Implementation of an evidence-based multidisciplinary post-operative lower extremity amputation protocol (LEAP): barriers, facilitators, and strategies

Identifying barriers and facilitators led to provider- and organization-level strategies that address capability and opportunity TDF components. Capability strategies included didactic education and clinical training supported by mentors. An automated multidisciplinary order set referral system emerged as the principal opportunity strategy. The order set aimed to improve communication regarding professional roles, enhance clinical training opportunities, and coordinate interdisciplinary care in the teaching hospital context of rotating multidisciplinary clinicians of a large urban quaternary medical center.