Table 2

Example codes, code definitions and data fragments from early codebook

CodeNo. of appearances in the dataKinds of statements or actions assigned to codeExample data fragment
Clinical concerns24Clinician 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 engagement214How 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 identity223Expressions of epistemological stancesImprovement advisors were observed often to value and engage with aggregated comparative performance data
Measuring and evaluating22Understandings 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 data38Usefulness 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 disciplines198Differing 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)
Source(s): Authors’ own work

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