Standardization of Non-academic Center Surgical Morbidity and Mortality Conference: a Type I Hybrid Implementation Non-clinical Trial.
- Conditions
- SurgerySurgery--Complications
- Interventions
- Behavioral: Morbidity and mortality conference toolkit
- Registration Number
- NCT05286580
- Lead Sponsor
- Poudre Valley Health System
- Brief Summary
* Specific Aim 1: Determine impact of standardized morbidity and mortality (M\&M) toolkit on provider satisfaction with, and perceived impact of, M\&M conference.
* Specific Aim 2: Identify barriers and facilitators to toolkit implementation.
- Detailed Description
Design:
- Pre-, post- intervention mixed-methods trial.
* Inclusion:
o M\&M conference attendees at enrolled level II and III trauma centers, inclusive of trainees, administrative staff, providers.
* Exclusion:
* Age \< 18
* Anticipated attendance at \<= one M\&M conference at study site.
* Intervention:
* Brief didactic regarding evidence base for M\&M conferences.
* Sequential deployment of standardized M\&M toolkit
* Standardized slide deck
* Code of conduct
* Conference planning checklist
* Case documentation form
* Recruitment:
o Pre/post survey:
* M\&M attendees will be invited to scan a QR code made available at the beginning of an M\&M conference, and to take 5 minutes to fill the associated survey if they consent.
o Semi-structured interview:
* The research coordinator contact information will be emailed to M\&M listserv, requesting interested parties contact them to schedule an interview.
* Data collection
o Specific Aim 1:
* Pre/post 10 question digital, anonymous mixed-methods (one free text question) survey
• Demographics collected: occupation (surgeon / app / non-surgeon physician / other), years in practice (\<10, 10-20, \>20)
* Observation of M\&M to capture:
• # of attendees
* # of cases presented at each conference
* # of cases which include literature review
* # of cases which include determination of recommended system change (just culture..?)
* Specific Aim 2:
* Three, six and nine months after initial toolkit deployment we will conduct semi-structured interviews regarding implementation barriers and facilitators.
* Interviews will be conducted in-person and audio-recorded.
* Interview guide will be modified to emphasize opportunities for improvement identified in initial quantitative data collection.
* For instance, if baseline data suggests case referral is the primary problem, will triage discussion of this portion of the M\&M process higher and ask additional detail regarding perceived means of improvement.
* The interview guide scope will not change from that submitted, the emphasis will pivot as described.
* Data analysis will be ongoing, and results of each interview set will be used to inform adaptation of implementation approach.
* Consent
o Would like to submit a request for waiver of written consent and inclusion of information sheet in survey with confirmation of understanding but without signature, collection of names.
* Timeline
o Baseline survey and observational data collection Feb - April 2022, intervention deployment March - May 2022, follow-up data collection Feb - April 2023.
* Study Sites o Northern Colorado M\&M (Greeley, Longs Peak, Poudre Valley, Medical Center of the Rockies)
Recruitment & Eligibility
- Status
- TERMINATED
- Sex
- All
- Target Recruitment
- 28
- M&M conference attendees at enrolled level II and III trauma centers, inclusive of trainees, administrative staff, providers.
- Age < 18
- Anticipated attendance at <= one M&M conference at study site.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Intervention Morbidity and mortality conference toolkit o Sequential deployment of standardized M\&M toolkit at a regional M\&M conference.
- Primary Outcome Measures
Name Time Method Perception of effective M&M conference one year Participant endorses having seen a change at their institution attributable to a discussion at an M\&M conference
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Medical Center of the Rockies
🇺🇸Loveland, Colorado, United States