Table 1 Specification of implementation strategy elements [18] (A) and evaluation of their feasibility (B)

A

Protocol including minimal requirements [10]

User manual [10]

Education module

Guidance by the coordinating centre

User-group meetings

Content

Definitions (surveillance population and case)

Acceptance criteria algorithm

Data specifications

Minimal requirements AS system

Internal and external validation

How to write local implementation plan

Formation of a project group

Involvement of stakeholders of the implementation of AS

Identification and solving local barriers for implementation

Basic principles of AS

Validation of source data and algorithm components

Hospital information systems

Information standards

Governance

Development of AS system

Maintenance

Discuss progress

Questions or issues

Exchange experiences and examples between hospitals

Updates/information from the coordinating centre

Developed by (actor)

Coordinating centre

Expert and stakeholder consultation

Coordinating centre

Coordinating centre and AS Expert (coordination & education);

Experts specific topics (education)

Coordinating centre

Coordinating centre– interactive participative meetings with intended users

Goal (implementation outcome affected)

Implementation

Sustainability

Adoption

Implementation

Sustainability

Implementation

Sustainability

Adoption

Implementation

Sustainability

Adoption

Implementation

Sustainability

Elements ERIC [17]

Develop a formal implementation blueprint

Develop and organize quality monitoring systems

Promote adaptability

Develop educational materials

Develop an implementation glossary

Conduct educational meetings

Create a learning collaborative

Audit and provide feedback

Conduct local needs assessment

Provide ongoing consultation

Tailor strategies

Use advisory boards and workgroups

Create a learning collaborative

Promote network weaving

Capture and share local knowledge

Timing roll-out

Start of the implementation

Start of the implementation

Day 1: 2 months after start

Day 2: 5 months after start

Every three months or whenever requested, physical and online meetings

Quarterly meetings

1 h in online format

Intended users

Project leader

Team members

Project leader

Team members

Project leader

Team members

Project leader

Team members

Project leader

Team members

Type of element

N.A.

Passive

Active

Active

Active

B

Results survey

Exposed

N.A.

12/17 (71%)

8/12 (67%)

13/17 (76%)

10/17 (59%)

Users by profession

n /exposed (%)

N.A.

8/12 (67%)

ICP: 6

IT: 1

Project manager: 1

4/8 (50%)

ICP: 4

7/13 (54%)

ICP: 5

MM: 1

IPC management: 1

6/10 (60%)

ICP: 5

MM: 1

Users by role^a

n/total users (%)

N.A.

Project leader: 4/8 (50%)

Team member: 4/8 (50%)

Developer: 5/8 (63%)

User: 5/8 (63%)

Leader department: 2/8 (25%)

Project leader: 3/4 (75%)

Team member: 3/4 (75%)

Developer: 3/4 (75%)

User: 3/4 (75%)

Leader department: 1/4 (25%)

Project leader: 3/7 (43%)

Team member: 6/7 (86%)

Developer: 4/7 (57%)

User: 4/7 (57%)

Leader department: 3/7 (43%)

Project leader: 3/6 (50%)

Team member: 5/6 (83%)

Developer: 4/6 (67%)

User: 4/6 (67%)

Leader department: 2/6 (33%)

Phase use^a

n/total users (%)

N.A.

At the start: 5/8 (63%)

During implementation: 6/8 (75%)

End of implementation: 2/8(25%)

Specific questions: 4/8 (50%)

At the start: 3/4 (75%)

During implementation: 3/4 (75%)

Specific questions: 4/4 (100%)

At the start: 6/7 (46%)

During implementation: 3/7 (23%)

End of implementation: 1/7 (8%)

Specific questions: 4/7 (31%)

N.A.

Recommendation to colleagues^b

N.A.

88%

N.A.

100%

67%

Self-reported effectiveness^c

N.A.

38%

100%

100%

83%