Table 5.

Summary of the major theme of threats and sub-themes that emerged from the analysis of faculty interviews, along with representative quotations from interview transcripts

Sub-themes	Description	Frequency	References	Representative quotes
Patient safety in Pakistani culture	To create a patient safety culture in our environment, we have to start from somewhere	10	30	MU: “It is not all or none process. We do not expect that today we implement and tomorrow these guidelines are followed.
Resistance to implementation from different levels	The current culture is quite resistant because everyone is not used to it	10	22	SH: “When there is check and balance there is threat to a number of people who are not doing things right.”
Role of regulatory authorities in implementation	If the Pakistan Medical and Dental Council implements it and makes it compulsory, then the whole medical establishment will be involved	7	18	KFD: “Some initiative needs to be taken at the level of our national regulatory authorities which are the policy makers of health care provision in Pakistan.”