Applying the adapted CTA framework in the discharge pilot uncovered previously unknown stakeholders and barriers¶

Claim · All claims
Evidence · 1 study · qualitative r2 · q2
Currency · newest study 2023 · not yet checked against its sources · not reviewed by a person

Subclaims¶

q2 i? Applying the adapted CTA framework in the ongoing discharge planning pilot uncovered key stakeholders in the discharge process of which the team was initially unaware, as well as numerous barriers to discharging a patient after surgery. → Graham LA 2023

Evidence¶

Graham LA 2023¶

Graham LA, Gray C, Wagner TH, Illarmo S, Hawn MT, Wren SM, Iannuzzi J, Harris AHS. (2023). Applying cognitive task analysis to health services research. Health Services Research. https://doi.org/10.1111/1475-6773.14106

q2 · i? · qualitative · r2

Authors' report from the ongoing qualitative pilot applying the adapted CTA framework to postoperative discharge planning. They state that "CTA has helped us uncover key stakeholders in the discharge process" and that different actors offer different perspectives on the environment. No effect size is printed.

"While still ongoing, CTA has helped us uncover key stakeholders in the discharge process of which we were initially unaware."

Discussion¶

Related Claims¶

• Environmental analysis via structured observation of morning rounds identified unanticipated stakeholders in surgical discharge
• Core Teams identified communication challenges, school and district leadership turnover, and teacher burnout as barriers that influenced solution success — related
• Participants identified staff turnover as a critical factor threatening sustainability of pilot solutions — related
• District teams struggled to produce rigorous, reliable evidence for assessing their improvement work — related
• Interviews after the Inclusive Innovation pilots identified multi-level buy-in, implementation iteration, embedding in existing systems, and demonstrating benefits as key lessons for sustaining district-community solutions — related