Table 8.

Site C summary

Evidence	Teamwork	Communication*	Leadership
-Strain of skepticism about the algorithm	-Organized, cooperated with each other	-Communicated about workload and patients	-Middle manager (MM) supportive of ACC team
-Belief in clinical judgment of clinical pharmacists	-Knew strengths and weaknesses	-Staff noted communication as a strength	-MM vocalizes skepticism of algorithm; staff are aware
-Algorithm thought to be good only for training inexperienced staff	-Worked together for common good	-Used all means available to communicate (email, phone, IM, face to face)	-Staff have respect for MM
	-Interested as a group in change and improvement	-Team was safe space to express ideas and concerns	-MM supports sending a staff person to ACCII meetings
	-Team itself cites teamwork as their great strength	-Communication between ACC staff and leadership effective	-MM had support of pharmacy leadership

*Most influential contextual factor.