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Table 3 Summary of the qualitative analysis in the 7 HCOs

From: Keys to successful implementation of a French national quality indicator in health care organizations: a qualitative study

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