Table 5.

Description of activities during the active implementation phase

Activity	Objective	Target (ED, staff, patients, patient advisors)	Measurement tool and method	Outcome of interest
1. Measuring fidelity of training	To determine if the staff are trained to a well-defined performance criteria	ED staff	Training evaluation survey	Trained/competent staff
2. Measuring fidelity of intervention delivery	To determine if the sites have implemented SurgeCon as intended	ED	Software platform and champion participant observation	Successful implementation
3. Examining contextual constructs and factors	To identify and describe the context in which the intervention occurs and the factors that influence implementation	ED staff	Champion observation, site coordinator report	Understanding contextual constructs and factors to develop a plan for overcoming the challenges and ensuring successful implementation
4.Conducting patient-reported experiences, patient satisfaction telephone interviews, and semi-structured patient interview	To consult with patients, get feedback from them, study their lived-experiences	ED patients	Patient-reported experiences and patient satisfaction survey and semi-structured patient interview guide	Develop strategies to overcome the challenges of patient satisfaction
5. Conducting interview about barriers and enablers	To study organizational climate of ED before, during, and after the intervention and consult with ED staff to gauge interest in newly implemented ED management system	ED staff	Semi-structured interview	Resolving potential contextual barriers to successful implementation