Example codes, code definitions and data fragments from early codebook
| Code | No. of appearances in the data | Kinds of statements or actions assigned to code | Example data fragment |
|---|---|---|---|
| Clinical concerns | 24 | Clinician concerns about improvement knowledge e.g. impact on professional practice or impact on patient outcomes | “We need to think about what it means when… we’re just looking at time as a surrogate for quality” (Dr Jason) |
| Clinician engagement | 214 | How clinicians engage with improvement knowledge, problems relating to clinician engagement, techniques used to engage clinicians | “I’m not a processing factory, I’m dealing with patients, so don’t tell me about how to optimize [processes].” (Dr Jason) |
| Epistemic identity | 223 | Expressions of epistemological stances | Improvement advisors were observed often to value and engage with aggregated comparative performance data |
| Measuring and evaluating | 22 | Understandings of the value of different types of measures of performance | “From a values point of view… clinicians engage with… things that relate to quality and safety. Not… efficiency.” (medical manager) |
| Pinning down the data | 38 | Usefulness of data – e.g. for improving practice at individual and organizational levels | “Please find below where you’re sitting compared to other staff. The KPI is this.” (improvement advisor) |
| Tension between disciplines | 198 | Differing understandings of the meaning or value of improvement / issues of trust or understanding between disciplines, interdisciplinary conflict | “I still have this debate with [improvement advisor] to say, “We did this without any lean.” and he goes, “Well, you did [Lean].” (Dr Jason) |
| Code | No. of appearances in the data | Kinds of statements or actions assigned to code | Example data fragment |
|---|---|---|---|
| Clinical concerns | 24 | Clinician concerns about improvement knowledge e.g. impact on professional practice or impact on patient outcomes | |
| Clinician engagement | 214 | How clinicians engage with improvement knowledge, problems relating to clinician engagement, techniques used to engage clinicians | |
| Epistemic identity | 223 | Expressions of epistemological stances | Improvement advisors were observed often to value and engage with aggregated comparative performance data |
| Measuring and evaluating | 22 | Understandings of the value of different types of measures of performance | |
| Pinning down the data | 38 | Usefulness of data – e.g. for improving practice at individual and organizational levels | |
| Tension between disciplines | 198 | Differing understandings of the meaning or value of improvement / issues of trust or understanding between disciplines, interdisciplinary conflict |
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