Table 2 Adaptations Tracking: Additions to the FRAME. This abridged version of tracking adaptations includes four new elements that are not included in the FRAME: implementation stage, need for the adaptation, goal of the adaptation, and unintended consequences. Setting and the adaptation itself are also tracked. Emerging adaptations centered around material affixation or organizational-driven adaptations. This figure is our own, created by authorship team
Implementation Stage | Need | Adaptation | Goal of Adaptation | Setting | Unintended Consequences | |
|---|---|---|---|---|---|---|
Material and Affixation Adaptations | Early Development | Lighter, less noticeable portrait | Smaller portrait | Clinician comfort | Assisted living center | Reduced materials |
Early development | Eliminate sharp portrait edges | Rounded edges | Patient safetyclinician convenience | Assisted living center | Increased up front resources and time | |
Imminent rollout | Ease wearing portrait | Button portrait | Scale | Outpatient care | Greater social acceptance; confusion around button’s purpose (i.e. who is the portrait subject) | |
Early Development | Long-term use PPE portrait, less on-site process management | Reusable laminated portrait | Scale | Schools, assisted living center | Lower management cost | |
Early Development | Reduce risk of cross-contamination | Non-reusable sticker portrait | Patient and clinician safety | Hospital in-patient care | Lower fidelity images | |
Implemented/in use | Effective but non-damaging decontaminate | 70 % alcoholdecontaminate | Patient and clinician safety | All | Increased frequency of decontamination | |
Organizational Adaptations | Imminent rollout | Quality, high fidelity pictures | Onsite portrait day before staff meeting | Clinician convenience | All | Larger staff buy-in; risk spreading COVID-19 during inside photoshoot so moved to an outside location |
Early Development | Intervention uptake | Administrator plus clinician lead | Scale | Hospital, assisted living center | Few to no adaptations post implementation | |
Imminent rollout | Organization recognition | Organization logo in corner of the portrait | Patient trust | Traveling COVID-19 testers | Greater social acceptance; PPE Portrait appeared branded/commercial |