that measure implementation and to investigate the success of sustainable implementation.