Determinant themes from AMDE study | TDF domains selected by mappers | ||
---|---|---|---|
LD | ARG | Domain Match | |
PHYSICIAN BELIEFS | |||
AMDEs considered expected or unavoidable and not adverse unless outcomes catastrophic; viewed as more severe in other specialties | Beliefs about consequences | Beliefs about consequences | Yes |
Social-professional role and identity | – | No | |
AMDEs within 2 years of use were considered unusual | Beliefs about consequences | Beliefs about consequences | Yes |
Views about cause of AMDEs confounded by multiple factors | Beliefs about consequences | – | No |
– | Knowledge | No | |
Incidence of AMDEs has decreased, thus devices were thought to be improved | Beliefs about consequences | – | No |
– | Optimism | No | |
Sub-total unique or matching domains | 2 | 3 | 2/7 (28.6%) |
POLICIES, PROCESSES or SYSTEMS | |||
Follow-up of device-related outcomes beyond short-term results done elsewhere | Environmental context and resources | Environmental context and resources | Yes |
Social-professional role and identity | – | No | |
Devices implanted not recorded in patient records | Environmental context and resources | Environmental context and resources | Yes |
No hospital, national or international systems for AMDE reporting | Environmental context and resources | Environmental context and resources | Yes |
– | Reinforcement | No | |
Knowledge | – | No | |
Behavioural regulation | – | No | |
Sub-total unique or matching domains | 4 | 2 | 3/7 (42.9%) |
DEVICE MARKET | |||
Use of specific devices often determined by purchase group contract obligations | Environmental context and resources | Environmental context and resources | Yes |
Lack of responsiveness to AMDEs from industry | Reinforcement | Reinforcement | Yes |
Knowledge | – | No | |
Optimism | – | No | |
Beliefs about consequences | – | No | |
– | Environmental context and resources | No | |
Sub-total unique or matching domains | 5 | 2 | 2/6 (33.3%) |
Total unique or matching domains | 6 | 5 | 7/20 (35.0%) |