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Table 4 Description of activities during the adoption phase

From: Implementation of an ED surge management platform: a study protocol

Activity

Objective

Target (ED, staff, patients, patient advisors)

Measurement tool and method

Outcome of interest

1. Installing SurgeCon’s digital whiteboard application

To advise when to use volume-based staffing (shifting staff between areas of the hospital based on workload), appropriate and timely involvement of hospital management, and overcapacity protocols, which may otherwise be overlooked by distracted frontline ED staff

ED

Protocol-driven software platform

Online illustration of ED organization and wait time

2. Data collection

To enhance the platform and update ED staff

ED

SurgeCon platform and ED secondary data

Enhancing ED functioning

3. Training frontline SurgeCon champions

To provide ongoing learning related to using the new system and the successful uptake and adoption of SurgeCon

ED staff

Participant observation

Solving practical or technical issues with using SurgeCon

4. Staff training

To encourage ED staff to become active participants in the improvement process

ED staff

Interactive simulation coursea, SurgeCon eHealth platform trainingb, and patient centeredness trainingc

Facilitating the implementation of quality improvement

5. Site assessment

To determine whether the site is capable of implementing the platform as intended given the level of resources and staff commitment

ED staff

Champion observation and site coordinator reports

Assisting ED staff in development of SurgeCon

6. Establishing a patient-centric ED environment

To improve the overall appearance of physical spaces in the ED

ED

Patient advisors’ observation and site assessment checklist

To improve patient satisfaction

7. Conducting patient-reported experiences, patient satisfaction telephone interviews, and semi-structured patient interview

To consult with patients, get feedback from them, study their lived-experiences

ED patients

Patient-reported experiences and patient Satisfaction survey and semi-structured patient interview guide

Develop strategies to overcome the challenges of patient satisfaction

  1. aInteractive Simulation Course. This module focuses on an ED improvement flow sustainability strategy. The aim will be to provide information on the rationale underpinning SurgeCon and how it works in the practice setting using case-based scenarios. It will be interactive allowing for questions and answers and ensuring the learning outcomes are achieved
  2. bThis module will help ED staff: (1) become familiar with the digital whiteboard application, (2) learn how the system collects and reports information, (3) learn how to interpret system generated notices and warnings, (4) assign protocol tasks, and (5) learn effective response strategies to system notices and warnings
  3. cThis module includes an educational session which reinforces the following topics: (1) providing quality ED care to all patients regardless of urgency, (2) treating all patients with respect, and (3) demonstrating that the patient’s visit to an ED must always be considered necessary as they may have no other option
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Implementation Science Communications

ISSN: 2662-2211