I. Organizational factors related to staffing, time pressure and a high workload, imposes forced or planned tradeoffs, weighting efficiency, impacting clinical quality

Related to economy

Wages

Trade-offs challenging thoroughness

Trade-offs imposed by time constraints, staff shortage and workload

Trade-offs having negative impact on clinical quality

Trade-offs where efficiency may impact clinical quality negatively (Choosing efficiency to manage task on time)

External funding

Related to staffing, time pressure and workload

Limited time

Deliberate trade-offs done by health personnel to keep up efficiency

Trade-offs having positive impact on clinical quality

Trade-offs where efficiency may impact clinical quality positively (more patients getting treatment)

High workload

Staff shortage

II. Trade-offs between efficiency and thoroughness are planned in both the blunt-and the sharp end, with the aim to increase quality, although, increased quality is not always the result

Planned measures to balance efficiency trade-offs

Planned measures to ensure efficiency

Planned trade-offs

Planned trade-offs in the blunt end

Planned trade-offs having limited impact on clinical quality

A planned Weighting of thoroughness is not necessarily synonymous with increased quality

Planned measures to ensure thoroughness

Planned trade-offs in the sharp end

Planned measures to increase quality

Planned tradeoffs to increase quality on an organizational level

III. The health personnel's own assessments are often a more prominent vector than organizational factors when thoroughness is weighted

Trade-offs challenging efficiency

Choosing thoroughness over efficiency to avoid mistakes

Trade-offs having negative impact on clinical quality

Trade-offs where thoroughness may impact clinical quality negatively (choosing thoroughness may affect other patients due to lack of efficiency

Trade-offs having positive impact on clinical quality

Trade-offs where thoroughness may impact clinical quality positively (patient safety maintained)

III. Organizational factors related to IT-systems and ward guidelines forces health personnel to do

Factors related to IT-systems and ward guidelines

IT-systems

Trade-offs challenging efficiency

Trade-offs done to work around poorly functioning systems

Ward

Choosing

trade-offs to battle the systems

guidelines/routines

thoroughness over a system designed to be efficient

System designs affecting efficiency negatively