Table 2 Mapping of themes to relevant NPT constructs

People matter:

(leadership, relationships, staff buy-in, staff continuity)

• Capability / workability

• Context

• Coherence

• Cognitive participation

• Collective action

Knowledge, experience & confidence matters:

(awareness, education, knowledge, experience; especially for junior doctors & nurses)

• Coherence

• Cognitive participation

• Collective action

Prioritisation matters:

(relative prioritisation given to AMS in relation to competing objectives)

• Cognitive participation

Context, time and resources matter:

(size and complexity of the organisation, availability of staff, time)

• Capability / workability

• Context

• Collective action

Technology matters:

(methods of accessing information & communicating; presence or absence of meaningful data)

• Collective action

Feedback matters:

(the nature and timing of feedback on audit data)

• Reflexive monitoring