Table 10 Site E summary
From: The interplay of contextual elements in implementation: an ethnographic case study
Evidence* | Teamwork | Communication | Leadership |
|---|---|---|---|
-Had not used an algorithm to date | -Not very organized and low cooperation overall | -Low level of intra-ACC staff communication | -Staff feel unevenly supported by leadership |
-Very interested in getting some guidance | -Internal divisions where some team members cooperate, but not others | -Used all means available to talk (email, phone, IM, face to face) | -Staff felt poorly informed about ACCII |
-Receptive to algorithm | -ACC staff note that they do not have great teamwork | -ACC staff note that communication among ACC team is strained | -Sense from staff that leadership is not very interested in ACCII |
-Concerned about workload implications of the 7 day return for out of range patients recommended by the algorithm |  | -Communication between ACC team and leadership was rare—ACC team had heard very little about the ACCII | -Leadership supported sending staff to ACCII meetings |