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Table 1 Components of the SIMS intervention, specified according to the Template for Intervention Description and Replication (TIDieR) Checklist

From: A complex intervention to improve implementation of World Health Organization guidelines for diagnosis of severe illness in low-income settings: a quasi-experimental study from Uganda

SIMS components Collaborative improvement meetings Clinical performance audits and feedback Clinical mentoring
Why To guide facility staff on implementing collaborative improvement plans To assess how the Quick Check is applied in local practice settings and reinforce the need for high performance on specific quality indicators derived from the Quick Check To guide clinicians on application of Quick Check in local practice settings
What Systematic assessment of local resources for severe illness management, goal setting by facility stakeholders with external supervision, and group problem-solving Comprehensive monitoring of clinical performance through daily medical record extraction, with mentored review of regular performance indicator reports Bedside teaching rounds and mentored reviews of clinical cases; simulation sessions for medical ward teams
Who provides Local champion On-site data collectors and project manager Visiting expert clinician
How In person with all clinical, administrative, and support staff Data collection using CommCare, an open-source data collection platform; comprehensive performance reports delivered to clinical leaders at each site via email; focused messages about specific performance indicators delivered to individual clinical staff via SMS Shadowing at the bedside
Where At the hospital At the hospital At the hospital
When and how much One hour twice a month Email reports weekly
SMS weekly
One full day each month
Tailoring We added a USD 1500 process improvement fund to enable facilities to act on improvement priorities. The program manager developed reports and sent SMS using DHIS2, an open-source electronic health record platform approved by the Ministry of Health. None
Modifications The clinical team used the pre-training facility assessment report to develop a work plan for quality improvement. The clinical leader discussed the reports with staff during collaborative improvement meetings. None
How well At least monthly at all 4 sites, bi-monthly at 2 sites As designed Every 4–6 months
  1. Abbreviations: DHIS2 District Health Information System Version 2 (Oslo, Norway), SMS short messaging service