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Table 2 Comparison of TICD determinant mapping across mappers

From: Comparing the application of two theoretical frameworks to describe determinants of adverse medical device event reporting: secondary analysis of qualitative interview data

Determinant themes from AMDE study TICD domains:determinants selected by mappers
LD ARG Determinant Match
PHYSICIAN BELIEFS
 AMDEs considered expected or unavoidable and not adverse unless outcomes catastrophic; viewed as more severe in other specialties Health professional cognitions: expected outcome Health professional cognitions: expected outcome Yes
Health professional cognitions: agreement with the recommendation – No
 AMDEs within 2 years of use were considered unusual Health professional cognitions: expected outcome Health professional cognitions: expected outcome Yes
Health professional cognitions: agreement with recommendations – No
 Views about cause of AMDEs confounded by multiple factors Health professional cognitions: agreement with the recommendation – No
– Health professional knowledge and skills: domain knowledge No
 Incidence of AMDEs has decreased, thus devices were thought to be improved Health professional cognitions: expected outcome Health professional cognitions: expected outcome Yes
Health professional cognitions: agreement with recommendations – No
Sub-total unique or matching determinants 3 2 3/8 (37.5%)
POLICIES, PROCESSES or SYSTEMS
 Follow-up of device-related outcomes beyond short-term results done elsewhere Recommended behaviour: observability Recommended behaviour: observability Yes
Health professional cognitions: intention and motivation – No
Health professional behaviour: nature of the behaviour – No
– Health professional knowledge and skills: knowledge about own practice No
– Health professional behaviour: self-monitoring or feedback No
– Professional interactions: referral processes No
 Devices implanted not recorded in patient records Incentives and resources: information system Incentives and resources: information system Yes
– Health professional knowledge and skills: knowledge about own practice No
– Health professional behaviour: capacity to plan change No
– Health professional behaviour: self-monitoring or feedback No
 No hospital, national or international systems for AMDE reporting Incentives and resources: information system Incentives and resources: information system Yes
Incentives and resources: availability of necessary resources Incentives and resources: availability of necessary resources Yes
Capacity for organizational change: regulations, rules and policies Capacity for organizational change: regulations, rules and policies Yes
Health professional knowledge and skills: domain knowledge – No
– Health professional cognitions: intention and motivation No
– Health professional behaviour: self-monitoring or feedback No
– Incentives and resources: non-financial incentives and disincentives No
– Incentives and resources: quality assurance and patient safety systems No
– Capacity for organization change: monitoring and feedback No
Sub-total unique or matching determinants 7 11 5/19 (26.3%)
DEVICE MARKET
 Use of specific devices often determined by purchase group contract obligations Health professional behaviour: capacity to plan change Health professional behaviour: capacity to plan change Yes
Capacity for organizational change: regulations, rules and policies – No
– Incentives and resources: financial incentives and disincentives No
– Capacity for organizational change: mandate, authority and accountability No
– Social, political and legal factors: economic constraints on the health care budget No
– Social, political and legal factors: contracts No
 Lack of responsiveness to AMDEs from representatives or manufacturers Health professional cognitions: expected outcome – No
– Health professional cognitions: intention and motivation No
– Health professional behaviour: self-monitoring or feedback No
– Social, political and legal factors: influential people No
Sub-total unique or matching determinants 3 8 1/10 (10.0%)
Total unique or matching determinants 10 19 9/37 (24.3%)
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BMC Health Services Research

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