People
|
Barrier: Diverse group of healthcare professionals involved in
study, some had trained in different healthcare cultures, some did not
have English as a first language.
Barrier: Some newer members of study team were uncertain about
aspects of tasks.
Facilitator: Inclusive and supportive teams with a visible focus
on collaborative teamwork.
|
Environment
|
Physical environment:
Barrier: Groundworks underway outside OxCRF causing restricted
access to both entrances during observation period. Unclear what
measures were in place for access in emergency or if go/no-go criteria
described.
Barrier: Facilities for research teams not optimal yet e.g. no
designated area for overnight rest; lights come on automatically with
movement; no handwashing facilities in coffee room.
Facilitator: Large, well-lit spaces which could be adapted
Barrier: Visibility and communication into participants room
hampered by room design.
Socio-organisational environment:
Barrier: Communication required between different teams (e.g.
OxCRF team and study teams); areas on site (e.g. OxCRF and laboratory);
areas in different organisations (e.g. OxCRF and hospital scanner).
Communication about certain aspects of tasks unclear (e.g. route to be
taken to CT scanner)
Facilitator: Recognition of the importance of clear communication
and observation of regular closed-loop communication between team
members
Barrier: Use of checklists not routine.
Barrier: Training for emergency situations (e.g. anaphylaxis,
cardiac dysrhythmia) available (BLS is mandatory for all staff) but not
“low dose – high frequency” model.
Facilitator: Strong desire within OxCRF and the COV-CHIM study
team to improve checklists and training.
|
Task
|
Barrier: No explicit go-no-go criteria in trial protocol or OxCRF
SOPs to highlight criteria for halting specific task/trial.
Barrier: Communication difficult from participant’s room to
outside.
Facilitator: Options available to modify communication systems in
OxCRF
|
Tools/ Technology
|
Barrier: Paper record keeping common.
Barrier: Signage for procedures which may incur risk (e.g. inoculation)
not standardised or clearly visible and in paper form.
Barrier: Communication between areas variably supported with
modern telecommunication tools.
Facilitator: Options available to modify communication systems in
OxCRF
|