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Table 1 Important factors identified in the adoption of the SAVE-method to additional sites in phase II

From: A hybrid type I, multi-center randomized controlled trial to study the implementation of a method for Sustained cord circulation And VEntilation (the SAVE-method) of late preterm and term neonates: a study protocol

Introduction phase Approach decision makers and stakeholders
Achieve acceptance for the study from the head of departments and stakeholders (see Table 3)
Set up of local team (facilitators)
Form a local team including: a medical responsible doctor, coordinating midwife, obstetrician, neonatologist and neonatal nurse
Define responsibilities in the study
Set-up phase Define setting and develop new local routines
Involve stakeholders to update routines to implement SAVE-protocol eg:
• routine for alerting the neonatal team of infants requiring resuscitation
• routine for control of SAVE-equipment on mobile stand
• routine for moving of the infant from bedside to dedicated resuscitation area if in need of more advanced resuscitation efforts
Prepare a checklist in the labor department for implementing the study and planning the birth according to the randomization instruction
Set up of local equipment
Establish collaboration with the MTE department to set-up the equipment and adopt the local setting in the room eg. oxygen/air outlets and longer gas hoses
Start-up phase Set up training sessions for staff (adopters)
Set up simulating exercises including all staff present in the labor department
Plan training days with seminars on cord-clamping and SAVE-study process for different groups of staff
Develop training material for the introduction of additional sites