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Table 2 Summary of findings

From: Challenges to ensuring valid and useful waiting time monitoring – a qualitative study in Swedish specialist care

Themes Subthemes Defining the experience of...
Interconnection of validity and usefulness   how the value of a registry is determined by validity and usefulness
  Low usefulness of system output usage of system output and suggestions for increased usefulness
  Low perceived validity of system output perceived validity of waiting time data
  Self-reinforcing validity and usefulness mechanisms for interaction of perceived validity and usefulness
Structural barriers to validity   errors in data caused by health care system structure
  Technical errors errors in data caused by technical system, registry categories or technical system design.
  Procedural errors errors in data caused by the structure of routines and care processes
  Errors due to roles and responsibilities errors in data caused by role divisions between actors and self-perceived/explicit job descriptions.
Cognitive barriers to validity   errors in data caused by cognitive operations
  Misinterpretation of guidelines error in data caused by misunderstanding or conscious misinterpretation of guidelines
  Interpretations of nonregulated cases error in data caused by behaviors in situations not covered by the guidelines
  Manipulation as strategy error in data caused by conscious sidestepping of guidelines to gain advantages