Table 2.

Comparison of TICD determinant mapping across mappers

Determinant themes from AMDE study	TICD domains:determinants selected by mappers
	LD	ARG	Determinant Match
PHYSICIAN BELIEFS
AMDEs considered expected or unavoidable and not adverse unless outcomes catastrophic; viewed as more severe in other specialties	Health professional cognitions: expected outcome	Health professional cognitions: expected outcome	Yes
	Health professional cognitions: agreement with the recommendation	–	No
AMDEs within 2 years of use were considered unusual	Health professional cognitions: expected outcome	Health professional cognitions: expected outcome	Yes
	Health professional cognitions: agreement with recommendations	–	No
Views about cause of AMDEs confounded by multiple factors	Health professional cognitions: agreement with the recommendation	–	No
	–	Health professional knowledge and skills: domain knowledge	No
Incidence of AMDEs has decreased, thus devices were thought to be improved	Health professional cognitions: expected outcome	Health professional cognitions: expected outcome	Yes
	Health professional cognitions: agreement with recommendations	–	No
Sub-total unique or matching determinants	3	2	3/8 (37.5%)
POLICIES, PROCESSES or SYSTEMS
Follow-up of device-related outcomes beyond short-term results done elsewhere	Recommended behaviour: observability	Recommended behaviour: observability	Yes
	Health professional cognitions: intention and motivation	–	No
	Health professional behaviour: nature of the behaviour	–	No
	–	Health professional knowledge and skills: knowledge about own practice	No
	–	Health professional behaviour: self-monitoring or feedback	No
	–	Professional interactions: referral processes	No
Devices implanted not recorded in patient records	Incentives and resources: information system	Incentives and resources: information system	Yes
	–	Health professional knowledge and skills: knowledge about own practice	No
	–	Health professional behaviour: capacity to plan change	No
	–	Health professional behaviour: self-monitoring or feedback	No
No hospital, national or international systems for AMDE reporting	Incentives and resources: information system	Incentives and resources: information system	Yes
	Incentives and resources: availability of necessary resources	Incentives and resources: availability of necessary resources	Yes
	Capacity for organizational change: regulations, rules and policies	Capacity for organizational change: regulations, rules and policies	Yes
	Health professional knowledge and skills: domain knowledge	–	No
	–	Health professional cognitions: intention and motivation	No
	–	Health professional behaviour: self-monitoring or feedback	No
	–	Incentives and resources: non-financial incentives and disincentives	No
	–	Incentives and resources: quality assurance and patient safety systems	No
	–	Capacity for organization change: monitoring and feedback	No
Sub-total unique or matching determinants	7	11	5/19 (26.3%)
DEVICE MARKET
Use of specific devices often determined by purchase group contract obligations	Health professional behaviour: capacity to plan change	Health professional behaviour: capacity to plan change	Yes
	Capacity for organizational change: regulations, rules and policies	–	No
	–	Incentives and resources: financial incentives and disincentives	No
	–	Capacity for organizational change: mandate, authority and accountability	No
	–	Social, political and legal factors: economic constraints on the health care budget	No
	–	Social, political and legal factors: contracts	No
Lack of responsiveness to AMDEs from representatives or manufacturers	Health professional cognitions: expected outcome	–	No
	–	Health professional cognitions: intention and motivation	No
	–	Health professional behaviour: self-monitoring or feedback	No
	–	Social, political and legal factors: influential people	No
Sub-total unique or matching determinants	3	8	1/10 (10.0%)
Total unique or matching determinants	10	19	9/37 (24.3%)