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Table 6 Qualitative content analysis of key informant interviews—implementation Consolidated Framework for Implementation Research domain

From: Multi-factorial barriers and facilitators to high adherence to lung-protective ventilation using a computerized protocol: a mixed methods study

Qualitative content analysis themes

Relevant topic

Facilitator or barrier

 Initial implementation strategies led to meaningful increases in adherence rates for both LPV and the LPV CDS tool. However, the strategies were not sufficient alone to achieve high adherence.

LPV, CDS

Barrier

 Initial implementation of the LPV CDS tool occurred as a small part of a large electronic medical record rollout.

CDS

 No organized effort to discern from front-line employees what the barriers were to use.

LPV, CDS

 No formally appointed implementation leaders were trained at each site.

LPV, CDS

 Adherence data only available with a 3–4-month lag.

LPV, CDS

 Deviations from the standards were not transparent to clinicians.

LPV, CDS

  1. Relevant topic—lung-protective ventilation (LPV) and clinical decision support (CDS) tool