Table 1 CFIR constructs, mechanism, use, and illustrative quotes for each SAIA-PEDS tool and the overall package
SAIA strategy overall | PedCAT | Flow mapping | Continuous Quality Improvement | |
|---|---|---|---|---|
CFIR constructs | Relative advantage | Complexity | Compatibility | Networks and communication |
Explained mechanism | Provided a structured approach to identify gaps in services | Not useful because not available in real time to inform decisions Too complex, difficult to use without additional training Obtaining data to populate the PedCAT was challenging | Illuminated specific gaps; intuitive Worked together with CQI | Provided targeted action plan, goal, objectives, and structure for their existing meetings Promoted a positive learning environment and safe space for identifying and discussing challenges and bringing forward mistakes Facilitated working together to solve problems as a group and ensure an overall better care environment |
Relative use frequency | Rarely used | Used repeatedly in some clinics | Used repeatedly at most clinics | |
Illustrative quotes | “The three tools serve as [a] performance indicator on what we do, the whole work, the workload we have and the time frame, the planning of everything. If we inherit the three tools that means we improve our performance and the targets are met.” – Facility 6, FGD | “The PedCAT was a bit challenging and even up to now, I find it difficult to understand it well that I can use it to tell somebody else about SAIA. From the training, it should be [that] if I am faced with it, I can explain it to my neighbor, but I still find it a bit challenging on that.” – Facility 5, FGD | “The training helped us understand where our patients were getting lost before completing the process. It made us understand there were clients who were getting lost at the linkage point because of our flow map. So, it made us understand how to improve our flow map at the facility in a short time.” – Facility 3, FGD | “The meetings are very, very important, they have really helped us in improving our services. Honestly, we do learn a lot when we sit down as a group or a team, maybe there was a mistake somewhere, you admit it was a mistake but now, what is the way forward, what can you do so that this do not happen again, yes.” – Facility 2, Interview 3 |