Table 4.
Illustrative quotes on the enablers to such tools.
| Theme | Quote |
| Champions and co-design | …Before anything is delivered, the key stakeholders are consulted to get their opinion in terms of what would be useful to them or if there was a suggestion of something to get their feedback. So they actually feel as if they also have some ownership in it. [P05, Chief Nursing Officer, Australia] |
| Present data for understanding, not for information | …Simpler is better. What you need to do is give them the information they need to be able to make the decision or make a change in practice, but not overload them. [...] I think what you do is you take the data and you give it back to the team in the way in which they’ve asked for it. Then you leave them to figure out how they act on the results of that because each team will operate slightly differently. [P08, Researcher, United Kingdom] …And it does get reported in finance reports I can assure you of that. But for us, if we’re reporting length of stay, it’ll be done at a clinician level and will be tied very much to the approach we’re taking, tying it to individual patient risk adjustment. So we’re using that HIPAA model of patient risk adjustment, and we’re going to drive our reporting at clinician level based on that. [P13, Clinician, Australia/United Kingdom] |
| Coaching and facilitation | …But if the goal is primarily to get the data out there to learn from it, I think it’s very possible to learn from imperfect data. But again, that requires a certain level of trust and it requires an environment in which people aren’t judged for quote unquote poor performance. But in which people are understanding of the fact that different people work in different settings with different patients in different situations. [P09, Researcher, Netherlands] …It is tough, you know, and it is educational. The process we go through is deliberately not pointing fingers at anyone. It’s saying: “You look different to your peers. Would you like to find out why?” It’s not saying “Oh my God, you’ve got a problem here.” Because we wanted to say to people, actually, “You should get used to looking at your own performance and simply saying you’re within the gray zone of the shaded zone of the funnel plot, means you’re okay.” [P11, Clinician/Researcher, Australia] |
| Timely recording of reflections for continuing professional development | …One of the problems, like today, I did 3 meetings where I could claim CPD. But that would mean going out of the system, going into another system, finding my login, working out which of the five groups or whatever it is in and I’m going to put it down as. Then by the time I’ve done that, I’ll say “bugger it” and just do it like I normally do it - in a year or so. I go to two meetings a week. I think to make it meaningful and useful that some form of.. if it could be done with that kind of reflections automatically reflected because I think that would be an encouragement for people to do it. [P12, Clinician, Australia] |