Table 3 Facilitators to the implementation of the ACS QUIK toolkit intervention
Facilitators | Data source | Description | Context, conditions, and consequences |
|---|---|---|---|
Individual level | |||
 Physicians believed in the toolkit intervention | Interview | Physicians’ engagement was a function of initial views about ACS QUIK toolkit intervention | Physicians’ engagement in implementing the toolkit intervention was shaped by their interest with awareness and initial belief in the toolkit intervention that it will be beneficial to improve patient outcomes. |
 Usefulness of checklists and patient education materials | Survey, interview | Admission and discharge checklists and patient education materials were simple and easy to use | In view of high patient volume and physicians’ time constraints, admission and discharge checklists were easy to administer and patient education materials were distributed to patients and their relatives in the outpatient clinic or at the discharge visit. |
 Patients satisfaction with the care provided by the cardiovascular quality improvement team | Survey, interview | Patients responded positively to the care provided by the cardiovascular quality improvement team. | Physicians expressed that patients liked the education materials and care provided by the ACS QUIK trial team. |
Organizational level | |||
 Inter-departmental communication | Interview | Coordination between medicine department, coronary care unit, and emergency unit department was influenced by the implementation of toolkit intervention | Involvement of physicians, consultants and support staff from various departments viz. emergency unit, coronary care unit, and medicine department improved transfer communication and better delivery of toolkit intervention. |
 Training opportunities available to form code /rapid response team | Survey, interview | Code (cardiac arrest) team and rapid response teams were established after training guidelines were provided to the hospitals. | Training opportunities were made available to the hospital teams to create code and rapid response team to improve resuscitation procedures, door-to-needle or door-to-balloon time, and ultimately patient outcomes. |
 Organizational support | Interview | Support of the hospital administrators | Hospital administrators and physicians supported the view of delivering standardized treatment protocol to all ACS patients. |