Understanding the Influence of Human and Organizational Factors on Surgeon Performance to Enhance Patient Outcomes: Experimental Evaluation of a Customized Coaching Program
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20,791
- 试验地点
- 1
- 主要终点
- Operative time
研究概览
简要总结
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •All adults needing a surgery who are operated by one of the participating surgeons
排除标准
- •Age < 18 years old
- •Absence of surgical procedure
- •Palliative care
- •Organ transplantation
- •Refusal for personal data sharing
研究组 & 干预措施
Intervention arm
Surgeons randomly assigned to the intervention arm
干预措施: Coaching program (Behavioral)
Control arm
Surgeons randomly assigned to the control arm
结局指标
主要结局
Operative time
时间窗: From skin incision to wound closure
Occurrence of unplanned reoperation
时间窗: Within 30 days after the operation
Occurrence of death
时间窗: During surgery or within 30 days after the operation
Occurrence of intraoperative and postoperative complications
时间窗: During surgery or within 30 days after the operation
: Occurrence of avoidable hospital readmission for complication
时间窗: Within 30 days after the operation
Occurrence of major adverse event
时间窗: During surgery or within 30 days after the operation
Surgeon well-being
时间窗: Throughout the study, Through study completion, an average of 1 year
Length of stay
时间窗: From hospital admission to discharge, within 30 days after operation
Hospitalization costs
时间窗: Within 30 days after the operation
Occurrence of unplanned stay in critical/intensive care unit
时间窗: Within 30 days after the operation
次要结局
未报告次要终点