Table 1 Strategies to promote supervisor-led audit and feedback at all sites

Actor(s)

Cross-disciplinary leadership including ICU clinical and implementation leaders

Local deployment by clinical teams including site physician, nurse and respiratory care leaders, and site champions

Project leader/facilitator with expertise in process improvement and implementation

Cross-disciplinary clinical operations team including system physician, nurse and respiratory care leaders, clinical education and training, information technology

Cross-disciplinary team including clinical and implementation effectiveness leadership, information technology

Action(s)

Coordinate efforts of working teams, set performance goals, monitor performance

Monitor site performance, identify and address barriers to adherence through rapid cycle Plan-Do-Study-Act experiments

Provide consultation on use of rapid-cycle Plan-Do-Study-Act, including training and best practice sharing forums

Develop and distribute training materials, including implementation toolkit (goals, roles, contact list, protocol reference guide, FAQ)

Develop and deploy standardized C-SAT/SBT clinical workflow measurement system and supporting technology

Targets of the action

Local site project teams/champions

Front-line clinicians

Enterprise executive implementation team

Local site project teams/champions, front-line clinicians

System leadership, local site project teams/champions, front-line clinicians

Temporality

Initiation through post-implementation phase

Implementation phase

Initiation through implementation phase

Implementation phase

Initiation through post-implementation phase

Dose

At least monthly

Weekly or biweekly

Weekly/biweekly sessions as needed by site

At site deployment and as needed by site

Monthly

Implementation outcomes affected

Uptake, penetration

Uptake, penetration, fidelity

Uptake, penetration

Uptake, penetration, fidelity

Uptake, penetration, fidelity