Table 3 Summary of the qualitative analysis in the 7 HCOs
HCO | Local manager | Digitalization of anesthesia record | Professional ties |
|---|---|---|---|
A | Chief anesthetist | Yes | Very young team |
B | Chief anesthetist | No | Diffusion of best practices difficult because of large anesthesia team |
C | Chief anesthetist + 2 anesthetists | No | Diffusion of best practices difficult because of large anesthesia team |
D | Chief anesthetist + 1 anesthetist | No | New and merged facilities meant that many experienced anesthetists left whilst the improvement assessments were in progress, leaving work to a less experienced team |
E | Chief anesthetist | Yes (information system designed and installed by chief anesthetist. Both adapted and adaptable to user needs) | Private sector anesthetists caring little for institutional improvements apart from the chief anesthetist |
F | Chief anesthetist | No | Team little concerned with institutional improvements apart from the chief anesthetist who identified with patients and showed high commitment to the steps taken to improve quality |
G | Chief anesthetist | Yes (technical difficulties; junior anesthetists had to enter senior anesthetists’ written notes on their tablets but, as wi-fi did not work in the hospital wings, they had to reconvene in the operating rooms). | Strained relationship between the senior anesthetists resisting introduction of new technologies and practices and the chief anesthetist seeking compliance with QAF criteria |