Table 2.

Reasons for wanting or not wanting support suggested by the interviews, with selected quotations.

Concepts		Quotations
Reasons for wanting support	Help recognize that care is needed	“Otherwise you don’t know if you missed something”
	Avoid forgetting Prevents harm to the patient	“That I won’t forget … that I won’t make a terrible mistake.” “It could harm the patient [if it’s forgotten]”
	Action is needed quickly	“Timely response”
	Helps adherence to (required) quality indicators	“We have quality indicators that are obligatory for IGZ but are not followed.”
Reasons for not wanting support	Feel that support is needed for others but not for themselves Will recognize when care is needed Would not forget	“This is a good rule … I know this, so I don’t need support, but on the wards … there’s always a chance that it could happen.” “My colleagues include nurses, trainees … I want support for some but not all of my colleagues” “I don’t need it because I don’t forget it … this does happen in my practice though.”
	Interruption, Wrong advice	“It can hold you up in the work” “Disturb work … lead to the wrong decisions … lead to bad outcomes” “What is the expected frequency of these alerts? I don’t want to be annoyed by the alerts … What is the availability and reliability of the data?”
	Someone else is responsible for the action	“The QI may not apply to me, I may not be the decision-maker” “The POH does this”