Table 1 Survey domains, factors, and items

Need

The need for CREST is supported by your clinical experience here at your hospital

The need for CREST-Sepsis is supported by your clinical experience at your hospital

The need for CREST-Trauma is supported by your clinical experience at your hospital

Effectiveness/ usefulness

Using CREST will enable me to complete patient care more quickly

Using CREST will improve my productivity in patient care

Using CREST will enable me to provide better quality care

Evidence Assessment

The CREST program strategy is strongly supported by key evidence in the clinical literature

CONTEXTUAL FACTORS - ENABLING

Hospital leadership/ QI culture

Senior leadership/clinical management in your organization promote team building to solve clinical care problems at your hospital

This hospital is formal and structured place. Bureaucratic procedures govern what people do

Managers in this hospital are risk-takers. They encourage employees to take risks and be innovative

Managers in this hospital are coordinators and coaches. They help employees meet the hospital’s goals

Administration, staff, and physicians work together to improve patient care

ED culture

ED staff have a sense of personal responsibility for improving patients and outcomes

ED staff (MDs, RNs and others) cooperate and improve effectiveness of patient care

ED staff are willing to try new approaches to improve clinical procedures

ED leaders work cooperatively with hospital leadership to make needed and appropriate changes

ED leadership provides effective management for continuous improvement of patient care

Strategic concerns-transfer, skimming

There is a disagreement between different hospital groups on the desirability of keeping a patient versus transferring the patient

How often is there disagreement between different hospital groups on the desirability of keeping a patient versus transferring the patient

CREST INFORMATION ASSESSMENT

Tasks demands

Implementation of CREST is feasible at our hospital

I am clear about my roles and responsibilities in CREST

Learning to operate CREST technology will be easy for me

Learning to operate CREST technology will NOT be easy for me

The CREST project will require team work among all ED staff

Resource perceptions

There are enough MDs in the ED to implement CREST

There are enough RNs in the ED to implement CREST

We have the resources to implement CREST effectively

Facilitation (involvement, communication)

There is a clear leader or champion for CREST at our hospital

Communication with staff about CREST planning has been excellent

I was appropriately involved in the planning for CREST

Evaluation

It is important to collect feedback from patients regarding CREST

Collecting feedback from staff regarding implementation of CREST will be important

Developing and distributing regular CREST-related performance measures to clinical staff will be important

It will be important to provide a forum for presentation/discussion of CREST’s progress and implications for continued improvement