Table 9.

Site D summary

Evidence	Teamwork*	Communication	Leadership
-Negative attitude toward algorithm	-Organized &cooperated with each other	-Adequate communication about workload and patients	-Middle manager (MM) did not micromanage and allowed fair amount of autonomy to ACCs
-Great belief in clinical judgment of clinical pharmacists	-Worked together for long time	-Used all means available to talk (email, phone, IM, face to face)	-MM noted there is change fatigue
-Discomfort with being asked to adopt an EBP	-Strong identification as a team with shared values and practices.	-Communication between ACC team and leadership was rare	-MM remained noncommittal regarding support of the ACCII
	-Relatively unaware of ACCII project
	-Team itself cited teamwork as their great strength

*Most influential contextual factor.