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Table 1 Description of the seven domains in the NASSS framework

From: How can technology support quality improvement? Lessons learned from the adoption of an analytics tool for advanced performance measurement in a hospital unit

Domain (D) Description
Condition (D1) The nature or characteristics of the condition or diagnoses that the technological innovation address, as well as relevant co-morbidities and sociocultural aspects.
Technology (D2) The technological features of the innovation, such as its design and perceived usability, the quality and reliability of knowledge generated as well as the skill and support needed to use the technology. It also concerns the long-term sustainability of the technology, such as possibility of adaptations and potential market dynamics that may impact the future availability of the product.
Value proposition (D3) The expected value of the technological innovation, both from a supply-side business model view, and from the perspective of the health provider, weighing potential benefits for patients against costs of procurement.
Adopter system (D4) Changes in staff roles or responsibilities that threat professional identities are factors that add complexity and may impede implementation of new innovations. The domain also includes expectations on patients’ or their caregivers’ knowledge and involvement in innovation adoption.
Organization (D5) The organisation’s readiness to adopt new technology, how the decision to implement the technology into the organisation was made and how that decision was motivated and funded. Disruptions to established work routines and the amount of work required to adopt the new technology may as well affect organisational response.
Wider system (D6) Political, financial, regulatory/legal and social context that may influence the means and successfulness of the technology into the organisation.
Embedding and adaptation over time (D7) The possibility to “coevolve” technology to changing context within the organisation and the resilience of the organisation in adapting to unforeseen events, which can impact the ability of the organisation to retain and further develop technology over time.