Table 5 Description of activities during the active implementation phase

1. Measuring fidelity of training

To determine if the staff are trained to a well-defined performance criteria

ED staff

Training evaluation survey

Trained/competent staff

2. Measuring fidelity of intervention delivery

To determine if the sites have implemented SurgeCon as intended

ED

Software platform and champion participant observation

Successful implementation

3. Examining contextual constructs and factors

To identify and describe the context in which the intervention occurs and the factors that influence implementation

ED staff

Champion observation, site coordinator report

Understanding contextual constructs and factors to develop a plan for overcoming the challenges and ensuring successful implementation

4.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

5. Conducting interview about barriers and enablers

To study organizational climate of ED before, during, and after the intervention and consult with ED staff to gauge interest in newly implemented ED management system

ED staff

Semi-structured interview

Resolving potential contextual barriers to successful implementation