Skip to main content
. 2023 Jun 13;10:e44089. doi: 10.2196/44089

Table 3.

Summary of the strategies and their parameters over the 3 workshops.

Strategy Required content Mode of delivery Delivery source Target audience Target outcome
Educational meetings (eg, grand rounds) and videos Nuances, barriers, and pitfalls when using the CSRSa; evidence underlying CSRS and recommendations; cost and resources; how to deal with ultra–low-risk criteria and troponin; what to do with risk score

  • Web-based

  • In-person

  • CSRS experts, cardiology, and general medicine physicians

  • All locations where CSRS will be applied

  • Diverse stakeholdersb

  • Improve knowledge of and comfort in using the CSRS.

  • Improve skills on how to use the CSRS.
Web-based calculator How to deal with troponin criterion; what to do with the risk score

  • Webc, mobile app, and EMRd

  • Electronic content

  • CSRS userse

  • Improve CSRS integration into workflow
CSRS integration into the EMR Interpretation of the risk score; what to do with the risk score

  • EMR

  • Electronic content

  • CSRS userse

  • Improve CSRS integration into workflow
Local champion Roles: speaker, monitor the implementation process, adapt strategies; provide support and feedback. Attributes: strong and positive leadership skills, know how to apply CSRS and recommendations.

  • In-person

  • Local emergency medicine physicians and cardiologists (each site)

  • CSRS userse

  • Improve collective buy-in
Poster Care pathway, how to deal with troponin criterion

  • Paper

  • QR codes

  • Paper-based

  • Diverse stakeholdersb

  • Improve collective buy-in
Dissemination of evidence summary Impact of CSRS practice-based recommendations on patient outcomes. Research papers—CSRS development and validation

  • On the internet

  • In-person

  • Journal clubs

  • Electronic content

  • CSRS experts

  • Diverse stakeholdersb

  • Improve knowledge
Feedback CSRS impacts on providers’ practice; numbers of cardiac monitor referrals and of arrythmias detected

  • In-person and written

  • Champions

  • CSRS userse

  • Improve skills and adoption of behavior (CSRS uptake)
Prompts Invitation to use CSRS, image with arrythmia detected (feedback)

  • Email communication

  • CSRS experts

  • Champions

  • CSRS userse

  • Improve social opportunity

aCSRS: Canadian Syncope Risk Score.

bEmergency medicine physicians, family physicians working at emergency department, any consultants who are asked for high-risk patients, cardiologists, internists, nurses (including nurse practitioners), and support from head of department.

cMDCalc [37].

dEMR: electronic medical record.

eAll emergency medicine physicians and residents.