Table 3.
Focus Areas | Outcomes (Bowen et al. 17 ) | Outcomes (OR Black Box Project) |
---|---|---|
1. Acceptability | Intent to use | Participation rates among stakeholders |
Individual satisfaction | ||
2. Demand | Expressed interest | Local strategic goal |
Fit within organizational culture | Actual use | |
3. Implementation | Degree of execution | Percentage of surgeries captured and the use of the OR Black Box |
Success or failure of execution | Factors that influence data capture,
eg: Technical issues OR staff not giving consent Patient not giving consent Unscheduled/acute surgery |
|
4. Practicality | Factors affecting ease or difficulty of implementation | Key activities from May 2017–May 2021, such as preparatory meetings, technical support, and commitment from stakeholders |
Amount, type of resources needed to implement | ||
Ability of participants to carry out intervention activities | ||
Positive/negative effects on target participants | ||
5. Adaptation | Degree to which similar outcomes are obtained in a new format | Modifications to normal workflow to accommodate the OR Black Box |
Adjustment of capturing hours to reflect elective operating schedule | ||
6. Integration | Perceived fit with infrastructure | Impact on existing operating schedule, workflow, and surgeries |
Technical aspect of integrating intervention into our system | ||
7. Expansion | Fit with organizational goals and culture | Implementation of OR Black Box at other departments, specialties, and hospitals |
Positive and negative effects on organization | ||
8. Limited-efficacy testing | Maintenance of changes from initial change | OR Black Box implementation strategy |
Intended effects of intervention on key intermediate variables |