Understanding the Influence of Human and Organizational Factors on Surgeon Performance to Enhance Patient Outcomes: Experimental Evaluation of a Customized Coaching Program
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Hospices Civils de Lyon
- Enrollment
- 20,791
- Locations
- 1
- Primary Endpoint
- Operative time
Study Overview
Brief Summary
This two arms parallel cluster-randomized trial will evaluate the impact of a customized coaching program for surgeons on the occurrence of patient major adverse events. Trends in surgical outcomes before and after the intervention will be compared between surgeons randomly assigned to the coaching program against non-exposed surgeons.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Single (Participant)
Eligibility Criteria
- Ages
- 18 Years to 100 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •All adults needing a surgery who are operated by one of the participating surgeons
Exclusion Criteria
- •Age < 18 years old
- •Absence of surgical procedure
- •Palliative care
- •Organ transplantation
- •Refusal for personal data sharing
Arms & Interventions
Intervention arm
Surgeons randomly assigned to the intervention arm
Intervention: Coaching program (Behavioral)
Control arm
Surgeons randomly assigned to the control arm
Outcomes
Primary Outcomes
Operative time
Time Frame: From skin incision to wound closure
Occurrence of unplanned reoperation
Time Frame: Within 30 days after the operation
Occurrence of death
Time Frame: During surgery or within 30 days after the operation
Occurrence of intraoperative and postoperative complications
Time Frame: During surgery or within 30 days after the operation
: Occurrence of avoidable hospital readmission for complication
Time Frame: Within 30 days after the operation
Occurrence of major adverse event
Time Frame: During surgery or within 30 days after the operation
Surgeon well-being
Time Frame: Throughout the study, Through study completion, an average of 1 year
Length of stay
Time Frame: From hospital admission to discharge, within 30 days after operation
Hospitalization costs
Time Frame: Within 30 days after the operation
Occurrence of unplanned stay in critical/intensive care unit
Time Frame: Within 30 days after the operation
Secondary Outcomes
No secondary outcomes reported