Nationwide Implementation of Standardized Structured Reporting

• Conditions: Standardized Structured Reporting
• Interventions: Behavioral: Implementation tools

• Registration Number: NCT03649126
• Lead Sponsor: Radboud University Medical Center

Brief Summary

The first objective is to explore factors that impede or facilitate implementation of SSR in pathology (and other disciplines) among the MDT members receiving SSRs. The second objective is to select, develop and evaluate (process and effect outcomes) implementation tools supporting optimal implementation of SSR in pathology. The third objective is to offer implementation tools to all pathology laboratories in the Netherlands and to share the SSR-kit for successful implementation with other medical disciplines

Detailed Description

By implementing SSR in various disciplines, we contribute to improving communication, efficiency and quality of multidisciplinary team (MDT) meetings and facilitate optimal treatment decision making. Optimal discussion of each patient at MDT meetings can be achieved by a clear communication of all diagnostic results among MDT members. However, the adoption of innovations, such as SSR, is laborious, especially when the innovation requires changing daily habits. Offering implementation tools supports the adoption of innovations among medical professionals. Implementation tools are most effective when they are developed on the basis of factors that impede or facilitate the innovation. Besides the importance of investigating these factors for SSR among pathologists, we will also involve MDT members receiving pathology SSRs in our study. After all, because MDT members will greatly benefit from SSR, they could play a key role in stimulating the use of SSR among pathologists. Therefore, we will also explore which tools MDT members need to stimulate the diagnostic disciplines in using SSR. Subsequently, we will develop and evaluate implementation tools to support the use of SSR by pathologists. The kit for successful implementation of SSR will be offered to other medical disciplines like radiology, endoscopy, and surgery who face similar challenges with implementation of SSR. The SSR-kit consists of our multidisciplinary approach for the whole process of developing implementation tools for SSR, examples of tools for SSR, and other results of this project.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Status Verified: 2018-08
• Study First Submitted: 2018-08-14
• Study Start: 2018-08-21
• Study First Submitted QC: 2018-08-27
• Last Update Submitted: 2018-08-27
• Study First Posted: 2018-08-28
• Last Update Posted: 2018-08-28
• Primary Completion: 2020-06-30
• Study Completion: 2020-06-30

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• Pathologists of urological, gynecological or gastro-intestinal cancers
• Other MDT-members of urological, gynecological or gastro-intestinal cancers (medical oncologists, radiologists, radiotherapists, urologists, gynecologists, intestinal surgeons, nuclear medicine physicians, nurse practitioners).
• Dutch
• Residents

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Exclusion Criteria

• Retirees

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Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Dutch pathologists hospital I	Implementation tools	Pathologists in hospital I using protocols of: Urological cancer Gynaecological cancer Gastro intestinal cancer
Dutch pathologists hospital III	Implementation tools	Pathologists in hospital III using protocols of: Urological cancer Gynaecological cancer Gastro intestinal cancer
Dutch pathologists hospital IV	Implementation tools	Pathologists in hospital IV using protocols of: Urological cancer Gynaecological cancer Gastro intestinal cancer
Dutch pathologists hospital II	Implementation tools	Pathologists in hospital II using protocols of: Urological cancer Gynaecological cancer Gastro intestinal cancer
Dutch pathologists hospital V	Implementation tools	Pathologists in hospital V using protocols of: Urological cancer Gynaecological cancer Gastro intestinal cancer
Dutch pathologists hospital VI	Implementation tools	Pathologists in hospital VI using protocols of: Urological cancer Gynaecological cancer Gastro intestinal cancer

Primary Outcome Measures

Name	Time	Method
Barriers and facilitators in implementation of SSR in MDT - focus groups and self-developed questionnaire	9 months	Barriers and facilitators in implementation of SSR among MDT members measured by focus groups and a self-developed questionnaire
Effectiveness of implementation tools - frequencies of use of SSR templates in pathology in the Netherlands	6 months	The improvement in use of SSR templates in the Netherlands (=effectiveness of implementation tools) measured by frequencies of use of SSR templates in pathology (=all laboratories in the Netherlands)

Secondary Outcome Measures

Name	Time	Method
Determinants of barriers and facilitators in implementation of SSR - focus groups and a self-developed questionnaire	1 month	Determinants of barriers and facilitators in implementation of SSR among MDT members measured by focus groups and a self-developed questionnaire
Experiences with implementation tools - questionnaire	6 months	Experiences of pathologists and other MDT members with the implementation tools, measured by a questionnaire
Use of implementation tools - questionnaire	6 months	Use of implementation tools among pathologists and other MDT members, measured by a questionnaire

Trial Locations

Locations (1)

Radboud University Nijmegen Medical Center; 🇳🇱 Nijmegen, Gelderland, Netherlands