Table 5 Joint display capacity
Capacity: Social-structural resources available to agents (Social roles, Social norms, Material & Cognitive resources) | |||||
|---|---|---|---|---|---|
|  | AR (IR) | SrA | ↑↓ | LOS (ΔLOS) | Qualitative data |
Hospital 1 | 75% (10%) | 88% | ↑17 ↓5 | (6.0d) (−3.1d) | • Resources available, including time and data system • No support from quality department, but trained CP facilitator supported project • Clear clinical leader • Improvement team had no experience in CP methodology, project as opportunity to learn each other’s contribution |
Hospital 2 | 65% (22%) | 60% | ↑18 ↓3 | 8.2d (−4.2d) | • Resources and time constraints. Comprehensive data system available, but manual retrieval of data • Improvement team had experience with developing and implementing CPs, a detailed project plan was used, quality department supported the project • Medical champion present, but new in hospital, perceived as disadvantage in collaboration with surgeons |
Hospital 8 | 47% (−13%) | 71% | ↑6 ↓9 | 10.3d (−4.4d) | • No resources and no time, no data system available • No clear local champion • Day-to-day teamwork perceived as good |
Hospital 9 | 54% (−3%) | 72% | ↑13 ↓6 | 10.2d (2.1d) | • No resources nor time for improvement activities, no data system available. • No improvement team formed, and no clear clinical leader • Limited support from quality department • Day-to-day teamwork perceived as challenging |
Hospital 10 | 64% (−5%) | 64% | ↑7 ↓8 | 18.8d (1.8d) | • Lack of resources and time, staff shortage, limited data available in data system • Both medical and nursing champions, but medical champion only working on 1 of 2 wards • Improvement team had no experience in CP methodology, champion had experience |