Ex ante coding table
| Coded factors | What we observed? | Observed impact on the pathway performance |
|---|---|---|
| Visibility (KPIs) | Hospital managers set a number of KPIs to control and improve visibility of the pathway, but these were conflicting with other existing hospital targets and goals |
|
| Visibility and clarity (Pathway Protocols and Guidelines) | Unavailability of shared protocols and guidelines amongst professionals |
|
| Shared resources | ED and brain-imaging resources, shared between multiple patient groups (i.e. trauma, sepsis etc.) who needed to have their assessment and treatment in critical time range |
|
| Co-location | Professionals located closer to each other had the opportunity to interact more frequently |
|
| Engagement | Pathway adherence strongly linked with individual professional interests and knowledge on the pathway |
|
| Portfolio | Interacting priorities: Pathway was confronted with the need to interact with a range of other activities and indeed other specific care pathways |
|
| Judgement | Variation in professionals knowledge, experience and interest on stroke care, influences the effectiveness and efficiency of their judgement |
|
| Improvement initiatives (i.e. meetings, co-design of protocols and guidelines) | Professionals' knowledge and interests on stroke care was strongly related with their involvement in pathway improvement initiatives |
|
| Improvise | SNPs found/created new ways to avoid pathway from being broken down or fix this when happened |
|
| Authority | Professionals' role was a source of power, enabling them to decide how and when to engage in the pathway |
|
| Coaching | SNPs coached other healthcare professionals (i.e. stroke and ED nurses, junior ED doctors, etc.) on how to practice stroke care |
|
| Coded factors | What we observed? | Observed impact on the pathway performance |
|---|---|---|
| Visibility (KPIs) | Hospital managers set a number of KPIs to control and improve visibility of the pathway, but these were conflicting with other existing hospital targets and goals | (Un) availability of focal resources Pathway knowledge/interest of professionals |
| Visibility and clarity (Pathway Protocols and Guidelines) | Unavailability of shared protocols and guidelines amongst professionals | Information and knowledge exchange |
| Shared resources | ED and brain-imaging resources, shared between multiple patient groups (i.e. trauma, sepsis etc.) who needed to have their assessment and treatment in critical time range | (Un)availability of focal resources Information and knowledge exchange |
| Co-location | Professionals located closer to each other had the opportunity to interact more frequently | Information and knowledge exchange Social capital (i.e. working and social relationships) |
| Engagement | Pathway adherence strongly linked with individual professional interests and knowledge on the pathway | (Un)availability of focal resources Information and knowledge exchange |
| Portfolio | Interacting priorities: Pathway was confronted with the need to interact with a range of other activities and indeed other specific care pathways | High-workload Information and knowledge exchange (Un)availability of focal resources |
| Judgement | Variation in professionals knowledge, experience and interest on stroke care, influences the effectiveness and efficiency of their judgement | Information and knowledge exchange (Un)availability of focal resources |
| Improvement initiatives (i.e. meetings, co-design of protocols and guidelines) | Professionals' knowledge and interests on stroke care was strongly related with their involvement in pathway improvement initiatives | Professionals' engagement in the pathway Information and knowledge exchange Social capital |
| Improvise | SNPs found/created new ways to avoid pathway from being broken down or fix this when happened | Information and knowledge exchange (Un)availability of focal resources Managing KPIs/SNAAP |
| Authority | Professionals' role was a source of power, enabling them to decide how and when to engage in the pathway | Information and knowledge exchange Professionals' engagement in the pathway |
| Coaching | SNPs coached other healthcare professionals (i.e. stroke and ED nurses, junior ED doctors, etc.) on how to practice stroke care | Information and knowledge exchange |
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